1. “Our vision is for a Scotland where people who are disabled or living with long term conditions and unpaid carers have a strong voice and enjoy their right to live well.”

2. 2020 Route Map to the 2020 Vision for Health and Social Care The ALLIANCE projects

3. Health and Social Care Integration Integration is central to Scottish Governments 2020 Vision for Health and Social Care: Route Map to the 2020 Vision for Health and Social CareRoute Map to the 2020 Vision for Health and Social Care The goal of Integration is to provide ‘joined up, seamless’ health and social care, particularity for people with long term and / or multiple conditions and older people. The Public Bodies (Joint Working) (Scotland) Act 2014 The Public Bodies (Joint Working) (Scotland) Act 2014

4. National Health and Wellbeing Outcomes 1. People are able to look after and improve their own health and wellbeing and live in good health for longer. 2. People, including those with disabilities or long term conditions or who are frail are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community. 3. People who use health and social care services have positive experiences of those services, and have their dignity respected. 4. Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services. 5. Health and social care services contribute to reducing health inequalities. 6. People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and wellbeing. 7. People using health and social care services are safe from harm. 8. People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide. 9. Resources are used effectively and efficiently in the provision of health and social care services.

5. Integration Governance Integration Authority 1.Integrated Joint Board (Body Corporate) 2.Lead Agency Model The Integration Authority will be responsible for: The Integration Scheme The Combined Budget Health and Social Care Integration Narrative Voting Membership: Health Board / Elected Council Members Non Voting: A registered nominated health professional. Chief Social Work Officer A staff-side representatives: NHS and L.A. A third sector representative A carer representative A service user representative Others at local discretion.

6. Joint Strategic and Locality Planning Planning begins with a local Joint Strategic Needs Analysis Strategic Planning Group – responsible for developing joint strategic commissioning plans:  Joint Strategic Commissioning: A co-produced approach to planning, commissioning and delivering services based on locally identified needs and priorities.Commissioning  The Public Bodies Act stipulates the each local authority area must be subdivided into at least two sub localities for the purpose of integrated joint strategic planning.

7. Strategic Planning Group Representation Health professionals Social care professionals Users of health care and social care Carers of users of health care and social care Commercial providers of health care Non-commercial providers of health care Commercial providers of social care Non-commercial providers of social care Non-commercial providers of social housing Third sector bodies carrying out activities related to health or social care

8. Basic Integration Timeline Royal Assent April 2014 Consultation on Regulations and development of guidance April – August 2014 Regulations and guidance complete November 2014 – February 2015 Local Integration Schemes submitted to Government April 2015 Integration goes live April 2015 All integrated functions in place April 2016

9. Integrated Care Fund 2015-16 £173m one year investment fund (1.43 % of the total health budget) available from April 1 st 2015. Key focus on:  Addressing health and social inequalities  Supporting people with two or more long-term conditions (secondary and tertiary prevention approach)  Testing and delivering supports which improve health and wellbeing outcomes and which can be mainstreamed or scaled.  Reduced emergency admissions Local plans must be signed off by partners and submitted to the Scottish Government by December 12 th 2014.

10. Integration: Opportunities and Challenges Active citizenship – But how to we promote the ‘citizen voice’? A co-productive approach to service planning and delivery people – What can we do to ensure Effective local and third sector representation? An opportunity to strengthen partnership – but how do we move beyond ‘representation’? How do we link local and national priorities? Policy convergence e.g. Integration and Community Empowerment...Self-Directed Support?

11. Thank you