2. Edinburgh Integration Joint Board
Development session
11 August 2017

3. Aim of session
To ensure all members of the Board have a shared understanding of:
The background to and strategic intentions behind health and social care integration
The different roles of the IJB, the Council and NHS Lothian and the relationship between them
The arrangements for integration
The role of IJB members

4. Programme Time Item 9.30 Welcome and introduction 9.35
Background to integration
9.40
How does it all work
10.20
Role of IJB members
11.10
Break
11.20
Finance
11.35
Performance
11.50
Expectations of meetings, development sessions and visits
12.00
Formal meeting

5. Strategic intent Christie Commission Report
(2011)
20:20 Vision
(2015)
Public Bodies (Joint Working) Act
(2014)
Health and Social Care Delivery Plan
(2016)
Prevention
Performance
People
Partnership
Integrated health and social care
Prevention, anticipation, supported self-management
High quality, safe, person-centred
Safe return home asap
Health and social care services are:
Integrated
Person-centred
Planned and led locally
Improved quality, safety and outcomes
Preventative
Efficient
Better care
Better health
Better value
through
integration
clinical health strategy
public health reform
NHS Board reform

6. What is an IJB? A distinct legal entity
Associated powers and duties with its ‘integration functions’
Responsible and accountable for its own actions
Compliant with many Acts and Regulations

7. Membership of the IJB Membership
10 voting members (5 CEC elected members, 5 NHSL Board Members
Chief Officer, Chief Finance Officer, Chief Social Worker, Chief Nurse, Medical Director
A registered medical practitioner who is not a GP
Citizens members
Staff representatives
Chair rotates between CEC and NHSL every 2 years
Term of office
Liability

8. What the legislation covers
Integration model
Integration scheme
IJB operational arrangements
Functions and services to be delegated
National standards
Integration planning and delivery principles
National Health and Wellbeing Outcomes
Strategic plan
Locality focus
Strategic Planning Group
Directions
Finance
Financial plan to be produced annually
Accounts to be published annually
Performance
Performance report to be produced annually by 31st July

9. Main delegated functions and services
Adult Social Care Services
Community Health Services
Hospital Based Services
Assessment and Care Management-including Occupational Therapy services
Residential Care
Extra Care Housing and Sheltered Housing (Housing Support provided)
Intermediate Care
Supported Housing-Learning Disability
Rehabilitation-Mental Health
Day Services
Local Area Coordination
Care at home services
Reablement
Rapid Response
Telecare
Respite services
Quality assurance and Contracts
Sensory impairment services
Drugs and alcohol services
District Nursing
Services relating to an addiction or dependence on any substance.
Services provided by Allied Health Professionals (AHPs)
Community dental service
Primary medical services (GP)*
General dental services*
Ophthalmic services*
Pharmaceutical services*
Out-of-Hours primary medical services
Community geriatric medicine
Palliative care
Mental health services
Continence services
Kidney dialysis
Prison health care service
Services to promote public health
*Includes responsibility for those aged under 18
Accident and Emergency
General medicine
Geriatric medicine
Rehabilitation medicine
Respiratory medicine
Psychiatry of learning disability
Hospital services provided by GPs
Mental health services provided in a hospital with exception of forensic mental health services
Services relating to an addiction or dependence on any substance

10. Hosted services Hosted services Edinburgh Rehabilitation Sexual health
Substance misuse
East Lothian
Complex care
Unscheduled care
Mid Lothian
Art therapy
Dietetics
West Lothian
Clinical psychology
Community dentistry
Podiatry
NHS Lothian
Hospital based learning disability services
Hospital based mental health

11. Services delegated to Edinburgh IJB and managed by NHS Lothian
Set aside services
Services delegated to Edinburgh IJB and managed by NHS Lothian
Accident and Emergency
Cardiology
Diabetes
Endocrinology
Gastroenterology
General medicine
Geriatric medicine
Infectious diseases
Rehabilitation medicine
Respiratory medicine
Therapies

12. Legal responsibilities of the IJB
Public Records (Scotland) Act 2011
Records management
Data access requests
Freedom of Information (Scotland) Act 2004
Freedom of Information requests
Publication scheme
Equality Act 2010
Mainstreaming report
Equality outcomes
Equality impact assessments
Climate change reporting requirements
Annual reporting requirement
Ethical standards in public life
Code of conduct

13. How does it work in practice?

14. Role of the IJB £s £s NHSL EIJB CEC Directions Directions £s £s CO
NHSL and CEC delegate budgets and services to EIJB £s £s
NHSL
EIJB
CEC
EIJB produces strategic plan and issues directions with associated budget and performance measures for delivery of services to NHSL and CEC
Directions
Directions £s £s CO
Strategic Planning
Operational oversight
Performance Management

15. Role of the HSCP EIJB CO NHSL CEC EHSCP Staff and budget Staff and
Operational delivery
Set aside services
Hosted services

16. How it fits together
Integration Scheme

18. Governance arrangements

19. The IJB and its subgroups
Integration Joint Board
Audit and Risk Group
Performance and Quality Group
Professional Advisory Group
Strategic Planning Group
Provides the Board with assurance that governance, risk and audit arrangements are in line with good practice governance standards in the public sector.
Provides assurance to the Board that the performance and quality of delegated functions are being effectively assessed and managed.
Provides professional advice and opinion to the Board and allows health and social care professionals to influence the strategic planning of services.
Provides a means of enabling stakeholders to influence the planning and delivery of delegated services.

20. Role of the Chief Officer
Chief Executive
CEC
Chair
EIJB
Chief Executive NHSL
Chief Officer

21. EHSCP Senior Management Structure
Chief Officer Edinburgh Health and Social Care Partnership
Locality Manager NW
Chief Strategy and Performance Officer
Strategic Planning and Quality Manager
Older People
Mental Health & Sub Misuse
Disabilities
Primary Care
Chief Nurse
Chief Finance Officer
Chief Medical Officer NE SW SE
Hospital & Hosted Services Manager
Strategic Planning Support
Chief Executive
NHS Lothian
City of Edinburgh Council
Edinburgh Integration Joint Board
Chief Social Work Officer

22. EHSCP Operating model Monitoring Quality assurance Public protection
Locality Manager NW NE SW
Strategic Planning and Quality Manager
Older People
Mental Health & Sub Misuse
Disabilities
Primary Care
Monitoring
Quality assurance
Public protection
Service improvements

23. EHSCP Locality Structure
Chief Officer Edinburgh Health and Social Care Partnership
Locality Manager NW
Locality Manager NE
Locality Manager SW
Locality Manager SE
Hub Manager
Hub Manager
Hub Manager
Hub Manager
Cluster Manager
x 2
Cluster Manager
x 2
Cluster Manager
x 2
Cluster Manager
x 2
Mental Health and Substance Misuse Manager
Mental Health and Substance Misuse Manager
Mental Health and Substance Misuse Manager
Mental Health and Substance Misuse Manager