Health and Social Care Reform in Scotland – What Next?

Introduction: This paper analyses the important enablers, barriers and impacts of country-wide implementation of integrated health and social care in Scotland. It offers insights for other systems seeking to advance similar policy and practice. Description: Landmark legislation was based on a shared...

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Autores principales:	Anne Hendry, Maimie Thompson, Peter Knight, Eleanor McCallum, Alison Taylor, Helen Rainey, Andrew Strong
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	integrated care policy transformation evaluation reform Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d710f2f3d8e44c4ba22802fcc55b2d33
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spelling	oai:doaj.org-article:d710f2f3d8e44c4ba22802fcc55b2d332021-11-08T08:08:08ZHealth and Social Care Reform in Scotland – What Next?1568-415610.5334/ijic.5633https://doaj.org/article/d710f2f3d8e44c4ba22802fcc55b2d332021-10-01T00:00:00Zhttps://www.ijic.org/articles/5633https://doaj.org/toc/1568-4156Introduction: This paper analyses the important enablers, barriers and impacts of country-wide implementation of integrated health and social care in Scotland. It offers insights for other systems seeking to advance similar policy and practice. Description: Landmark legislation was based on a shared vision and narrative about improving outcomes for people and communities. Implementation has involved coordination of multiple policies and interventions for different life stages, care groups, care settings and local context within a dynamic and complex system. Discussion: Relational and citizen led approaches are critical for success, but it takes time to build trusting relationships, influence organisational and professional cultures and cede power. Assessing national impacts is challenging and progress at a national level can seem slower than local experience suggests, due in part to the relative immaturity of national datasets for community interventions. Five years on there are many examples of innovation and positive outcomes despite increasing demographic, workforce, and financial challenges. However, inequalities continue to increase. Conclusion: Realising the true value from integration will require a stronger focus on place-based prevention and early intervention to achieve a fairer Scotland where everybody thrives. Solidarity, equity, and human rights must guide the next phase of Scotland’s story.Anne HendryMaimie ThompsonPeter KnightEleanor McCallumAlison TaylorHelen RaineyAndrew StrongUbiquity Pressarticleintegrated carepolicytransformationevaluationreformMedicine (General)R5-920ENInternational Journal of Integrated Care, Vol 21, Iss S2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	integrated care policy transformation evaluation reform Medicine (General) R5-920
spellingShingle	integrated care policy transformation evaluation reform Medicine (General) R5-920 Anne Hendry Maimie Thompson Peter Knight Eleanor McCallum Alison Taylor Helen Rainey Andrew Strong Health and Social Care Reform in Scotland – What Next?
description	Introduction: This paper analyses the important enablers, barriers and impacts of country-wide implementation of integrated health and social care in Scotland. It offers insights for other systems seeking to advance similar policy and practice. Description: Landmark legislation was based on a shared vision and narrative about improving outcomes for people and communities. Implementation has involved coordination of multiple policies and interventions for different life stages, care groups, care settings and local context within a dynamic and complex system. Discussion: Relational and citizen led approaches are critical for success, but it takes time to build trusting relationships, influence organisational and professional cultures and cede power. Assessing national impacts is challenging and progress at a national level can seem slower than local experience suggests, due in part to the relative immaturity of national datasets for community interventions. Five years on there are many examples of innovation and positive outcomes despite increasing demographic, workforce, and financial challenges. However, inequalities continue to increase. Conclusion: Realising the true value from integration will require a stronger focus on place-based prevention and early intervention to achieve a fairer Scotland where everybody thrives. Solidarity, equity, and human rights must guide the next phase of Scotland’s story.
format	article
author	Anne Hendry Maimie Thompson Peter Knight Eleanor McCallum Alison Taylor Helen Rainey Andrew Strong
author_facet	Anne Hendry Maimie Thompson Peter Knight Eleanor McCallum Alison Taylor Helen Rainey Andrew Strong
author_sort	Anne Hendry
title	Health and Social Care Reform in Scotland – What Next?
title_short	Health and Social Care Reform in Scotland – What Next?
title_full	Health and Social Care Reform in Scotland – What Next?
title_fullStr	Health and Social Care Reform in Scotland – What Next?
title_full_unstemmed	Health and Social Care Reform in Scotland – What Next?
title_sort	health and social care reform in scotland – what next?
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/d710f2f3d8e44c4ba22802fcc55b2d33
work_keys_str_mv	AT annehendry healthandsocialcarereforminscotlandwhatnext AT maimiethompson healthandsocialcarereforminscotlandwhatnext AT peterknight healthandsocialcarereforminscotlandwhatnext AT eleanormccallum healthandsocialcarereforminscotlandwhatnext AT alisontaylor healthandsocialcarereforminscotlandwhatnext AT helenrainey healthandsocialcarereforminscotlandwhatnext AT andrewstrong healthandsocialcarereforminscotlandwhatnext
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Health and Social Care Reform in Scotland – What Next?

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