1. Public Bodies (Joint Working) (Scotland) Bill

2. Health and Social Care Integration Not a new concept - policy goal for UK governments over the last few decades. Successive initiatives in Scotland have addressed integration, with a focus on achieving better outcomes through partnership working, service redesign and integrated pathways. These include: Joint Futures Group (1999) Community Care and Health (Scotland) Act 2002 Community Health Partnerships (CHPs) (2004) Integrated Resource Framework (2008)

3. Health and Social Care Integration However… Concerns over effectiveness and consistency across Scotland The Christie Commission (2011) called for streamlined public service structures, specifically recommending they should be: Outcome-focused Integrated Collaborative

4. Presented to Scottish Parliament – 28 May 2013 Policy Ambition: “to improve the quality and consistency of services for patients, carers, service users and their families; to provide seamless, joined up quality health and social care services in order to care for people in their homes or a homely setting where it safe to do so; and to ensure resources are used effectively and efficiently to deliver services that meet the increasing number of people with longer term and often complex needs, many of whom are older.” The Public Bodies (Joint Working) (Scotland) Bill

5. Health boards and local authorities must create an ‘integration plan’ for each local authority area. There are 4 models of integration to choose from – creating an ‘integration authority’. Plans are specifically for adult services, but other services may also be included. The Bill sets out the principles that should guide the creation of these plans. National outcomes will be created to hold health boards and local authorities to account. The new integration authorities must create a strategic plan for integration activities every 3 years. It allows NSS to extend its services to all public bodies, not just the NHS. Allows health boards to form companies for joint venture purposes and allows boards to act on behalf of each other. What does it say?

6. Health & Sport Committee - Lead committee designated by Scottish Parliament. Issued a call for written views and evidence on the general principles of the Bill – by 2 August 2013. The call received 80 responses – the majority of these were from 3 rd sector organisations (28 = 35%) The majority of responses agreed with the general principles of the Bill and thought there was potential to achieve the policy objectives, but had concerns over its implementation and provisions: structural vs cultural change will depend on a number of other factors will depend on the detail – to follow in secondary legislation Written evidence

7. 1.Guiding principles? 2.Stakeholder involvement – 3 rd sector, public and people who use services 2.Links with other legislation – SDS & CYP 3.Transition services or those not included in plans? 4.Confusing landscape? Postcode lotteries? 5.Primary and secondary health care? 3 rd sector considerations

8. Scottish Government to conduct a review of third and independent sector partner involvement in Change Fund planning in order to ensure their full involvement in the future design and commissioning of new services and wider partnership arrangements. The 3 rd and independent sectors have a crucial role to play in local partnerships if the plans for more effective integration of health and social care are to be realised in practice. To be effective, the new health and social care partnerships must re-engage general practitioners and other health and social care professionals in locality planning. Committee conclusion – specific 3 rd sector actions

9. A range of organisations will be invited to give oral evidence in September. This will result in a stage one report and parliamentary debate. Once the general principles are agreed, the Bill will progress to stage 2 by the end of the year. This will allow organisations to submit amendments to the Bill. Stages 2 & 3 look specifically at amendments to the Bill. The Bill is likely to become an Act in Spring 2014. What next?