1. Joining up scrutiny of adult social care and health services Rosie Lawrence Senior Inspector

2. Background Scottish Government policy developments HIS and Care Inspectorate Corporate Plans Learning from Multi agency inspections Crerar Improving outcomes

3. Joint Inspection of adult health and social care services Integration of health and social care Promoting and supporting independence

4. Joint Inspection of adult health and social care services K ey Questions How well are their lives improving How well do partners work together to improve the heath and quality of life of adults and older people How well do partners lead and improve the quality of their work and achieve better outcomes for adults and older people

5. Joint Inspection of adult health and social care services Impact and outcomes Strategic planning and commissioning Governance, leadership and accountability Use of performance management and resources to deliver service improvement

6. Joint Inspection of adult health and social care services Scrutiny footprint Desk based analysis Targeted scrutiny activity Public reporting

7. Building on a joined up approach to scrutiny Working in partnership with pilot areas to develop and test the model Different governance arrangements across health and social care Different themes Outcomes and capacity for improvement Staff engagement and processes Early and effective intervention Partnership working and leadership Involving people who use services and carers in developing the model