Abstract
Introduction The Scottish Parliament recently passed legislation on integrating health and social care in Scotland. In this perspective paper, the clinical lead who supported the development and implementation of national policy on older people, long term conditions and integrated care in Scotland describes how political, policy and professional leaders have together created the right conditions to enable this ambitious change. The author reflects on the respective contributions from innovation, improvement, co-production, financial incentives, and through a clear focus on outcomes for people – whether patients, clients, carers, staff or citizens. The paper discusses how Scotland adapted Kotter’s eight steps for managing change and explores the transferable learning for other regions embarking on system transformation for integrated care.
Highlights
The Scottish Parliament recently passed legislation on integrating health and social care in Scotland
Hendry: Creating an Enabling Political Environment for Health and Social Care Integration and local communities took many months but I believe this was an investment that was critical for success
The dialogue was consistently framed around a vision to improve outcomes: people should be supported to live well at home or in the community for as much time as they can and should have a positive experience of health and social care when they need it [9]
Summary
The Scottish Parliament recently passed legislation on integrating health and social care in Scotland. Scotland has fourteen NHS Health Boards responsible for planning and delivering hospital, primary care and community services for their local populations.
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