Date lodged: 6 November 2017
To ask the Scottish Government how it will ensure that increasing the supply of community services does not affect the supply of acute services.
Answered by: Shona Robison 20 November 2017
Integration Authorities' strategic commissioning plans set out how they intend to deliver care appropriate to people's needs in their localities, including any plans to shift provision of care from institutional to community settings. Strategic commissioning plans are accompanied by annual financial statements setting out spending intentions for the year to come. The main driver for hospital use is emergency admissions, of which many can be prevented by better services in the community. Using their budgets and through their strategic commissioning plans, Integration Authorities have control of the budgets across the unscheduled care pathway including commissioning responsibilities for three quarters of all emergency admissions, enabling them to redirect resources from acute to community-based provision, improving both the quality and sustainability of care.