• Source: Health and Social Care Partnership

      • Health and Social Care Partnerships, (HSCPs) are organisations formed to integrate services provided by Health Boards and Councils in Scotland. Each partnership is jointly run by the NHS and local authority. There are 31 HSCPs across Scotland. These are statutory bodies, which took over responsibilities from Community Health Partnerships. They are responsible for £8.5 billion of funding for local services.


      List of HSCPs


      The Health and Social Care Partnerships are:

      Aberdeen City HSCP
      Aberdeenshire HSCP
      Angus HSCP
      Argyll and Bute HSCP
      City of Edinburgh HSCP
      Clackmannanshire and Stirling HSCP
      Dumfries and Galloway HSCP
      Dundee City HSCP
      East Ayrshire HSCP
      East Dunbartonshire HSCP
      East Lothian HSCP
      East Renfrewshire HSCP
      Falkirk HSCP
      Fife HSCP
      Glasgow City HSCP
      Highland HSCP
      Inverclyde HSCP
      Midlothian HSCP
      Moray HSCP
      North Ayrshire HSCP
      North Lanarkshire HSCP
      Orkney HSCP
      Perth and Kinross HSCP
      Renfrewshire HSCP
      Scottish Borders HSCP
      Shetland Islands HSCP
      South Ayrshire HSCP
      South Lanarkshire HSCP
      West Dunbartonshire HSCP
      West Lothian HSCP
      Western Isles (Comhairle nan Eilean Siar) HSCP


      Framework


      The Public Bodies (Joint Working) (Scotland) Act 2014 provides the legislative framework for the integration of health and social care in Scotland.
      Ahead of the legislation coming into effect, an Integrated Resource Framework (IRF) was developed and tested, with HSCP models tested in four localities: Highland; Lothian; Ayrshire and Arran; and Tayside.
      Two models of integration were made available for health boards and local authorities to choose between:

      lead agency, where arrangements delegation between partners
      body corporate, also known as Integrated Joint Boards
      The only area where a lead agency model was adopted was Highland, where the health and social care budgets have been merged since 2012.
      The three HSCPs in East, North and South Ayrshire were the first to become fully functioning under the new legislation, with their Integration Joint Boards legally constituted on 2 April 2015.
      When Scottish Government's plans to implement legislation for integrated HSCPs were publicised in 2012, it was reported that each HSCP would be able to improve elderly care by cutting delayed discharges, reducing unplanned admissions to hospital and increasing the number of older people who are cared for in their own home.


      Implementation of the HSCP Model


      In December 2016 the Scottish Government set out its Health and Social Care Delivery Plan. In 2017 they published standards setting out what people should expect when using health, social care or social work services in Scotland. Audit Scotland published a report in November 2018 on progress to date which stated "There are examples of integrated health and social care services making a positive difference to people’s lives, but these tend to be local and small scale" and that "Integration Authorities, councils and NHS boards need to show a stronger commitment to collaborative working to achieve the real long term benefits of an integrated system." In 2019 Scottish Government's Ministerial Strategic Group for Health and Community Care published a progress review on how implementation was going. The latter accepted the recommendations in the Audit Scotland report of the previous year, and put forward 25 proposals of its own, each with an implementation period of less than 12 months, reflecting the members' "shared commitment to making integration work".


      References




      External links


      Integration of Health and Social Care Archived 14 July 2015 at the Wayback Machine on Scottish Government website
      Map of HSCPs by NHS board Archived 9 August 2016 at the Wayback Machine on Scottish Government website

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