Integration – One Year On 3 rd and 4 th May 2016 Eddie Fraser Director, East Ayrshire Health and Social Care Partnership
Background • Public Bodies (Joint Working) (Scotland) Act 2014. • Duty to prepare a Strategic Plan • Deliver on the 20:20 Vision and shared Outcomes • Integral to Community Plan and requirements for Children and Young People, Community Justice • Locality arrangements as ‘engine room’ of integration (‘All Hands on Deck’ and ‘Locality Conversations’)
Integration Scheme • Implementation of Public Bodies(Joint Working)(Scotland) Act 2014 • First in Scotland to be approved by Scottish Government – 1 April 2015 • Integration Joint Board inaugural meetings – 2 April 2015 • Chair and Vice Chair, Chief Officer , Chief Financial Officer and members confirmed • Delegated functions agreed (including Childrens and Justice Services)
Lead Partnership Arrangements • East Ayrshire HSCP Lead Partnership for Primary Care • North Ayrshire HSCP Lead Partnership for Mental Health • South Ayrshire HSCP Lead Partnership for Allied Health Professionals
Vision Working together with all of our communities to improve and sustain wellbeing, care and promote equity
Values
Why Work In Health or Social Care Setting?
Partnership Services • Bringing together £200m creates the opportunity to improve outcomes • Working with Community Planning partners, the third and independent sectors • Co-production with community and service users
• Health inequality • Supporting people with long-term conditions • Care for older people • Alcohol and drug misuse • Technology enabled care • Choice and control • Workforce
Where we are now- 1 year on ? • Pan Ayrshire Programme Arrangements • Strategic Lead for Wellbeing Delivery Plan • Strategic Plan and Action Plan • Lead Partnership Primary Care • Management Teams and new structure in place
Pan Ayrshire Programme Arrangements
Governance Arrangements
Management Structure Chief Executive Health and Social Care Chief Executive Officer Director Officer East Ayrshire and Arran Eddie Fraser Ayrshire Council CSWO Head of Service Head of Service Snr Manager Head of Service Lead AHP Children’s Health, Primary Care and Business Community Health Marianne Care and Justice OOH Community Support and Care Services: Hayward Services: Response: Amanda McInnes Annemargaret Black Susan Taylor Pamela Milliken Snr Manager Lead Nurse Finance Ann Gow Alex McPhee Associate Snr Manager Medical Planning & Director/Lead Performance GP Erik Sutherland John Freestone
How does it feel from where you are?
Some new Initiatives over the last year
Business Support • Joint Health and Safety Report • Risk Management Arrangements Planning and Performance • Lead for Unscheduled Care • Strategic Planning Annual Review
Community Health and Care Services • Improvement and Efficiency Silver Award – Thinking Differently Team Children , Health and Justice Services • Kinship Care • Community Justice Arrangements
Primary Care Out of Hours and Community Services • Out of Hours Emergency Care Hub- national pilot
What we will need to do over the next few years…. • Budget implications • Change programme • Service redesign • Workforce planning
How do we make that change?
Where we are now? • Mitigate - holding steady and delivering what we can • Prevent – implementing change investing for the future • Undo- contribution to tackling underlying causes
Mitigate Mitiga te
Prevent
UNDO
Any final comments ? Twitter @EAHSCP
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