DELIVERING HEALTH AND SOCIAL CARE SERVICES IN SCOTLAND

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DELIVERING HEALTH AND SOCIAL CARE SERVICES IN
SCOTLAND Peter Gabbitas Director of Health
Social Care
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Structure of the Presentation 1. Health
System 2. Health System Comparisons England
Scotland 3. The Challenge 4. Community Health
Partnerships 5. Opportunities
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• Health System
• 15 Health Board
• Primary Care Divisions
• Acute Divisions
• Community Health Partnerships
• co-terminous with local authorities

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• Health System Contrasts
• Directly managed units. . . Foundation Trusts
• No national tariffs
• No competition
• No markets
• Much larger delivery units
• Partnership and collaboration
• Rational planned model

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The Challenge The most important policy issue
facing European Governments over the next 50
years is how to cope with ageing populations.For
Scotland the future is nowits population is
ageing faster and dying quicker than any other
industrialised nation
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The Challenge

• Inequalities worse and widening
• Staffing

• 25 over 65 years
• Increases in diabetes, cancer, joint disease etc
• Increase in emergency admissions

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The Population Challenge
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The Scottish Challenge Mapping and the best and
the worst health in Britain


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• Community Health Partnerships
• Partnerships for Care NHS Reform Act 2004
• Key Themes
• Substantive partnership with local authorities
• influence deployment of resources
• central role in service re-design
• health improvement
• patient and public involvement

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• Expectations CHPs
• Reduced waiting times
• Decrease inappropriate hospital visits
• Reduced emergency admissions and delayed
  discharges
• Provision of chronic disease management
• Reductions in premature and preventable deaths
• Improved access to services
• Reduced health inequalities

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• Edinburgh CHPs
• North and South
• Each made up of current Local Healthcare
• Each will be a Sub-committee of the NHS Board

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Edinburgh CHPs in NHS Lothian 2005/06
(illustrative)
Primary Care Organisation Contacts
for GPs Optometrists Pharmacists Dentists Royal
Edinburgh Astley Ainslie Learning
Disabilities Dental Services Family
Planning Drugs Alcohol Corstorphine Ellens
Glen Ferryfield Findlay House
Other CHPs East Lothian West Lothian Midlothian
Lothian University Hospitals Division Royal
Infirmary Western General St Johns
RHSC Liberton Royal Victoria
Edinburgh CHPs Primary Care Teams District
Nursing Health Visiting School Nursing Community
Mental Health Teams Community Learning Disability
Teams Physiotherapy etc.
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Edinburgh CHPs in NHS Lothian 2007/08
(illustrative)
Primary Care Organisation Contacts
for GPs Optometrists Pharmacists Dentists
Other CHPs East Lothian West Lothian Midlothian
Lothian University Hospitals Division Royal
Infirmary Western General St Johns RHSC
Edinburgh CHPs Primary Care Teams District
Nursing Health Visiting School Nursing Community
Mental Health Teams Community Learning Disability
Teams Physiotherapy etc. Royal Edinburgh Astley
Ainslie Liberton Royal Victoria Corstorphine Ellen
s Glen Ferryfield Findlay House
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• Opportunities - Health Social Care
• Co-terminosity
• boundaries
• service delivery units
• Joint Management
• Re-design Career Pathways
• Co-location
• Pooled budgets
• Requires
• Leadership
• Cultural Change
• IMT

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• Opportunities
• Human Resource Employers Perspective
• more flexible working
• efficient services
• more career choices
• balance between direct and indirect provision
• generic working
• generic qualification?
• Joint organisational development and training
  resources