Users of the previous traditional home care service received a service that operated in a culture of ‘doing things for’ people that reinforced deficits and increased dependency. This ‘locked in’ resources with people who had the potential to improve their confidence, self esteem and independence while demand for the service was increasing because of the growing numbers of older people. In addition, there were financial pressures on the local authority.
East Dunbartonshire has the highest ratio of older people in Scotland. The percentage of population with dementia in the area is also greater than the national average and is expected to increase even further.
The clinic model contributes to a more efficient use of existing services through enhanced co-ordination of the existing resources of all of the partner organisations. They deliver flexibly and sensitively the type of advice and support that people with dementia have told us they need.
Orkney Health and Care (OHAC) has been under development as an integrated health and social care partnership since November 2010. A restructure process has been undertaken to establish an integrated generic management structure, supported by a professional structure. Staff within teams have been integrated and new joined up ways of working are in place. An evaluation of the process and outcomes to date was undertaken in late 2013, with facilitation by the Scottish Social Services Council and NHS Education Scotland leadership development Action Learning Programme.
The creation of the Community Health & Care Partnership brought together NHS Greater Glasgow and Clyde’s (NHSGGC) and West Dunbartonshire Council’s (WDC) responsibilities for community based health and social care services within a single, integrated structure. The joint structure has responsibility for delivering planning, allocation and management of resources in clear manifestation of community planning in practice. This brought significant workforce challenges.
West Dunbartonshire’s preparation and planning for the transitioning of the current Community Health and Care Partnership (CHCP) arrangements to a shadow Health and Social Care Partnership from the 1st April 2014 includes agreement to make adjustments to the CHCP Scheme of Establishment, the development of shadow Integrated Joint Board arrangements and preparation of an integration plan in response to the Public Bodies (Joint Working) (Scotland) Bill.