Responding to the Scottish Government’s consultation on the integration of Adult Health & Social Care in Scotland, the Chartered Institute of Public Finance and Accountancy (CIPFA) suggests that the case for the proposed new legislation has not been made.
CIPFA found no evidence to suggest that the existing legislation has been tested or that it is deficient. CIPFA did find evidence indicating that existing legislation could deliver the expected changes and concluded that the case for new legislation has not been made.
The consultation paper’s main proposal is to achieve better outcomes through integrated working between local government and health bodies. CIPFA says however that the evidence suggests that empowering local leadership would be a stronger instrument of change than the development of further legislation.
Financial integration is also an aim of the Government’s proposals as a basis for ensuring the best outcome for the individual. However CIPFA’s response points to reports from a number of sources that there is no evidence of financial integration improving health outcomes.
CIPFA goes on to cite further research which suggests that integration needs to begin with a collaborative approach between agencies and that attempts to impose integration in a top down manner has been less successful.
Angela Scott, Head of CIPFA Scotland, commented,
“The available evidence indicates that strong leadership, rather than new legislation is the best way of achieving improved outcomes through integrated working. Until an effective review of the existing legislation is undertaken we see no case for further primary legislation”.
Contact: Tim Windle
CIPFA Press Office
t 0207 543 5600
Notes to Editors:
CIPFA, the Chartered Institute of Public Finance and Accountancy, is the professional body for people in public finance. Our 14,000 members work throughout the public services, in national audit agencies, in major accountancy firms, and in other bodies where public money needs to be effectively and efficiently managed. As the world’s only professional accountancy body to specialise in public services, CIPFA’s portfolio of qualifications are the foundation for a career in public finance. They include the benchmark professional qualification for public sector accountants as well as a postgraduate diploma for people already working in leadership positions. They are taught by our in-house CIPFA Education and Training Centre as well as other places of learning around the world. We also champion high performance in public services, translating our experience and insight into clear advice and practical services. They include information and guidance, courses and conferences, property and asset management solutions, consultancy and interim people for a range of public sector clients. Globally, CIPFA shows the way in public finance by standing up for sound public financial management and good governance. We work with donors, partner governments, accountancy bodies and the public sector around the world to advance public finance and support better public services. This includes the development of local professional qualifications in African countries like Lesotho and Nigeria and in Europe in post conflict states in the Balkans.