Health and Social Care Reform in Scotland – What Next?

Hendry, Anne; Thompson, Maimie; Knight, Peter; McCallum, Eleanor; Taylor, Alison; Rainey, Helen; Strong, Andrew

doi:10.5334/ijic.5633

Cited by 12 publications

(10 citation statements)

References 44 publications

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“…The clearest example here is Hendry et al's (2021) evaluation of the outcomes of integrated health and social care in Scotland. Though they found significant, positive outcomes for health overall, they also found that relative inequalities between affluent and deprived areas continued to widen.…”

Section: Resultsmentioning

confidence: 99%

“…Some cases illustrated that governments' improved understanding of trade‐offs did not necessarily limit their negative consequences in the first place (i.e., Ravikumar et al, 2018; van Eyk et al, 2017). Others showed how, even when improved understanding did enable policymakers to limit negative consequences, unavoidable consequences continue to fall on vulnerable and marginalized groups (Cheng et al, 2020; Hendry et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

How does policy coherence shape effectiveness and inequality? Implications for sustainable development and the 2030 Agenda

Browne

Dzebo

Iacobuţă

et al. 2023

Sustainable Development

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During the formulation of the 2030 Agenda for Sustainable Development, many promoted policy coherence as a key tool to ensure achievement of the Sustainable Development Goals (SDGs) in a way that “leaves no one behind.” Their argument assumed that coherent policymaking contributes to more effective policies and supports over‐arching efforts to reduce inequality. As the 2030 Agenda reaches the halfway point, however, countries are falling short on many SDGs, particularly SDG 10 (reduce inequality). This study revisits the basic assumptions about policy coherence underpinning the SDGs. We systematically screened the peer‐reviewed literature to identify 40 studies that provide evidence about whether coherent policymaking contributes to more effective outcomes and helps to reduce inequality. We find that coherent policymaking did not help reduce inequality in a majority of cases and made it worse in several. Our findings challenge the narrative that coherence is a necessary pre‐condition for progress on the SDGs for all people.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

How does policy coherence shape effectiveness and inequality? Implications for sustainable development and the 2030 Agenda

Browne

Dzebo

Iacobuţă

et al. 2023

Sustainable Development

View full text Add to dashboard Cite

show abstract

“…They have not had to rely on bureaucratic structures that have been recommended in literature including governance structures, performance measurement systems, information technology systems and funding arrangements that exist for the collective partnering organizations. These structures can aid in continuous learning, enhanced information sharing, greater role clarity among partners and enhancing commitment toward integration (Couturier et al, 2021;Hendry et al, 2021;Carswell, 2015;Cheng and Catallo, 2020;Angus and Valentijn, 2018;Audit Scotland, 2015;Burgess, 2012;Goodwin et al, 2014;Health and Wellbeing Best Practice and Innovation Board, 2013;Thistlethwaite, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…These structures can aid in continuous learning, enhanced information sharing, greater role clarity among partners and enhancing commitment toward integration (Couturier et al. , 2021; Hendry et al. , 2021; Carswell, 2015; Cheng and Catallo, 2020; Angus and Valentijn, 2018; Audit Scotland, 2015; Burgess, 2012; Goodwin et al ., 2014; Health and Wellbeing Best Practice and Innovation Board, 2013; Thistlethwaite, 2011).…”

Section: Discussionmentioning

confidence: 99%

Case study of an integrated health and social care initiative for geriatric patients in rural Alberta

Cheng

Catallo

2023

JICA

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PurposeRural regions in Canada are aging faster than urban centers, but access to health and social care is limited. Integrated health and social care (IHSC) through collaboration across different health and social care organizations can support enhanced care for older adults living in rural regions. However, IHSC is not well understood within a rural Canadian context.Design/methodology/approachA case study of a Canadian IHSC initiative, Geriatric Assessment Program Collaboratory (GAPC), in northern Alberta was undertaken to understand how successful IHSC can occur in an urban/rural region. The study used key informant interviews and a focus group of representatives from the GAPC organizations.FindingsNine factors were identified that support GAPC: communications, information sharing, shared vision and goals, inter-organizational culture, diffused leadership, team-based approaches, dedicated resources, role clarity, champions and pre-existing relationships. Eight external influence factors were identified as influencing partnership including geography, strong sense of community, inter-sectoral work, public policy, governance authorities and structures, funding models, aging communities and operating within a not-for-profit (NFP) setting.Originality/valueThe study reveals insights into how IHSC can occur within a rural Canadian context. This study demonstrates that IHSC occurs at the local level and that primary care providers can drive IHSC successfully.

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“…One starting point can be to explore more some well-attested and critical issues with integrating care with leadership, culture, workforce, difficulties with demonstrating impact and managing a challenging financial context (Hendry, et al , 2021). The conclusion is that culture change can help get the right balance in a system between centrally directed organisations including the NHS and flexible arrangements for local delivery through strong horizontal integration with community partners is of significance.…”

Section: Discussionmentioning

confidence: 99%

Decent work in care homes: lessons and implications of the pandemic experience from Scotland

Gibb

Pautz

2022

WWOP

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Purpose The purpose of this paper is to identify lessons and implications on the theme of decent work in social care. This has long been highlighted as integral to improving social care for the elderly. The COVID-19 pandemic experience reveals lessons and implications about the systemic absence of decent work in one place, Scotland, in care homes. The main lesson and implication is a need for change beyond the focus on levels of pay and systemic advocacy of decent work as it is conventionally understood. Design/methodology/approach Data was collected using qualitative, semi-structured interviews with 20 care workers in care homes.[AQ4] A range of care system institutional stakeholders was also interviewed. A range of care system institutional stakeholders was also interviewed. Findings Decent work in social care may only be progressed to the extent that a culture change is achieved, transcending the institutional stasis about who owns and engages with progressing decent work. Research limitations/implications This is a study in one place, Scotland, with a small sample of frontline care workers in care homes and representatives from a range of institutions. Practical implications Effective culture change for decent work in care homes needs to be a higher research priority. More explicit culture policies can be a mechanism by which overall decent work and system change may be catalysed and sustainably secured together. Explicit culture change is here set out with respect to operational, institutional and national domains. Social implications There needs to be social policy and political support for situating decent work to be part of a broader culture change around care work with the elderly. A culture-oriented change plan as well as new resourcing and structures can together ensure that the nadir of the pandemic experience was a historical turning point towards transformation rather than being just another low point in a recurring cycle. Originality/value The situating of systemic decent work progress within a broader culture change, and modelling that culture change, are original contributions.

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Health and Social Care Reform in Scotland – What Next?

Cited by 12 publications

References 44 publications

How does policy coherence shape effectiveness and inequality? Implications for sustainable development and the 2030 Agenda

How does policy coherence shape effectiveness and inequality? Implications for sustainable development and the 2030 Agenda

Case study of an integrated health and social care initiative for geriatric patients in rural Alberta

Decent work in care homes: lessons and implications of the pandemic experience from Scotland

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