1. Integrating Health & Social Care
The story so far......
Andrew Lowe
President
Association of Directors of Social Work

2. Public Sector Reform Beveridge Report - Independent Budget Review 2010
Single police force (from 8)
Single Fire & Rescue Service
Christie Report - Public Sector Reform 2011
A longer-term strategic view of the future shape and nature of public services should be developed.
A two-year pay freeze from "as the first essential step to constrain growth in the public sector pay bill".
The number of public bodies should be further reduced.
Immediate work should be undertaken to review whether all free or subsidised universal services should be retained in their current form.

3. “38,000 council workers facing a switch to NHS”
Oct 2010 Labour Conference in Oban - National Care Service
December 2010 Conservative manifesto goes for integration
January 2011 Arbuthnott inquiry
February 1st Sheena Robison speech
TENS of thousands of council staff across Scotland will transfer to the NHS under a radical plan to look after the elderly which is being announced by ministers today.The Scottish Government is planning to shift responsibility for delivering adult community care from local authorities to health boards within two years.
“38,000 council workers facing a switch to NHS”
2nd February 2011

4. What is to be done? A research literature review commissioned
A position paper agreed
An engagement commenced
Attended engagement events
Met political leaders and other key stakeholders
Commenced ministerial meetings with CSWOs

5. Integration based on outcomes not targets
The challenge has been neatly encapsulated by the NHS Confederation (2010)
Integration based on outcomes not targets
Integration based on cultures not structures
Integration based on place not organisation
Integration based on delegation not transfer of functions
Integration based on clinical and professional engagement.

6. ADSW Proposal - principles
Achieving the best outcomes for the people
Early intervention
Personalised care, power, choice and control
Empowering communities and carers
Seamless pathways of care
Equitable access

7. ADSW Proposal - principles
Local democratic control
Evidence based decision making
Cost neutral / cost saving
Transparent and multi-sectoral reform
Promotion of social welfare
7-10 outcomes
A nationally agreed dataset
Joint strategic commissioning plans
Joint commissioning plans based on total LA and NHS adult care spending
Joint financial governance
Targets for joint commissioning within single outcome agreements
Accountability meetings
Annual leadership event
PSIF self-evaluation to be undertaken by partners

8. Parliamentary debate
Cabinet secretary announcement includes many of the points in ADSWs proposal
Consensus across parliament that integration is a good thing
Not picked up much in the press
But as ever, the Devil is in detail
Briefing controversy
Lots of mentions
Grumbling
Support from Minister in closing speech

9. In summary We support integration
We believe it should be founded on a few national outcomes
Delivered through local partnerships
Governed through community planning
Accountable to local and national leaders

10. ilbrandon!