Joint Improvement Team
St Andrew's House, Edinburgh EH1 3DG T: 0131 244 3535
E: jit@scotland.gsi.gov.uk | W: www.jitscotland.org.uk
To stop receiving this Newsletter, please email the JIT.
CONTENTS
INTRODUCTION
PAGE 2

CHANGE FUND UPDATE
PAGE 3

STRATEGIC COMMISSIONING
PAGE 3

UPDATE ON THE INTEGRATION AGENDA
PAGE 4

NO PLACE LIKE HOME EVENT
PAGE 4
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CO-PRODUCTION AND COMMUNITY CAPACITY
PAGE 6

INTERMEDIATE CARE FRAMEWORK
PAGE 7

TALKING POINTS
PAGE 8

QUEST OUTPATIENT INNOVATION SESSION
PAGE 8

SCCBN UPDATE
PAGE 9

PARTNERSHIP HEALTH AND SOCIAL CARE STATISTICS
PAGE 10

CARER INFORMATION STRATEGY EVENT
PAGE 11

TELEHEALTH AND TELECARE LEARNING NETWORK EVENT
PAGE 11

DATES FOR YOUR DIARY
PAGE 12

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INTRODUCTION
Welcome to the Spring edition of the JIT Newsletter. Spring seems to have brought
with it all seasons in one - hope we have still some summer weather to come.
This edition of the Spring newsletter provides an update on recent Change Plan
submissions which were considered by the Ministerial Strategy Group in March.
There is clearly a lot of momentum now with some excellent work being undertaken
to meet the objectives of the Reshaping Care for Older People Programme. There is
also work to do, including the important aspect of ensuring the commitment to carers
is met. There is further detail in the newsletter on carer information strategy recent
shared learning event.
The Improvement Network continues to support shared learning across Scotland
and we have received some helpful suggestions as to the focus for activities going
forward. The newsletter provides an update on Change Plans related work on joint
commissioning, community capacity, health and social care data, intermediate care
and Talking Points.
JIT is pleased to be working with Governance international on recent and
forthcoming workshops and seminars on co-production and a number of partnerships
are taking work forward locally. There will be further updates on this in subsequent
newsletters and e-bulletins.
Other updates include information on work being undertaken by QuEST focusing on
innovation which I am sure has wider relevance to partnership working, the Scottish
Community Care Benchmarking network and Telehealth and Telecare Network.
I hope you all have a pleasant Easter break.
Warm regards,
Dr Margaret Whoriskey
Director
Joint Improvement Team
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CHANGE FUND UPDATE
The Reshaping Care for Older People (RCOP) programme and associated Change
Fund is a key driver for health and social care integration and is supporting early
implementation of the integration policy. The valuable learning to date and work
underway will inform development and implementation of adult health and social care
integration going forward.
All 32 partnerships were asked to submit their Change Fund plans for 2012/13 by the
middle of February. These were considered by the Joint Improvement Team (JIT)
and by officials from Scottish Government, CoSLA, NHS Education for Scotland,
Scottish Social Services Council, Scottish Council for Voluntary Organisations
(SCVO), Coalition of Carer Providers in Scotland (CCPS) and Scottish Care. The
resultant report was endorsed by the March meeting of the Ministerial Strategic
Group.
There are many positive themes emerging from this years plans, not least the fact
that overall, in 2012/13, Partnerships are allocating 48% of the Change Fund to
preventative, anticipatory and more responsive community based services aimed at
supporting people at home and in their communities, with this estimated to shift to
almost 60% in 2014/15.
The consensus is that overall there is good progress being made although
partnerships plans are still in the early stages of implementation, with many requiring
time to further develop their relationships across NHS, Local Authority, Third and
Independent sectors. However, this is building a solid foundation for effective
partnership working and creating the conditions required to deliver on the ambitions
of the programme. The third and independent sector partners emphasised the
importance of reinforcing the requirement for robust Partnership Governance
arrangements and transparent decision making with Third and Independent Sectors
and other stakeholders.
The Health and Community Care Delivery Group has established a sub group
focusing on Improvement and Support and this will provide an opportunity to ensure
coherence across range of improvement activities and effective targeting of existing
resources. JIT is pleased to be working with LTCAS and partners (SCVO, CCPS,
Scottish Federation of Housing Associations and Voluntary Action Scotland) as well
as Scottish Care to support improvement and capacity building with third and
independent sectors on Reshaping Care and implementation of the Change Plans.
Further information will be provided in the Improvement Network E-Bulletin updates.
For more information, contact Alistair.Hodgson@scotland.gsi.gov.uk
JIT RCOP resources: http://www.jitscotland.org.uk/action-areas/reshaping-care-forolder-people/
STRATEGIC COMMISSIONING
JIT’s latest series of three strategic commissioning workshops looking at the issue of
local markets took place during week beginning 19 March. As well as considering
market analysis they provided participants with an opportunity to consider the likely
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impacts of Self Directed Support and Health & Social Care Integration for strategic
commissioning. Watch the JIT website for the write-up and references. The next
series which will take place on the 21st, 23rd and 24th May will be considering
Strategic and Service Review – particularly focussing upon outcomes and user/carer
led approaches. Further details will be available nearer the time.
On the national front a new National Strategic Commissioning Steering Group has
been established to support the MSG Delivery Group to identify and address the
issues that were raised in the recent Audit Scotland report on Social Care
Commissioning and to ensure that partnerships are best placed to implement their
future integration plans. Jointly chaired by Alan Gunning, Chief Operating Officer of
NHS Ayrshire & Arran and Peter McLeod, Director of Social Work at Renfrewshire
Council and Vice President of ADSW, the group has a wide representation from all
sectors and stakeholder interests.
One of the Steering Groups first tasks will be to oversee the production of a Strategic
Commissioning National Learning Framework. The Institute for Public Care at
Oxford Brookes University has been commissioned to produce a framework which
will provide a comprehensive picture of the learning and support needs of local
partnerships and proposals for how they can be met. This work is due to be
completed by late summer and it will be launched shortly thereafter.
For more information, email Alistair.Hodgson@scotland.gsi.gov.uk.
JIT Commissioning resources: http://www.jitscotland.org.uk/actionareas/commissioning/
UPDATE ON THE INTEGRATION AGENDA
Planned legislation to integrate health and social care will change the way care is
planned and provided to better deliver support and care to people. Scottish
Government will conduct a broad, formal consultation on the proposals in May 2012
and will host a series of events across Scotland to seek stakeholders’ views on what
is proposed.
The Change Fund for older people’s services is already focusing on preventing
delays and shifting care for older people upstream to community based services.
The total fund of £300m is split as: £70m/80m/80m/70m over the 4 years from 201112 to 2014-15. We continue to work closely with partnerships to ensure this money
is put to best use in support of positive outcomes for patients, clients, carers and their
families across Scotland.
Integration of Adult Health and Social Care website:
http://www.scotland.gov.uk/Topics/Health/care/IntegrationAdultHealthSocialCare
NO PLACE LIKE HOME EVENT SUMMARY
On Wednesday 7 March, the Improvement Network hosted a national housing event
at the Carnegie Conference Centre in Dunfermline. The day was focused on the
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significant contribution to be made through the home environment and the housing
sector in the Reshaping Care for Older People Programme.
Speakers for the event included Gerry Marr, Chief Executive of NHS Tayside; Ron
Culley, COSLA Team Leader for Health and Social Care; Colin Anderson, Executive
Officer for Transformation and Chief Social Work Officer; Ron Ashton, Director of
Neighbourhood Services for Angus Council; and Tony O’Sullivan, Director of
Newhaven Research.
In the afternoon, attendees participated in World Café sessions that highlighted local
practical examples of successful applications of integrated approaches. They
included:

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Partnership Working to
Improve Equipment and Minor
Adaptation Services
Accessibility in the Home:
Redesigning Stairlifts Provision
Improving Joint Working to
Enhance the Delivery of
Adaptations
Investing in the Infrastructure:
Making the Equipment Service
Efficient and Effective
Dementia: Working with
Housing
Using Sheltered Housing as a
Local Hub
One Stop Shop for Adaptations
and Small Repairs
Prevention: The Contribution of
Adaptations and Sheltered
Housing
Active Ageing: The Silver Deal
Project
Upgrading Sheltered to Very
Sheltered Housing: St
Margaret's Court
Using a Multi-Storey for
Intermediate Care: Smithfield
Court
Craft Cafe: Creative Solutions
to Isolation and Loneliness

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Providing Personalised
Housing Solutions: Ownership
Options
Tackling Poverty and Financial
Exclusion: The Older People's
Advice Service (OPAS)
Prevention, Rural Communities
and Housing Associations
Undertaking Adaptations
During Modernisation: South
Lanarkshire's Home
Happening Programme
Creating a Dementia Friendly
Home Environment
Care and Support in a Rural
Community
Managing the Fallen, Uninjured
Person
Integrated Telecare
Approaches
Falls Management/Joint
Working with Scottish
Ambulance Service
Building Fuel Poverty
Awareness
All presentations from the day and World Café case studies can be downloaded from
the JIT website (http://www.jitscotland.org.uk/action-areas/reshaping-care-for-olderpeople/reshaping-care-improvement-network/no-place-like-home-resources/).
For more information on the Improvement Network, contact
Margot.White@btinternet.com.
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CO-PRODUCTION AND COMMUNITY CAPACITY UPDATE
NATIONAL CONFERENCE
The Joint Improvement Team held a highly successful national conference focusing
on Community Capacity and Co-production in Dunfermline on 26 January 2012.
The event which was attended by over 200 delegates from across the statutory, Third
and non-statutory sectors was opened by Councillor Douglas Yates, COSLA
Spokesman for Health and Wellbeing and received a message of support from the
Deputy First Minister and Cabinet Secretary for Health, Wellbeing and Cities
Strategy. The conference also heard an affirmative message from Derek Feeley,
Director General for Health and Social Care and NHS Scotland Chief Executive on
the relevance of this agenda for public services.
The event showcased innovative examples of local partnership working and
successful co-production initiatives such as the Family Nurse Partnership, Scottish
Violence Reduction Unit and NHS Fife’s SHINE Project. Delegates also learned
about efforts to better evidence the impact of these approaches through the use of
Contribution Analysis and heard about new training opportunities in the use of
Governance International’s Co-production Toolkit
Full details of the presentations and other resources from the day can now be
downloaded
from
the
Co-production
area
of
our
website
at
http://www.jitscotland.org.uk/news-and-events/
GOVERNANCE INTERNATIONAL CO-PRODUCTION TOOL KIT
The success of our January training events in the use of the Governance
International Co-production Toolkit has generated significant interest among
partnerships to the extent that JIT is delighted to announce the availability of a
further three 1 day training opportunities over the period 16 – 20 April 2012. The
programme of events are as follows:
Monday 16th April – All day event hosted by Argyll and
Bute Partnership
Venue: Commodore Hotel, Helensburgh
Tuesday 17th April – All day event hosted by Scottish
Borders Partnership
Venue: The Heart of Hawick Hotel, Hawick.
Friday 20th April – All day event hosted by NHS Tayside
Venue: Murray Royal Hospital Ballroom, Perth
The training is fully funded by JIT but partnerships will be responsible for their own
transport and accommodation.
Places for each event are limited.
For further information or to book places please contact:
Amy Phillips on telephone : 0131 2444041 or by email :
amy.phillips@scotland.gsi.gov.uk
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PARTNERSHIP SUPPORT VISITS
As part of the Change Fund process the JIT is keen to help Partnerships maintain
and accelerate progress in community capacity building, co-production and
prevention.
On the basis of information that Partnerships have kindly provided to us we are
currently identifying examples of good practice that we can use as case studies to
build a fuller picture of achievements and success to date. To make sure we create
accurate and informative case studies the National Leads together with JIT Action
Group members intend to visit all 32 Partnerships during 2012/2013 to see
examples of progress in action, capture the associated learning and enable both
learning and progress to be shared across all Partnerships.
Further details of this activity will be communicated in due course.
For more information please contact Andrew.Jackson@scotland.gsi.gov.uk or
Gerry.Power@scotland.gsi.gov.uk.
JIT co-production and community capacity building resources:
http://www.jitscotland.org.uk/action-areas/reshaping-care-for-olderpeople/community-capacity-building/
INTERMEDIATE CARE FRAMEWORK
Work on the new Intermediate Care Framework for Scotland is now nearing
completion. Following a sort consultation period, the draft is now in the final editing
stages, with a view to publishing in May. Comments on the draft have been received
from a wide range of stakeholders, from across health and social care, professional
bodies, and the third and independent sectors, and are now being used to shape the
final version.
Although the consultation has now closed the draft can still be viewed at
http://www.scotland.gov.uk/Topics/Health/care/17420/IntermediateCare/ICFramewor
k.
We are also still keen to receive any examples of good practice around Intermediate
Care, particularly those involving the third or independent sector. If readers know of
any good examples please send them to isla.bisset@scotland.gsi.gov.uk. Examples
that are not included in the Framework will be put on the internet.
JIT intermediate care resources: http://www.jitscotland.org.uk/actionareas/intermediate-care/
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TALKING POINTS
There is a lot of activity ongoing around Talking Points personal outcomes
approach. Talking Points has recently been reviewed by Alison Petch,
Director of IRISS, who found that the approach demonstrates major strengths,
including successful user engagement and improved professional
understanding of outcomes. The report will be available in April. To support
ongoing implementation by partnerships and providers, the JIT is currently
concluding work on the ‘Talking Points: Practical Guide’ which will be
available in May. A data retreat to progress understanding of measuring and
using outcomes data was held at the University of Edinburgh in March 2012,
supported by the Community Care Benchmarking Network and IRISS and
attended by the JIT, Care Inspectorate and many partnerships and providers.
The report will be available on the JIT website in April.
There are workshops for providers in May and June, including an introduction
for organisations new to the approach, and a further workshop on outcomes
focused conversations.
The Community Care Outcomes Framework has recently undergone review,
with a key recommendation being to strengthen the focus on personal
outcomes. Local organisations and partnerships have recently made
significant contributions to the continuously developing outcomes approach,
and these will shortly be reported in a bulletin which will be posted on the JIT
website.
For more information, contact Chris.Bruce@scotland.gsi.gov.uk.
JIT Talking Points resources: http://www.jitscotland.org.uk/action-areas/talkingpoints-user-and-carer-involvement/
QUEST OUTPATIENT INNOVATION SESSION
In January the Quality and Efficiency Support Team in partnership with the Duncan
of Jordanstone college of Art & Design held a Future Focus Session on looking at
Transforming New Demand for Outpatient Services across NHS Scotland. A group
of approx 30 people including GPs, consultants, service and operational managers,
planners, NHS 24, Scottish Telehealth Centre and Service Users from Forth Valley
and Tayside were invited to participate. Elaine Mead, Chief Executive, NHS
Highland opened the session with the aim to generate concepts to reduce new
demand for outpatient services that will be taken on to prototype, test and be
implemented Scotland wide over the next 18 months.
The day utilized the RIP+MIX a design method, which was developed by T-Labs,
Deutsche Telekom and a research team from the University of Dundee. It is a fast,
effective and engaging design tool to help encourage creativity and innovation in both
designers and non-designers. The simple analysis tools codify parts of the design
process which are often left to intuition.
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In groups, the delegates looked at the parts of the outpatient service that gives most
“pain” the areas that could be improved and mixed it with something that gave us
“pleasure”. For example, there was a painful experience (long waiting times) mixed
with a pleasurable experience (tracking an online order from Amazon) generating
the idea that patients could be tracked similarly and came up with a proposal to
investigate if this is a feasible idea.
This was a new, exciting and innovative technique to generate ideas and was very
ambitious on the day. We came away with several proposals and are looking at
bringing the group together again in May to do some more sharing of what’s already
happening. Some of the ideas are already in action in some Boards and we need to
action plan to spread and develop our vision for the future.
For more information, please contact Susan.Bishop2@scotland.gsi.gov.uk or
AlisonCormack@nhs.net.
QuEST website: http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/DeliveryImprovement
SCOTTISH COMMUNITY CARE BENCHMARKING
NETWORK UPDATE
The Scottish Community Care Benchmarking Network (SCCBN) is a network of 31
Health and Care Partnerships in Scotland. It has a structure, governance a
partnership agreement. It is funded by Partnership’s subscription and project funding
from the JIT.
It is supported by a Co-ordinator and Research Assistant who provide a
Benchmarking Service which can:
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
Collect, analyse and present specific datasets
Facilitate and co-ordinate specific benchmarking projects
Carry out research on specific topics
Provide regular benchmarking reports
Provide benchmarking training
A web-based data management system and benchmarking query tool is available to
Partnerships to carry out their own data benchmarking.
In January, SCCBN members attended Benchmarking Training – delivered by
Quality Scotland. The training provides an understanding of the purpose and
principles of benchmarking, increases an awareness of the skills needed for effective
benchmarking and provides methodology to follow a systematic approach.
At its Quarterly Meeting in February, there were presentations on;



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The SOLACE Benchmarking Project,
Developing an Integrated Health and Social Care Outcomes Framework,
Talking Points Review and Action Plan,

The capture, analysis and use of information on service user and carer
outcomes in health and social care settings.
A SWOT analysis of the Network was also undertaken to agree on how the
Benchmarking Network can best support Partnerships in the coming financial year.
The Faster Access Benchmarking Project Group undertook a site visit to West
Lothian on 26th March, on a peer review basis, to understand ‘what works’ in relation
to delayed discharge processes. Visits to East Ayrshire and Moray are being
arranged for late April.
A report on these visits is planned for circulation in early May with discussion at the
Quarterly Meeting, later that month.
For further information and to receive a copy of the SCCBN newsletter contact
Gordon.smith@midlothian.gov.uk
PARTNERSHIP HEALTH AND SOCIAL CARE DATA
Scottish Government statisticians have recently published updated Health and Social
Care data for each Partnership in Scotland. This has been derived from publicly
available national data sources and its primary purpose is to inform and advance the
thinking of Partnerships regarding their local Change Plans.
The spreadsheet is fully interactive with tables and charts which allow for
comparisons with up to six different areas of your choice.
The spreadsheet contains data on:

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Population projections
Emergency admissions
Home care services
Care homes
Free personal and nursing care
QOF prevalence
Delayed discharges
Telecare services
Respite care
Percentage of last 6 months of life spent at home or in a community setting
The statistics can be found on the Scottish Government website at:
http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Data/CommunityCareOut
comes
We welcome any questions or feedback on this work and these should be addressed
to Euan Patterson -Tel: 0131 244 3533 or Email: SWStat@scotland.gsi.gov.uk
10
CARER INFORMATION STRATEGY LEARNING AND
SHARING EVENT
Carers Policy Branch held a CIS Learning and Sharing event on 31st January 2012 in
Apex City Quay Hotel, Dundee. The aim was to provide an opportunity for NHS
Boards to showcase their own good practice and learn from others with a view to
adopting and/or adapting to suit their local needs in identifying and supporting carers
and young carers. This attracted delegates from across Scotland. Robert Stevenson
Senior Project Manager, NHS Forth Valley gave a strategic overview of workforce
development in FV. The Minister for Public Health, Michael Matheson MSP delivered
a speech entitled “Supporting Carers and Young Carers” in which he reaffirmed the
Government’s commitment to identifying and supporting carers and young carers.
The Minister highlighted that at least 20% of the Change Fund is to support carers of
older people. The day was interactive and information packed with presentations,
workshops and a marketplace of 20 stands, all demonstrating outcome focused good
practice in identifying and supporting carers and young carers, made possible by CIS
funding.
A full report of the event including presentations, workshops and marketplace
information is now available and will be distributed soon.
For more information, please contact Marion.McParland@scotland.gsi.gov.uk.
TELEHEALTH AND TELECARE LEARNING NETWORK
EVENT
Places are filling up fast for the next free Telehealth and Telecare Learning Network
networking event which is being held on Wednesday 30th May 2012 in Heriot Watt
University, Edinburgh, between 10am and 4pm. If you haven’t already registered,
you can do so here: http://bookings.shscevents.co.uk/all/2821?dm_t=0,0,0,0,0.
The event will not be accessible via VC on the day but all presentations will be
recorded and made available via the Knowledge Network Telehealthcare Community
portal - http://www.knowledge.scot.nhs.uk/telehealthcare.aspx - after the event for
viewing by those who can’t attend in person.
A key feature of the networking event will be a series of short, 5 minute,
presentations from telehealth and telecare related projects / services from around
Scotland to promote awareness of service developments that are planned, are
underway or have been completed, to support knowledge transfer and shared
learning. Please get in touch if you would like to do a presentation about a service
development that you are involved in.
The event programme will include focussed World Café style discussions around key
topics which might include workforce development and education, standards,
procurement, governance, etc. The purpose of the focussed discussion is to gather
views on common issues relating to telehealth and telecare deployment which can be
used to inform the national strategic agenda and work programmes. Ideas about
discussion themes that you would like to see featured on the day are most welcome.
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The event will also provide an opportunity for “connecting” with Learning Network
members from other services and projects with a view to sharing ideas, lessons
learned, etc. An exhibition area will feature telecare and telehealth equipment
providers as well as other related services and organisations.
If you have not already joined the Knowledge Network Telehealthcare Community,
you can do so by following the instructions on the Community portal homepage http://www.knowledge.scot.nhs.uk/telehealthcare.aspx. This will enable you to
register to join the Telehealthcare Community, as well as sign up for automatic alerts
about future Learning Network news and events.
For more information, please contact Donna Henderson at
donna@antaraconsulting.co.uk.
DATES FOR YOUR DIARY

27 April 2012, LTCAS European Year for Active Ageing Conference
Long Term Conditions Alliance Scotland (LTCAS) is holding a national
learning and practice exchange Conference on Friday 27th April, 2012, co
sponsored by Dr Stewart Maxwell MSP and Dr Richard Simpson MSP at the
Scottish Parliament in Committee Room 1.

30 May 2012, Telehealth and Telecare Learning Network Event
Click here to register:
http://bookings.shscevents.co.uk/all/2821?dm_t=0,0,0,0,0

1 June 2012, Scottish Care Annual Conference
Care at Home and Housing Support Annual Conference Exhibition and Care
Awards Dinner, Glasgow Marriott Hotel.
Scottish Care is keen to get as many Change Fund partners to attend the
conference and is offering Partnerships the members’ rate of £50 per
delegate.
Contact Gloria McLoughlin for more information.
Book now at http://scottishcareathomejune12.eventbrite.co.uk.
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