A Brief History of Integration

1999
Seventy-nine Local Health Care Cooperatives established across Scotland to bring health and social care practitioners together to deliver a range of primary and community health services and promote joint working with Local Authorities and the voluntary sector.

2000
Scottish Government adopts recommendations from the Joint Futures Group, a collection of senior figures from the NHS and Local Government. These include shared assessment procedures, information sharing, joint commissioning and joint management of services.

2002
Community Care and Health (Scotland) Act includes powers, but not duties, for NHS Boards and Local Authorities to work together more effectively.

2004
NHS Reform (Scotland) Act 2004 requires Health Boards to establish one or more Community Health Partnerships (CHPs) in their local area to bridge gaps between primary and secondary healthcare, and health and social care.

Between 2004 and 2006 each local area established a partnership which is a subgroup of the Health Board with strong local representation.

2010
Scottish Government launches the Reshaping Care for Older People Programme to prepare for a projected rise in older people and drive improvements in support and services. The programme and arrangements for the related Change Fund both require closer collaboration between Health Boards and Local Authorities and with the third and independent  sectors.

2011
All major political parties include commitments to integrate health and social care in their Scottish Parliament Election  manifestos.

2012
Scottish Government consults on its proposals for the integration of adult health and social care.

2013
Publication of the Public Bodies (Joint Working) (Scotland) Bill proposing the creation of 32 Health and Social Care Partnerships, one in each Local Authority area, to replace Community Health Partnerships.

2014
Public Bodies (Joint Working) (Scotland) Act 2014 receives Royal Assent on 1 April 2014.

2015
Integration Schemes to be submitted to Ministers for approval by 1 April 2015

2016
All integration arrangements as set out in the Public Bodies (Joint Working) (Scotland) Act 2014 and in the associated Orders and Regulations must be in place by 1 April 2016.

Illustration showing a figure holding a ball on a path with signs pointing to the past and future