Appendix 1
Scottish Government Two Models for Integration
Both covered by Partnership Agreements
Scottish Government Description
(summarised from “Integration of Adult Health and Social Care In Scotland. Consultation: Scottish Government Response, February
2013 and Public Bodies (Joint Working) (Scotland) Bill )
Bill Description
Board/ Committee ArrangementsEffective, appropriate, joint governance of
Health and Social Care Partnerships will be
of key importance regardless of which
model is used.
Delegation Between Partners Model
“delegation of functions by the local
authority to the Health Board,” or
“delegation of functions by the Health
Board to the local authority,” or
“delegation of functions by the local
authority to the Health Board and
delegation of functions by the Health Board
to the local authority.”
“The local authority and the Health Board
must jointly establish a committee (an
“integration joint monitoring committee”) for
the purpose of monitoring the carrying out
of integration functions for the area of the
local authority.
No new body in law, but there will be a
partnership agreement and a Joint
Strategic Commissioning Plan
Chief Officer ( previously referred to as the Chief Executive of the Host Partner
Joint Accountable Officer-)
becomes accountable for the functions
delegated.
Body Corporate Model
“delegation of functions by the local
authority to a body corporate that is to be
established by order under section 9 (an
“integration joint board”) and delegation of
functions by the Health Board to the
integration joint board,”.
The Board and local authority will describe
within the Integration Plan (partnership
agreement) an intention to delegate
functions to an integration joint board. If
the integration plan is approved, the
Scottish Ministers will establish the
integration joint board.
New body in law – a Joint Board of the
Local Authority and NHS Board and will not
operate separately from the governance or
influence of the two parent bodies.
The integration joint board will appoint as a
member of staff (seconded from either the
NHS or local authority) a chief officer.
Appendix 1
Staff Employment
Funding -
Scope – services to be integrated
Staff can remain employees of the parent
body or employment may be transferred to
the host body under TUPE arrangements
Funding is delegated from one partner
organisation to the other to support delivery
of the delegated functions
Integrated budget formed by the transfer of
funding from one partner to the other,
combined with the lead partners own
resource.
No difference between models
National Outcomes –
No difference between models
Joint and equal accountability for delivery
of nationally agreed outcomes.
Community Planning – Arrangement
Parent bodies both members of CPP
between Community Planning
Partnership(CPP) and Health & Social
Care Partnership (H&SCP) not hierarchical
Locality Planning- a duty to engage with
Duty will apply regardless of model
and involve local professionals, the third
and independent sectors and
representatives of patients, people who use
services, and carers regarding how to put
in place local arrangements for planning
service provision
Body Corporate cannot employ staff. Staff
remain employees of the parent bodies
Funding is not distributed to the partnership
directly from the Scottish Government but
via the parent bodies as per the integration
plan.
“… joint boards general powers (such as
powers to contract, acquire or dispose of
property or rights or borrow money or incur
other liabilities) in connection with the
carrying out of their functions.
No difference between models
No difference between models
H&SCP partners in the community planning
process. Also parent bodies remain
members of CPP
Duty will apply regardless of model
Appendix 1
Appendix One
Model One – Delegation Between Partners
Integration Joint
Monitoring Committee *
Moray Council
Integration Plan and
Strategic Plan
Integration Joint
Monitoring Committee *
Aberdeen City
Council
NHS Grampian
Integration Plan and
Strategic Plan
Integration Joint
Monitoring Committee *
Integration Plan and
Strategic Plan
Aberdeenshire
Council
* oversees agreement of Integration Plan and Strategic Plan – may be responsible for joint governance and
accountability of agreement.
Appendix 1
•
•
•
•
Council agrees in partnership agreement to pass Social Care
services (resources and accountability) to Health Board
Council accepts delegated services
Council Chief Executive delegates joint and integrated
management downwards through the delivery mechanisms
of the Council
Council CE is accountable for the delivery of the delegated
integrated service upwards to the Integration Joint Monitoring
Committee and through this to the full Council and Health
Board
•
•
•
•
Health Board agrees in partnership agreement to pass health
services (resources and accountability) to Council
Health Board accepts delegated services
Health Chief Executive delegates joint and integrated
management downwards through the delivery mechanisms of
the NHS
Health CE is accountable for the delivery of the delegated
integrated service upwards to the Integration Joint Monitoring
Committee and through this to the full Council and Health
Board
Appendix 1
Model Two – Body Corporate Model


NHS
Grampian
Integration Joint
Board
Moray
Council

CEO
CEO
Note:
NHS Grampian
will be
partners in
three such
bodies


Chief Officer
Body Corporate

Both Council and Health Board transfer
funding to the Integration Joint Board
Decisions on its use will rest with the
Integration Joint Board in the context of
the delegated arrangements defined in
the Integration Plan
Single post of Chief Officer will provide a
point of joint accountability upwards from
the Integration Joint Board, via which
there is accountability to the Full Council
and Health Board.
Chief Officer will provide a single, senior
point of joint and integrated management
down through the delivery mechanisms
in each organisation.
Staff cannot be employed by the body
corporate and therefore remain
employees of the parent organisation.
Joint Board has equal numbers of
Councillors and Health Board Members
to ensure parity of voting