Planning and delivering integrated health and social care: guidance
Guidance on the planning and delivery principles which describe how integrated care should be planned and delivered and how the principles will work in tandem with the National Health and Wellbeing Outcomes.
12. Make the best use of available facilities, people and other resources
People should have access to the right support and services, at the right time and in the right place. For some people this may mean a reduction in the number of individuals involved in their care and support, or accessing a range of services in a co-ordinated or co-located environment. It should also mean people not being admitted to hospital when this may not be the best option for them, or having underlying issues addressed so that higher levels of support are not needed.
People can often benefit from services that share facilities. This makes access easier as well as saving money that can be spent on other support and services.
People in local areas will need to work together to make sure they know about all the resources that are available to them, including the assets that individuals and communities themselves contribute. This will help enable good planning that makes best use of all the resources that can support health and wellbeing and avoids gaps or overlaps in provision.
This principle underpins better outcomes for individuals and communities, as well as, best value for public money.Challenge questions and resources
This section is intended to provide a series of questions for partnerships and health and social care providers to challenge their own effectiveness in integrating the planning and delivery principles into their work. These questions have been developed by partners, including scrutiny organisations, with the aim of providing a direct link to external integrated scrutiny and improvement activity. We have included links to just a few resources that may help you as you develop and assess your work. This is not a comprehensive list. Though these resources are grouped under the most relevant section, many of these resources support the implementation of most, if not all, of the principles together.
Principle(s) | What do we want to know? (challenge questions) | Useful resources |
1: Is integrated from the point of view of service- users |
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Scottish Government: The 2020 Vision The Social Care (Self-directed Support) (Scotland) Act 2013 Self Directed Support Values and Principles Statement Resources for Caldicott Guardians (including the revised principles 2013) |
2: Takes account of the particular needs of different service users 4:Takes account of the particular characteristics and circumstances of different service users 10: Is planned and led locally in a way which is engaged with the community (including in particular service users, those who look after service users and those who are involved in the provision of health or social care) |
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Joint Improvement Team: Talking Points Personal Outcomes Approach: Practical Guide NHS Health Scotland: Health Inequalities Impact Assessment - An approach to fair and effective policy making: Guidance, tools and templates Equality and Human Rights Commission Scottish Health Council: Our Voice Five Good Communication Standards The Scottish Health Council has local offices across Scotland which are able to provide advice and support on participation approaches. It has also produced a Participation Toolkit which can be accessed at The Alliance People Powered Health and Wellbeing Scottish Government, Principles of Inclusive Communication IRISS, Coalition of Carers in Scotland and Scottish Government: Equal and expert: 3 best practice standards for carer engagement: MECOPP: On the Margins - An audit tool for Minority Ethnic Carers NHSScotland, Staff Governance Standard Inclusion Scotland |
3:Takes account of the particular needs of service users in different part of the area in which the service is being provided 7:Takes account of the participation by service-users in the community in which service users live |
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Joseph Rowntree Foundation: Involving Older People: more power to their elbow Community Development/Alliance Scotland: Principles of Community Development Practice Independent Living in Scotland: Co-production Toolkit |
5: Respects the rights of service users |
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The Scottish Human Rights Commission: Care About Rights (including the PANEL and FAIR approaches) Scottish National Action Plan for Human Rights Alliance Scotland: Being Human: A Human Rights Based Approach to Health and Social Care in Scotland Scottish Government: The Charter of Patients Rights and Responsibilities Information on rights / duties in relation to social care Charter of Rights for People with Dementia and their Carers in Scotland Inclusion Scotland: Human Rights Toolkit The Human Rights Act 1998 The United Nations Convention on the Rights of Disabled People ratified by the UK in 2009 WHO, UNHCHR: The right to health The Equality Act 2010 Equality and Human Rights Commission Health Rights Information Scotland British Institute for Human Rights |
6: Takes account of the dignity of service users |
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RCN: Dignity Resources |
8:Protects and improves the safety and well-being of service users |
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The Nursing and Midwifery Council: The Code: Standards of conduct, performance and ethics for nurses and midwives Health and Care Professions Council: Standards of Conduct, Performance and Ethics Scottish Social Services Council: Codes of Practice for Scottish Social Service Workers and Employers General Medical Council: Good Medical Practice Scotland’s National Care Standards Scottish Intercollegiate Guidelines Network National Institute for Health and Care Excellence Scottish Patient Safety Programme Patient Opinion Scotland |
9: Improves the quality of the service |
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Improvement support is available from a number of different sources: Joint Improvement Team Improvement Service Care Inspectorate Healthcare Improvement Scotland Quality Improvement Hub Institute for Healthcare Improvement Scottish Government: The Healthcare Quality Strategy for NHSScotland Nursing and Midwifery Workforce and Workload Planning Leading Better Care |
11:Best anticipate needs and prevents them arising 12: Make the best use of available facilities, people and other resources |
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Scottish Government: Our shared vision for independent living in Scotland Information Services Division data support for integration authorities NHS Health Scotland: Health Inequalities Impact Assessments FAQs Guidance: For Public Benefit: Engaging With Scotland’s Enterprising Third Sector A Guide for Public Sector Service Managers, Commissioners, and Procurement Professionals Scottish Government: Scottish Public Finance Manual (Best Value) Scottish Government resources on public sector procurement |
Contact
Email: Frances Conlan
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