Orkney Health and Care – Evaluation Outcomes

What was the issue you were addressing or working on?

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.


What you did?

The programme aimed to:

    • reflect on and evaluate where OHAC was now and where it had come from;
    • explore the challenges identified, with a view to establishing plans to resolve them;
    • develop a common understanding to pave the way for the next phase of partnership
    • and, reaffirm the purpose of the partnership.

The goal was to provide an opportunity for open reflection, acknowledging the successes to date but also acknowledging the ongoing areas of challenge.  The output from the work was an action plan to address the challenge areas identified, that the team could take forward into the new integrated arrangements under the upcoming Act.

The programme worked through a number of stages as follows:

  • Pre programme work. Managers discuss with staff whether the goals OHAC set out to achieve have been delivered, what the successes of OHAC have been, and what the perceived barriers to achievement and success have been (‘wicked issues’);
  • Pre programme work. Other forms of existing local evaluation material were gathered to ensure a broad reflection of views; and
  • Pre programme work. Staff who were directly taking part in the action learning sets read the material provided by the facilitator.
  • Three full day work shop sessions followed thereafter using an action learning set approach to identify and work on plans to address the priority wicked issues.

What were the outcomes - benefits or otherwise?

The process identified a great number of positives from the integration process to date and helped establish priority areas for action that are meaningful to staff and will impact directly and positively on ongoing integration efforts.  An action plan has been developed to progress these areas.  All involved are able to be assured that evaluation has been given direct attention in a meaningful manner and that the outcome of this is openly reported.

Click here for The Evaluation Report

Click here for appendix 1, here for appendix 2, here for appendix 3 and here for appendix 4


Contacts - to find out more

Caroline Sinclair, Head of Health and Community Care, caroline.sinclair@orkney.gov.uk

Marie O’Sullivan, Head of Children and Families, and Criminal Justice, marie.osullivan@nhs.net