“We want to ensure that adult health and social care services are firmly integrated around the needs of individuals, their carers and other family members; that the providers of those services are held to account jointly and effectively for improved delivery; that services are underpinned by flexible, sustainable financial mechanisms that give priority to the needs of the people they serve rather than the needs of the organisations through which they are delivered; and that those arrangements are characterised by strong and consistent clinical and professional leadership.”
Nicola Sturgeon, MSP, Deputy First Minister and Cabinet Secretary for Health and Wellbeing, December 2011
The way we plan and deliver health and social care services in Scotland has changed. In 2016 we legislated to bring together health and social care in to a single, integrated system, with Integration Authorities now responsible for £8.5 billion of funding for local services, which was previously managed separately by NHS Boards and Local Authorities.
Integration is the most significant change to health and social care services in Scotland since the creation of the NHS in 1948. With a greater emphasis on joining up services and focussing on anticipatory and preventative care, integration aims to improve care and support for people who use services, their carers and their families. 31 Integration Authorities across Scotland are now working with their local communities and providers of care to ensure care is responsive to people’s needs.
As well as bringing together health and social care services under integration, the Scottish Government overall package of additional direct investment in social care and integration totals over £550 million in 2018-19.