balance of care inquiry

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Balance of Care Inquiry

SHIFTING THE BALANCE OF HEALTH CARE: THE ROLE OF REHABILITATION SERVICES

Background

In February 2007, the Scottish Executive published Co-ordinated, integrated and fit for purpose: A delivery framework for adult rehabilitation in Scotland. The framework made six core recommendations concerning accessibility, community focus, patient independence, co-orientation between professionals, information for practitioners and staff resources. A number of initiatives have already begun under the framework, including a single-point-of-access service to physiotherapy in Edinburgh.

Key questions

Key questions addressed in this inquiry were —

What are patients’ experiences of rehabilitation services? How will the framework change services to patients?
What changes need to be made to workforce planning and social services to allow the framework to be implemented?
How will the framework change the role of allied health professionals in delivering rehabilitation services?
Are current community facilities adequate? To what extent are they able to meet new demands that the framework places on them?
How far are NHS boards, local authorities and associated bodies able to fulfil their roles under the framework?
What changes in financing will be required as a result of shifts in the balance of care, particularly between acute and primary care/community health budgets?
What barriers to the successful implementation of the framework exist? How can these be overcome?

Outcome

The Committee reviewed the written evidence received at its meeting on 10 September 2008 and agreed to write to the Cabinet Secretary for Health and Wellbeing, drawing her attention to the key themes in the written evidence. The Committee also agreed not to take oral evidence at this time.

Letter from the Committee to the Cabinet Secretary for Health and Wellbeing on Balance of Care Inquiry (33 KB PDF)

Response from the Minister for Public Health on behalf of the Cabinet Secretary (2.41 MB PDF)

Submissions received:

BC01 Diabetes UK Scotland (29KB PDF)

BC02 Chartered Society of Physiotherapy Scotland (123KB PDF

BC03 Royal College of Nursing Scotland (80KB PDF posted 08/07/2008)

BC04 Royal College of Speech and Language Therapists (124KB PDFposted 10/07/2008)

BC05 The Royal College of Obstetricians and Gynaecology (16KB PDF)

BC06 NHS Highland (36KB PDF)

BC07 RoSPA (36KB PDF)

BC08 NHS National Services Scotland (408KB PDF)

BC09 Epilepsy Scotland (28KB PDF)