Health and Social Care Integration Update Name Role October 2015

What we’ll cover Background Scope Key elements National health and wellbeing outcomes Integration scheme Strategic plan Governance Achievements to date Budget Approach and structure Identity Next steps Questions

Background Public Bodies (Joint Working) (Scotland) Act delegate Council and Health Board functions, either from one party to the other or from both parties to an Integration Joint Board (IJB) -produce an integrated Strategic Plan linked to the National Health and Wellbeing Outcomes -adult services as a minimum Aims of Health and Social Care Integration -transform the way health and social care services are provided -support people to live longer, healthier lives and live at home or in their own community for as long as possible -drive real change that improves people’s lives

Background Principles of integration (main ones) -respect the rights of patients/services users -make the best use of the available facilities, people and other resources -integrate services from the point of view of patients/service users -plan and lead services locally in a way that is engaged with the community -take account of the particular needs of patients/service users, particularly within the area that services are provided

Model and Scope Integration Joint Board (IJB) (‘Body Corporate’ model) -8x Elected members from Glasgow City Council -8x Non-Executive Directors from NHSGGC -non-voting professional advisors (e.g., Chief Officer, Chief Social Work Officer, lead clinicians) -non-voting stakeholder members (e.g., patients/service users, carers, third and independent sectors, Trade Unions) Glasgow is integrating all community health and social care services -Older People-Homelessness -Disabilities-Carers -Mental Health -Children and Families -Addictions -Criminal Justice

Key Elements Integration Scheme Strategic Plan Performance reporting Locality planning Participation and Engagement Strategy 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.

National Health and Wellbeing Outcomes 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.

Integration Scheme Requirement by the Public Bodies (Joint Working) (Scotland) Act 2014 Agreement between the Council and Health Board on integrated arrangements for the partnership area, including: -the model of integration -the functions and services in scope -a range of agreements on integrated arrangements (e.g., clinical and care governance, financial management, operational arrangements and other key agreements) Consultation with a range of stakeholders Submission to the Cabinet Secretary for review and approval On approval establish the IJB and move to consult on the Strategic Plan

Strategic Plan 3 year plan for the IJB to commission services within a 10 year vision Delivery of integrated services at city-wide and locality levels Delivery linked to the 9 National Health and Wellbeing Outcomes Performance and finance arrangements included Developed via the Strategic Planning Groups – wide-ranging membership wide-ranging consultation October - December 2015 plan comes into operation 1 April 2016

Governance Relationship between the Council, Health Board and IJB for the planning, delivery and scrutiny of services IJB makes plans then directs the Council and Health Board to deliver Finance and audit arrangements in development Reporting and accountability channels in development Link with ALEOs and external providers/suppliers to be defined

IJB Budget IJB budget a financial contribution from the Council and Health Board IJB directs Council and Health Board on how to spend budget as per the Strategic Plan Chief Officer, Finance and Resources responsible for managing spend within available resources Overall indicative 2015/16 budget approx. £1.2bn gross (£1bn net) -SWS: £538m gross (£396m net) -Health: £652m gross (£614m net) Regular monitoring of the IJB budget Governance arrangements for the IJB budget

Main Achievements to Date Council and Health Board agree to adopt the IJB model, to include Children’s and Criminal Justice services Shadow Integration Joint Board established Chief Officer Designate appointed Executive and Senior Management system implemented Strategic Planning Structure agreed Strategic plan drafted and consultation underway

Main Achievements to Date Integration Scheme drafted, consulted on and approved by the Council and Health Board Scheme submitted to the Cabinet Secretary for approval (initially rejected) OD sessions with the Shadow IJB, Executive and Senior Management Team, Leadership group and staff Development of a draft vision for the Glasgow City Health and Social Care Partnership with consultation (work continues) Development of communications strategy and brand identity for the Glasgow City Health and Social Care Partnership (work continues)

Whole Systems Approach ‘Whole Systems’ approach to the planning, management and delivery of community health and social care services -Resources -Strategic planning and commissioning -Operations Integrated Executive and Senior Management Teams Governance and decision making structure -Executive Group (weekly) -Senior Management Team (monthly) -Leadership Group (quarterly) -3 Functional Management Teams (Resources, Planning and Strategy and Operations)

Executive and Senior Management Team

Your service structure Show teams here, and give information on who heads up each team

Draft Vision Glasgow City Health and Social Care Partnership will transform health and social care services for better lives so that the City’s people will flourish and access health and social care support when they need it. We believe that stronger communities make healthier lives. “ ”

Brand Identity Brand identity with logo developed for the Glasgow City HSCP Positive benefits for a brand identity -demonstrates a shared culture (vision, values and objectives) -demonstrates commitment to partnership working -increases recognition of the Glasgow City HSCP Communication collateral in development (e.g., signage, report templates, letterheads, newsletters, PowerPoint templates and marketing material) Guidelines for use of brand identity in development

Next Steps — Integration Scheme, IJB and Strategic Plan Revise Integration Scheme based on feedback from the Scottish Government Submit revised Scheme to the Cabinet Secretary conclude consultation on Strategic Plan Formally consult on the Strategic Plan following IJB approval Revise Strategic Plan based on consultation feedback Delegate functions when the Strategic Plan comes into effect

As We Move Forward No major changes immediately Existing good partnership working practices being built upon Keen for staff to input so they can influence and shape the way we work together Current access points for patients/service users remain Staff will remain with current employer with existing Terms and Conditions Longer-term transformational change to ensure joined-up service provision for the patient/service user from the point of access onwards

Questions Submitted List questions submitted in advance here Any more questions?