Health and social care integration: spending and performance update

Author: Emma Butcher

PDF Published: Wednesday 26 Jun 2019 (SB 19-44)

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Overview
Report

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Overview
Report
- Executive Summary
- Context
  - Purpose of this briefing
  - History and current policy on health and social care integration in Scotland
  - Integration authority organisation and responsibilities
  - Health and social care integration funding
  - Health and social care integration performance
- Health and social care spending
  - Current health and social care spending
  - Future health and social care spending
  - Integration authority reportedspending
    
    How spending works
    
    Total budget
    
    Proportion of funding from the NHS
    
    Spending by sector
    
    Financial reporting by integration authorities
    
    Set aside budgets
    
    Reported issues with the set aside budget
    
    Data on the set aside budget
    
    Savings
- Health and social care integration performance
  - Reported performance issues
    
    Annual performance reports
    
    Ministerial Strategic Group indicators
  - Reported performance
  - 1. Number of emergency admissions
  - 2. Number of unscheduled hospital bed days
  - 3. Number of accident and emergency admissions
  - 4. Number of delayed discharge bed days
  - 5. Percentage of last six months of life spent in the community
  - 6. Percentage of population residing in non-hospital setting for all people aged 65+
  - Summary of progress
- Ongoing activity and next steps
- Case study: South Lanarkshire
- Annex A: Data sources
Sources

Image: Figure 1. Map of integration authorities by NHS board in Scotland

Image: Figure 2. Objectives of health and social care integration

Image: Figure 3. Health and social care expenditure

Image: Figure 4. NHS health service total operating costs by sector

Image: Figure 5. Estimated Scottish Government health and social care savings between 2016/17 and 2023/24

Image: Figure 6. Changes in total individual integration authority budgets over time

Image: Figure 7. The set aside budget in principle

Image: Figure 8. Change in set aside (as percentage of total budget) from 2017/18 to 2019/20

Image: Figure 9. Forecasted savings and shortfall against target for 2018/19 (by Quarter 3 2018/19)

Image: Figure 10. Emergency admissions by integration authority

Image: Figure 11. Unscheduled hospital bed days by integration authority

Image: Figure 12. Total unscheduled hospital bed days across Scotland

Image: Figure 13. Change in total A&E admissions from 2015/16 to 2018/19 by integration authority

Image: Figure 14. Delayed discharge bed days per 100 people by integration authority

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