Integration of Adult Health and Social Care

Consultation 8 May – 11 Sept 2012

Anticipation Timeframe:

Bill Winter 2012/2013

Initial Implementation April/July 2014

Timetable for East Ayrshire Partnership Response

Date Activity Participants

29th May 2012 CHP Fora engagement CHP Forum, OLG

28th June 2012 Presentation Community Planning Partnership Board

9th July 2012 Presentation Session Community Nursing Teams

11th July 2012 Presentation Session Acute Services

9th August 2012 Workshop East Ayrshire Third Sector Interface

14th August 2012 Elected Members Seminar East Ayrshire Council Elected Members

21st August 2012 Partnership Workshop Ayrshire CHP members

22nd August 2012 Presentation and workshop Public Partnership Forum

3rd September, 2012 CHP Committee Committee members

CHP Views• General support in principle for proposals but

concern about lack of detail to allow proper consideration.

• Concern re possible disconnect re staged approach (focus should be on outcomes not age)

• Support for addictions, mental health and LD to be included

• Strong support for locality planning with community and professional engagement and involvement (minimum guidance required – allow local determination thereafter),

Some Key Issues

• Children’s services

Not considered in proposals… removal of CHPs will leave a void, concerns re transition between services

• Shifting the balance of care

Proposals focus on health and social care not primary/community and secondary care

CHP Views…..• Strong support for locality planning with

community and professional engagement and involvement

• Important to engage with GMS contractual arrangements ( and with locality planning)

• Strong support for bottom up approach with strong community participation.

CHP views……• Strong support for joint accountability –

particularly reflecting democratic process of local authority

• Agreement with SOA and performance approach

• Support and agreement with governance processes outlined, but clarity required around accountability of individuals/organisations.

• Concern about different patterns of health and social care across Scotland if too much scope for local freedoms to determine local models

CHP Forums

Learn from Ayrshire’s unique CHP Forum experience to plan future engagement with staff, patients and public, third and independent sectors

Gaps

• Workforce – huge implications but very little mention.

• Reducing health inequalities and Prevention not highlighted enough

• Little focus on service user engagement

Consultation Response

• Culmination of engagement process

• CHP response submitted as appendix to NHS Ayrshire and Arran response.

• Response submitted by 11th September, 2012 to Scottish Government