Changing models of health and social care

Audit Scotland
Publication year:
Place of publication:

This report identifies new local models of care in Scotland which are shifting the balance of care from hospitals to more homely and community-based settings. It aims to help to support new integrated authorities to implement new ways of working, address the challenges facing health and social care services and help increase the pace of change. The report draws on: analysis of national and local information to help hospitals, councils and community-based services to identify pressures in the system, including performance, activity and financial data; projection analysis to estimate the potential effect of increasing pressures in health and social care; desk research and interviews. Part 1 looks at the increasing pressures facing health and social care in Scotland. It highlights an increase in the numbers of older people complex health and social care needs, an increase in emergency hospital admissions, and how services need to adapt to cope with the effects of a changing population. Part 2 highlights examples of some of the new approaches to providing health and social care, which shifting the balance of care from hospitals to more homely and community-based settings. These include: community preventative approaches, enhanced community care models, intermediate care models, and initiatives designed to reduce delayed discharges. Part 3 looks at what still needs to be done to achieve the transformational change needed to deliver the Scottish Government’s 2020 Vision for health and social care and actions required to address them. It concludes that a lack of national leadership and clear planning is preventing the wider change urgently needed if Scotland’s health and social care services are to adapt to increasing pressures. Two supplements accompany the report, which provide details of the case studies referenced in the report and a model of East Lothian’s whole-system approach. (Edited publisher abstract)

Subject terms:
models, health care, social care, integrated care, case studies, service development, community care, prevention, intermediate care, delayed discharge, long term conditions, older people;
Content type:
practice example
Register/Log in to view this resource
Register/Log in to view related resource
ISBN print:

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to access resource links, advanced search and email alerts