Overarching principles

In last year’s consultation the Scottish Government asked about the benefit of developing overarching principles that would apply to all health, care and support service in Scotland. There was general support for this, with 98% of people saying they thought this was a good idea.

> A4 Principles poster

People thought this would:

  • support the Integration of health and social care
  • support seamless support arrangements
  • ensure a human rights based approach would be applied in all these environments.

They did, however, urge the Scottish Government to consider existing frameworks and principles in use currently – such as GIRFEC and the Health and Social Care outcomes.

The National Care Standards project board agreed that the Care Inspectorate and Healthcare Improvement Scotland should be asked to co-chair a National Care Standrds Review development group of providers, service user representatives, commissioners and other interested stakeholders to develop the principles and standards. The project board would remain the decision making body and would approve any work undertaken by the development group and it would be the project board’s responsibility to make recommendations to Scottish Ministers.

  • Sara Twaddle, Healthcare Improvement Scotland, (Chair)
  • Rami Okasha, Care Inspectorate (Chair)
  • Graham Kelly, BUPA
  • Henry Mathias, Care Inspectorate
  • Arvind Salwan, Care Inspectorate
  • Chris Taylor, Scottish Government
  • Fiona Wardell, Healthcare Improvement Scotland
  • Shaben Begum, Scottish Independent Advocacy Alliance
  • Saartje Drijver, Care Inspectorate
  • Beth Hall, COSLA
  • Nancy Fancott, Coalition of Care and Support Providers in Scotland
  • Jacquie Macrae, Healthcare Improvement Scotland
  • Swaran Rakhra, Scottish Care
  • Gordon Main, CELSIS
  • Ken Miller, Healthcare Improvement Scotland
  • Maggie Simpson, SCMA
  • Jim Crichton, State Hospital’s Board for Scotland
  • Paddy Carstairs, Association of Real Change and National Involvement Network
  • Lynnette Linton, National Involvement Network
  • Heather Dall, Care Inspectorate
  • Philip Gillespie, Clackmannanshire Council
  • Margaret Paterson, Education Scotland
  • Brian Houston, Who Cares? Scotland
  • Cheryl Burnett, National Parent Forum of Scotland
  • Glenda Watt, Edinburgh City Council

Developing the principles

In keeping with the request from people who participated in the initial consultation, the development group considered the range of principles, standards, frameworks and outcomes currently in use in Scotland and across the UK.

The group met on three occasions to discuss and explore these and identify the principles that were most suitable for all people who use health care and support services. In doing so, they considered the impact of these on peoples’ human rights. Members of the development group also sought initial views on the proposed principles from their own networks/members.

After some final changes, the development group agreed that these principles, and what these mean to people using services, should be widely consulted upon.

The development group’s next task will be to develop a set of general standards which support the principles. It is intended that the principles once approved will be rolled out and implemented from April 2016, with the new National Care Standards being rolled out from 2017.