Health and Social Care Integration: Managing the Change

Research output: Book/ReportOther report

Abstract

April 2016, arguably the biggest structural change the public sector in Scotland has seen in recent years will come fully into effect. From that date, in most parts of the country, new Integrated Joint Boards will become responsible for a wide range of health and social care services presently provided by Councils and Health Boards. These Integrated Joint Boards will be independent legal entities with full autonomy and capacity to act on their own behalf.

The Public Bodies (Joint Working) (Scotland) Act 2014 sets out the legislative framework for integrating health and social care. It sets down the functions which must be delegated by Councils and Health Boards to Integrated Joint Boards, primarily services related to adults and older people. However, Councils and Health Boards may also choose to include other services, for example services covering the health and social care of children, where there is local agreement to do so. As a result, the public sector landscape of the future is likely to be less uniform than it is at present.

Although other structural reforms such as the merger of Colleges, or the creation of a single police service and single fire and rescue service, have already taken place, these changes were very much sector specific. The integration of health and social care services stretches across both the local government and health sectors but only covers some of their functions. As a result, the change is much bigger in both scale and complexity.

The purpose of this paper is not to examine the operational challenges associated with all structural reforms, such as making appointments, arranging accommodation, organising support services and planning for the integration of ICT systems, albeit they themselves represent a considerable challenge. Instead, this paper seeks to identify the key challenges associated with the integration of health and social care which, to a large extent, will determine the success or otherwise of the reforms.
LanguageEnglish
Place of PublicationGlasgow
PublisherUniversity of Strathclyde
Commissioning bodyInternational Public Policy Institute
Number of pages13
Publication statusPublished - Jan 2015

Publication series

NameInternational Public Policy Institute Policy Brief
PublisherUniversity of Strathclyde

Fingerprint

Delivery of Health Care
Joints
Social Work
Public Sector
Health
Scotland
Systems Integration
Local Government
Police
Appointments and Schedules

Keywords

  • social care
  • Integrated Joint Boards
  • Scottish NHS
  • health service
  • change management

Cite this

Black, G. (2015). Health and Social Care Integration: Managing the Change. (International Public Policy Institute Policy Brief). Glasgow: University of Strathclyde.
Black, George. / Health and Social Care Integration : Managing the Change. Glasgow : University of Strathclyde, 2015. 13 p. (International Public Policy Institute Policy Brief).
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Black, G 2015, Health and Social Care Integration: Managing the Change. International Public Policy Institute Policy Brief, University of Strathclyde, Glasgow.

Health and Social Care Integration : Managing the Change. / Black, George.

Glasgow : University of Strathclyde, 2015. 13 p. (International Public Policy Institute Policy Brief).

Research output: Book/ReportOther report

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Black G. Health and Social Care Integration: Managing the Change. Glasgow: University of Strathclyde, 2015. 13 p. (International Public Policy Institute Policy Brief).