NHSScotland Local Delivery Plan Guidance 2015-16

1. Local Delivery Plan 2015-16

1.1 Increasing healthy life expectancy purpose target

The Scottish Government has a key purpose target to increase healthy life expectancy. Increasing healthy life expectancy will mean that people live longer in good health, increasing their capacity for productive activity and reducing the burden of ill health and long term conditions on people, their families and communities, public services and the economy generally.

1.2 2020 Vision

The Scottish Government's 2020 Vision for health and social care is that by 2020 everyone is able to live longer healthier lives at home, or in a homely setting and, that we will have a healthcare system where:

• Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions
• We have integrated health and social care
• There is a focus on prevention, anticipation and supported self-management
• Where hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm
• There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission

1.3 New approach to health and social care planning

During 2015/16 as we transition towards integrated health and social care, the Local Delivery Plan will continue to be the contract between Scottish Government and NHS Boards. Separate guidance is being produced for Integrated Joint Boards on their strategic commissioning plans and these two sets of guidance should be read together. More on this is set out below.

Last year's LDP saw an increased focus on delivering outcomes for the people of Scotland, and this year will build on that. The Scottish Government has reaffirmed its commitment to the 2020 vision and will refresh the strategy for achieving its 2020 vision for health and social care to ensure that it reflects the changing needs and expectations of the people of Scotland and the new way services will be delivered under health and social care integration. NHS Board Chairs and Chief Executives are fully engaged in designing the refresh of the strategy, and reviewing the national, regional and local planning arrangements. Wider public and service engagement will take place in the new year on the refreshed strategy and delivery arrangements.

The LDP will be updated next year to reflect the refreshed strategy. This year's LDP builds on last year and requires NHS Boards to develop plans focused on new actions planned in a small number of strategic priority areas - prevention and health inequalities, antenatal and early years, person centredness, safety, primary care and integration.

The LDP has to be considered alongside the new strategic commissioning planning arrangements for Integrated Joint Boards. The LDP will be mutually supportive of the Integration Schemes that will establish local integrated health and social care arrangements, the strategic commissioning plans that the new integrated partnerships will develop, the statutory outcomes for health and wellbeing, and the indicators that underpin the outcomes. The LDP should include an 'at a glance' mapping of key local plans for health and social care. The new integration indicators are being developed in partnership and include person centred experience measures including views on how well people were supported to live as independently as possible and the extent to which health and care services seemed to be well co-ordinated. They also include system measures including delayed discharge and emergency bed day rates.

In order to ensure high quality, continuously improving health and social care in Scotland it is important that we strike the right balance between improvement, performance management and scrutiny. In light of maturing quality improvement activity in Scotland, and many HEAT targets being successfully delivered this year, the Scottish Government has reviewed both the Improvement Priorities for Scotland in 2015/16 and the suite of Hospital Efficiency and Access Targets (HEAT) targets and standards. The intention is to provide a focused set of priorities and standards to sustain improvement and performance and provide transparency in key areas.

In using this guidance, Health Boards and their partners in local government must take account of the effect of their plans on the outcomes for health and wellbeing set out in legislation as part of integration of health and social care, and on the indicators that underpin them. These outcomes apply to Health Boards, Local Authorities and Integration Authorities; once established during 2015/16, Integration Authorities will lead on their delivery, with the support of Health Boards and Local Authorities.

Progress against the improvement priorities, LDP standards and the integration indicators will together inform progress being made on health and social care.

Special Health Boards are expected to develop their LDPs so that they support territorial Health Boards and Integrated Joint Boards deliver the improved outcomes for the people of Scotland.