Integration Scheme Between West Lothian Council and NHS Lothian

West Lothian Integration Scheme Revision 2022 - Draft for Consultation West Lothian Council and NHS Lothian are reviewing their Integration Scheme and are calling on any and all views before Sunday 3 April 2022.

West Lothian Council and NHS Lothian are consulting on a general update to the scheme of integration, the document which outlines the establishment, governance, scope, and operation of the West Lothian Integration Joint Board. This consultation is being conducted to help further inform and finalise this revision of the scheme. 

A copy of the draft revised Integration Scheme can be found at the bottom of this page.

Background to Health and Social Care Integration

The Public Bodies (Joint Working) Scotland Act 2014, imposed statutory duties on councils and health boards to integrate specified health and social care services. That was to be achieved by formal delegation through an integration scheme of statutory duties by council and health board to an integration authority. The integration authority then has responsibility for making a strategic plan, receiving budget payments from council and health board and directing councils and health boards how to deliver the delegated functions and with what resources. The integration authority has oversight of the delivery of those functions and has to publish a statutory performance report each year.

Review of the scheme of integration

In accordance with section 2(3) of the Public Bodies (Joint Working) Scotland Act 2014, West Lothian Council and NHS Lothian agreed the original integration scheme in May 2015. It was approved by the Scottish Ministers under section 7(4) of the 2014 Act on 16 June 2015 . In pursuance of section 9(2) of the 2014 Act and the original integration scheme the West Lothian Integration Joint Board was established on 21 September 2015 by the Public Bodies (Joint Working) (Integration Joint Board Establishment) (Scotland) Amendment (No. 2) Order 2015.

New integration functions were created by the Carers (Scotland) Act 2016. As a result West Lothian Council and NHS Lothian followed a review process under sections 3, 6, 45 and 46 of the 2014 Act in 2019. They agreed a second integration scheme which was approved by the Scottish Ministers on 19 September 2019.

Section 44 of the Public Bodies (Joint Working) Scotland Act 2014 requires a review to be carried out before the expiry of five years from the date of approval of the original integration scheme. Formally undertaking a review within this timeframe has been delayed in the context of managing the COVID-19 pandemic. However, in line with the requirement from Scottish Government, the parties have now taken forward that review and have agreed a draft third integration scheme (West Lothian Integration Scheme 2022) for submission to the Scottish Ministers for approval. In preparing the draft, the Parties have had regard to the integration planning principles in section 4 of the 2014 Act. They have had regard to the national health and wellbeing outcomes in the Public Bodies (Joint Working) (National Health and Wellbeing Outcomes) (Scotland) Regulations 2014.

Phase 1 of the consultation process in West Lothian was undertaken for two weeks from Tuesday 28 September 2021. This was advertised on social media channels, the health and social care partnership's website and issued to staff, service user, service provider and partner networks.  Efforts were made to target all of the statutory consultees. All views expressed were considered and have been taken into account during the review process to date.

This draft, our third integration scheme (West Lothian Integration Scheme 2022), aims to generally update the scheme, and there are no changes proposed to the delegation of legal functions or associated services to the IJB. NHS Lothian and West Lothian Council are now consulting on the proposed text of the draft scheme, to further inform revision of the integration scheme.

Please feedback any comments to lorna.kemp@nhslothian.scot.nhs.uk by no later than Sunday 3 April 2022.

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