Community Health Partnership

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Community Health Partnerships, known as CHPs (pronounced Chips) were subdivisions of Health Boards in Scotland, from 2005 to 2015, after which their functions were fully taken over by Health and Social Care Partnerships in April 2015.

Scotland Country in Europe, part of the United Kingdom

Scotland is a country that is part of the United Kingdom. Sharing a border with England to the southeast, Scotland is otherwise surrounded by the Atlantic Ocean to the north and west, the North Sea to the northeast, the Irish Sea to the south, and the North Channel to the southwest. In addition to the mainland, situated on the northern third of the island of Great Britain, Scotland has over 790 islands, including the Northern Isles and the Hebrides.

Health and Social Care Partnerships, (HSCPs) are the organisations formed as part of the integration of services provided by Health Boards and Councils in Scotland. Each partnership is jointly run by the NHS and local authority.

Contents

CHPs had four roles within their locality:

Primary care day-to-day health care given by a health care provider

Primary care is the day-to-day healthcare given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates other specialist care that the patient may need. Patients commonly receive primary care from professionals such as a primary care physician, a nurse practitioner, or a physician assistant. In some localities, such a professional may be a registered nurse, a pharmacist, a clinical officer, or a Ayurvedic or other traditional medicine professional. Depending on the nature of the health condition, patients may then be referred for secondary or tertiary care.

Mental health Describes a level of psychological well-being, or an absence of a mental disorder

Mental health is the level of psychological well-being or an absence of mental illness. It is the state of someone who is "functioning at a satisfactory level of emotional and behavioural adjustment". From the perspectives of positive psychology or of holism, mental health may include an individual's ability to enjoy life, and to create a balance between life activities and efforts to achieve psychological resilience. According to the World Health Organization (WHO), mental health includes "subjective well-being, perceived self-efficacy, autonomy, competence, inter-generational dependence, and self-actualization of one's intellectual and emotional potential, among others." The WHO further states that the well-being of an individual is encompassed in the realization of their abilities, coping with normal stresses of life, productive work and contribution to their community. Cultural differences, subjective assessments, and competing professional theories all affect how one defines "mental health".

Social work academic discipline and profession

Social work is an academic discipline and profession that concerns itself with individuals, families, groups and communities in an effort to enhance social functioning and overall well-being. Social functioning is the way in which people perform their social roles, and the structural institutions that are provided to sustain them. Social work applies social sciences, such as sociology, psychology, political science, public health, community development, law, and economics, to engage with client systems, conduct assessments, and develop interventions to solve social and personal problems; and to bring about social change. Social work practice is often divided into micro-work, which involves working directly with individuals or small groups; and macro-work, which involves working with communities, and - within social policy - fostering change on a larger scale.

History

In 2003 it was announced that CHPs would be set up as a means to devolve more power to frontline staff, and allow the NHS to work more effectively with other organisations, such as local authorities and the voluntary sector. [1] At the time, this model was suggested as a way to better integrate health services with the council's social work department and some areas of children’s services. [2]

The National Health Service Reform (Scotland) Act 2004 provided for each health board to set up CHPs. [3] The legislation was not prescriptive about how the CHPs should operate or how they should be structured. The first CHPs became operational in 2005 (with CHPs in Orkney and Western Isles being set up in 2006 and 2007 respectively). 41 CHP were initially set up. [4]

On 1 April 2007, Edinburgh North and Edinburgh South merged to become Edinburgh Community Health Partnership. [4] On 22 March 2011, the five Glasgow City CHPs officially merged into one, although it was administered as three sectors on account of its size: North East Sector; North West Sector and South Sector.

On 1 April 2012, NHS Highland's three CHPs- North, Mid & South-East Highland - merged into a single CHP that was co-terminus with the Council area, named Highland Health and Social Care Partnership.

Because CHPs were operating as committees or sub-committees of the area Board, decisions about their funding was devolved to the NHS Boards.

In June 2011 Audit Scotland produced a report on the performance of the CHPs. [5] The review found there was limited evidence to show CHPs had brought about widespread sustained improvements in services. [6]

Audit Scotland is an independent public body responsible for auditing most of Scotland's public organisations. These include the Scottish Government, local councils and NHS Scotland.

Boundaries

CHPs were typically co-terminous with council areas and represent a district or area within one of the 14 Scottish Health Board regions. However, this is not always strictly the case.

City of Glasgow, Fife, Highland each contained several CHPs.

The two Lanarkshire CHPs are co-terminous with the North and South Lanarkshire council boundaries and, as a result, incorporated some of the population from NHS Greater Glasgow and Clyde as well as the NHS Lanarkshire catchment area. The North Lanarkshire CHP included a population of approximately 16,500 from the Chryston, Moodiesburn, Muirhead and Stepps districts of NHS Greater Glasgow and Clyde.

The South Lanarkshire CHP included a population of approximately 55,000 from the Cambuslang and Rutherglen areas of NHS Greater Glasgow and Clyde.

List of Community Health Partnerships

Note: In some areas, CHPs are known as Community Health and Care Partnerships (CHCPs).

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References

  1. "Community health partnerships". Scottish Government. 18 July 2003. Retrieved 11 July 2014.
  2. "Warm welcome for partnership plan". The Scotsman . 14 October 2003. Retrieved 11 July 2014.
  3. Watt, Glenys; Ibe, Onyema; McLelland, Nicola (7 May 2010). "Study of Community Health Partnerships". Scottish Government. Retrieved 11 September 2014.
  4. 1 2 "Products and services: GPD Support: Geography". Information Services Division Scotland. Retrieved 11 September 2014.
  5. "Community health partnerships". Audit Scotland. 2 June 2011. Archived from the original on 14 July 2014. Retrieved 11 July 2014.
  6. "'Damning report' on health partnerships". BBC News . 2 June 2011. Retrieved 11 July 2014.

Further reading

Petch, A. (2006) Health and Social Care: Establishing a Joint Future? Edinburgh, Dunedin Academic Press ISBN   978-1-903765-73-9