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Health and Social Care Integration

Stephen Moore

Interim Director of Health and Social Care

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Scottish Government Health Objectives

We aim to deliver a Healthier Scotland through all 16 national outcomes, with a focus on the following:

• We live longer, healthier lives

•Our children have the best start in life and are ready to succeed

•We have tackled the significant inequalities in Scottish society

•We have improved the life chances, for children, young people and families at risk.

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• Our public services are high quality, continually improving, efficient and responsive to local people’s needs

• We live in well-designed sustainable places where we are able to access the amenities and services we need

• Our people are able to maintain their independence as they get older and are able to access appropriate support when they need it.

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Financial Challenge – Longer Term

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The health and social care system needs to

be responsive, accountable and affordable.

The distinction between health care and

social care continues to be an anomaly for

many of those within the system.

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• Greater, meaningful local integration is essential to assuring positive care outcomes are achievable and sustainable

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Draft Government Outcomes for Integration

Healthier living

Individuals and communities are able and motivated to look after and improve their health and wellbeing, resulting in more people living in good health for longer, with reduced health inequalities.

Independent living

People with disabilities, long term conditions or who become frail are able to live as safely and independently as possible in the community, and have control over their care and support.

Positive experiences and outcomes

People have positive experiences of health, social care and support services, which help to maintain or improve their quality of life.

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Draft Government Outcomes for integration

Carers are supported

People who provide unpaid care to others are supported and able to maintain their own health and wellbeing.

Services are safe

People using health, social care and support services are safe- guarded from harm and have their dignity and human rights respected.

Engaged workforce

People who work in health and social care services are positive about their role and supported to improve the care and treatment they provide.

Effective resource use

The most effective use is made of resources across health and social care services, avoiding waste and unnecessary variation.

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• Care and support is focussed on enabling independence, sustaining people’s potential and opportunity to remain living safely at home with a good quality of life

• More people are supported through reablement/recovery to need less or no care

• More people have choice and control in the way their care and support is provided.

• More family carers feel supported and able to carry on their caring role

• Fewer people admitted to long term care

• Fewer people are admitted to long term care from a hospital setting

Fife’s Outcomes for Integration

10 Joint Commissioning Model for Public Care

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Key Facts•14% increase in adults with LD by 2021•21% increase in babies born with complex needs by 2020•In Fife 42% adults known to us live at home with 58% having accommodation needs met through Social Work•Of people with LD living at home, 14% live with parents aged over 65 years.

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Life Expectancy for a male child born in Calton Glasgow was just 54

In India the figure is 63 – and men born in Lenzie will live an average of 82 years.

In Fife, the average life expectancy is 75 years

In Fife a baby is born every two days to a drug dependent parent

Children born with down syndrome now live to 50-60 years or older as compared with life expectancies of 9 years in 1929 and 15 years in 1958.

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• There are a total of 74 SIMD (Scottish Index of Multiple Deprivation) zones in

• the Kirkcaldy Area, of which 21 fall in the 20% most deprived in Scotland,

• representing 24.1% of all Fife SIMD zones in this category and the

highest of all seven areas.

Kirkcaldy Area Deprivation

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LevenmouthSIMD12 5 10 15 20 Total in

20%Share Total No

of datazones

South West Fife

0 1 3 3 7 8.1% 64

Dunfermline 1 3 3 2 9 10.3% 57

Cowdenbeath 1 4 6 8 19 21.8% 51

Kirkcaldy 2 4 7 8 21 24.1% 74

Glenrothes 0 0 8 3 11 12.6% 64

Levenmouth 2 6 6 5 19 21.8% 50

NE Fife 0 0 1 0 1 1.2% 93

Fife 6 18 34 29 87 100% 453