This page gives an overview of some of the national outcomes, integration principles and information about any levers in system.

Integration Planning and Delivery Principles

The Act is unusual in that it sets out the principles that underpin integrated health and social care. The principles explain what people using services and their carers can expect from integrated services and the behaviours and priorities expected of organisations and people planning and delivering care and support.

The principles are: –

  • That the main purpose of services which are provided in pursuance of integration functions is to improve the wellbeing of service-users,
  • That, in so far as consistent with the main purpose, those services should be provided in a way which, so far as possible
    • Is integrated from the point of view of service-users,
    • Takes account of the particular needs of different service-users,
    • Takes account of the particular needs of service-users in different parts of the area in which the service is being provided,
    • Takes account of the particular characteristics and circumstances of different service-users,
    • Respects the rights of service-users,
    • Takes account of the dignity of service-users,
    • Takes account of the participation by service-users in the community in which service-users live,
    • Protects and improves the safety of service-users,
    • Improves the quality of the service,
    • 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),
    • Best anticipates needs and prevents them arising, and
    • Makes the best use of the available facilities, people and other resources.

To ensure that these principles are fully embedded in the system they apply to:

  • NHS Boards and Local Authorities, when drawing up their integration scheme;
  • Integration Authorities, when preparing their strategic plan;
  • Any organisation which carries out an integration function (i.e. delivers a service commissioned under the strategic plan);
  • Healthcare Improvement Scotland and the Care Inspectorate, in carrying out scrutiny and improvement functions relating to integrated care.

More information on the Principles for Planning and Delivering Integrated Health and Social Care can be found in the Scottish Government guidance (This link will take you away from our website).

National Health & Wellbeing Outcomes

This suite of outcomes provides a strategic framework for the planning and delivery of health and social care services.

They have been chosen to make sure that service planning and delivery focuses on:

  • The experiences and outcomes of people who use support and services,
  • Unpaid carers, and
  • The quality of those services.

The Act provides Scottish Ministers with the power to create national outcomes and the secondary legislation created the nine health and wellbeing outcomes that Integration Authorities seek to achieve, or contribute to through their activities.

The nine national outcomes are: –

  1. People are able to look after and improve their own health and wellbeing and live in good health for longer.
  2. People, including those with disabilities or long term conditions or who are frail are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community.
  3. People who use health and social care services have positive experiences of those services, and have their dignity respected.
  4. Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services.
  5. Health and social care services contribute to reducing health inequalities.
  6. People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and wellbeing.
  7. People using health and social care services are safe from harm.
  8. People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide.
  9. Resources are used effectively and efficiently in the provision of health and social care services.

The guidance relating to the health and wellbeing outcomes (PDF – This link will take you away from our website) makes it clear that these are central to Health and Social Care Integration, and that Integration Authorities should ensure that their interpretation into the local context make them meaningful to and for people in their area.