Adult social care support and community health: draft Scottish learning and improvement framework

4. Stakeholder Engagement

The development of the SLIF was underpinned by the completion of a series of Impact Assessments, including:

• Equality Impact Assessment
• Fairer Scotland Duty Impact Assessment
• The Island Communities Impact Assessment
• The Child Rights and Wellbeing Impact Assessment

In line with the Programme for Government commitment to “ improving outcomes across our society, protecting people from harm and reducing inequalities”, this ensured that from the outset, the framework was underpinned by a commitment to improving experiences and outcomes for people.

Voice of lived and living experience

The framework has been developed to drive improvements in experiences and outcomes for people using adult social care support and community health services, unpaid carers, and the frontline workforce.

In recognition of the time and resource already given by people through previous engagements and in order to shape the outcomes based on what matters to people, three evidence reviews were conducted in December 2022, March 2023, and January 2024. The reviews drew upon evidence from prior consultations where people had been asked what mattered most to them when they engaged with adult social care support and community health services. This included feedback on what enabled and challenged the realisation of positive outcomes and experiences.

The evidence reviews covered:

• The general population of people who use services, unpaid carers and the workforce;
• Specific populations groups, to help identify any differential outcomes;
• Targeted seldom heard groups identified through the Equality, Fairer Scotland Duty, Island Communities and Child Rights and Wellbeing Impact Assessments.

Where there was insufficient available evidence for a population group, sessions were held with professionals and/or people with lived experience to identify the outcomes that matter to them. These were:

• People from ethnic minority backgrounds;
• Disabled people with experience of sensory loss impairments;
• Representatives from Scottish Island Communities.

Organisations and professionals

Conversations were also held with the professionals who will be using the framework including Chief Officers, Chief Social Work Officers and NHS Chief Operating Officers, to provide an opportunity to identify the challenges and enablers for implementation to help inform the testing phase.