Evaluation of Integrated Resource Framework Test Sites
The report presents the findings of an evaluation of the development and implementation of the Integrated Resource Framework (IRF) in four test site areas in Scotland The IRF is a mechanism developed by the Scottish Government and partners to support shifts in the balance of care through integrated mapping information for health and social care and new joint financial mechanisms between Local Authorities and NHS Boards
FOOTNOTES
1. The Scottish Government, 2010, Improving the Health and Wellbeing of People with Long Term Conditions in Scotland: A National Action Plan, Edinburgh: Scottish Government
2. Scottish Government , 2011, Scottish Spending Review 2011 and Draft Budget 2012-13 Edinburgh: Scottish Government,
http://www.scotland.gov.ukf4cb60fb-f03a-4445-b5f8-65815d954183
3. Audit Scotland, 2010, Financial Overview of the NHS in Scotland 2009/10, Edinburgh: Audit Scotland,
4. Scottish Government, 2007, Better Health, Better Care, Edinburgh.
5. Audit Scotland, 2011, Review of Community Health Partnerships, Edinburgh: Audit Scotland
6. Audit Scotland, 2012, Commissioning Social Care Edinburgh: Audit Scotland
7. All four test sites participated in the first round of the email survey but the Highland test site did not participate in the second round since the questions were not relevant to their local situation, where pilots were replaced by a commitment to a Lead Agency model.
8. Greenhalgh T et al, 2004, Diffusion of innovation in service organisations: systematic literature review and recommendations for future research, Millbank Quarterly, 82(4): 581-629
9. Ayrshire and Arran have now mapped 2010/11 data.
10. A notable exception is in NHS Tayside where a more extensive community health database is in place.
11. ISD compared GP practice address and postcode of patient residence for Dundee city GPs and found that there were fewer patients living outside the catchment of their general practice than previously assumed. Patient-level data aims to overcome this problem where it continues to be an issue.
12. The exception to this is Tayside which has an extensive community health database in place.
13. In Highland, this was superseded when partners decided to attempt a full Lead Agency model of integration rather than piloting smaller scale integrated financial mechanisms.
14. Issues of anonymity and confidentiality were reported to be very important if this use of the mapping is to be explored.
15. Highland started to implement the new Lead Agency model of integrated services in April 2012.
16. Based on 44 responses from stakeholders in Ayrshire & Arran, Lothian and Tayside during the second iteration of an email survey in February 2012.
17. Weatherly, H. et al 2009 Financial integration in health and social care: Evidence review. Scottish Government: Edinburgh.
18. http://www.scotland.gov.uk/Topics/Health/care/reshaping/changefund
19. http://www.scotland.gov.uk/News/Releases/2011/12/12111418
20. Based on 44 responses from stakeholders in Ayrshire & Arran, Lothian and Tayside during the second iteration of an email survey in February 2012.
21. Based on 44 responses from stakeholders in Ayrshire & Arran, Lothian and Tayside during the second iteration of an email survey in February 2012.
22. Confidence level was rated on a 10 point scale where larger numbers represented greater confidence.
23. Mean responses for both rounds of the email survey remained around seven. Confidence was rated on a ten point scale where larger numbers represented greater confidence.
24. Mean scores in the three test sites participating in both rounds of the email survey decreased from 5.5 to 2.8, from 4.8 to 4.5, and from 5.8 to 3.9. Confidence was rated on a ten point scale where larger numbers represented greater confidence.
25. http://www.highland.gov.uk/NR/rdonlyres/816BD9D1-E541-44B2-AF93-8CD5FCAEC539/0/Item21hsw11803.pdf
27. The title IRF was used in Highland in 2008 before it was adopted for the national programme.
28. The Highland Council / NHS Highland: Improving Joint Service Delivery - A new Partnership Model. Joint report by Chief Executive the Highland Council, and Chief Executive NHS Highland (16th December 2010).
29. Weatherly, H. et al 2009 Financial integration in health and social care: Evidence review. Scottish Government: Edinburgh.
30. www.scotland.gov.uk410817ab-91fb-4306-9170-fab253625e62
31. Note: During 2011, in light of the Change Fund, West Lothian IRF project team decided to change the focus of the pilot to older people.
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Email: Fiona Hodgkiss
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