Key Information:

  • Savings proposals are being made to protect core statutory services, protect our most vulnerable and maintain a high standard of care for people in Edinburgh.
  • We are facing unprecedented challenges to the sustainability of our health and care system; an ageing population; an increase in the number of people living with long term conditions; a reduction in the working age population which compounds the challenge in workforce supply, and fundamentally resource availability cannot continue to match levels of demand.
  • EIJB is faced with £59.79m budget pressures at the start of the year 2024/25 The projected opening savings requirement for 2024/25 is £45.1m.

Today Edinburgh Integration Joint Board have agreed proposals to address its £60m budget deficit for the coming year. Whilst this involves challenging decisions, the board has focused on protecting core statutory services and protecting the most vulnerable in Edinburgh.

The EIJB have carried out impact assessments on all measures to fully understand the risks involved.

These are not measures the EIJB wanted to introduce, however due to a lack of funding which considers the full impact of increased population and demand in Edinburgh and as the EIJB is unable to raise its own funding, it is obligated to make these decisions to agree a balanced budget.

Agreed measures include:

  • Restructure of Edinburgh Health and Social Care Partnership’s internal care homes, including closing Clovenstone and Ford’s Road buildings, and relocating residents to existing unfilled beds in nearby care homes.
  • Reduction in our grants to organisations, but protecting 90% of voluntary third sector funding.
  • Reviewing existing care packages to ensure they are the right size – a shift to One Edinburgh programme which emphasises “reablement” and helping people to live independently at home instead of overprovision of care.
  • Smarter control of commissioning and prices for our Older People’s Pathway services, including care homes.

Pat Togher Chief Officer of the Edinburgh Integration Joint Partnership said, “Like health and social care integration authorities across Scotland, Edinburgh is facing unprecedent financial challenges and we are taking measures to ensure that we protect core services and return to a stable financial position.

“Despite the significant challenges posed by an estimated c£60m pound budget deficit in the next year, we are implementing a package of reforms which will not only cut the structural deficit in a manageable way over the coming years, but will allow us to protect services for the people of Edinburgh.

We are acutely aware of the impact these changes may have on the people of Edinburgh and Staff, and we are taking measures to mitigate consequences.

On Care homes:

“We are committed to updating our care home stock to make sure it is fit for purpose and allows us to provide the high-quality care that the people of Edinburgh deserve.

We know that the communities who make up our care homes are more than the bricks and mortar and that Clovenstone and Ford’s Road care homes provide excellent care for their residents, as recognised in Care Inspectorate reports. However these buildings are not designed to meet the growing need for nursing care and we must adapt to fit the changing needs of the people of Edinburgh.

We are to committed to fully engaging with all staff, residents and their loved ones to ensure the right decision is made and that people have a placement which suits their needs.”

On third sector grants:

“Early intervention and prevention approaches are at the heart of the services delivered directly by the EHSCP. We are also proud to work with our voluntary and third sector partners such as X who provide an invaluable service for Edinburgh in support of this. Our strong partnership working with these organisations is crucial to our early intervention and prevention strategy.

In a challenging financial environment for Health and Social Care Partnerships across Scotland, we are taking the necessary action to bring the EHSCP back to financial stability in order to protect our core services that the people of Edinburgh rely upon.

This means making hard decisions across the health and social care system, including investment in our voluntary and community sector. Whilst we are introducing savings, there are still opportunities to work closely with community organisations to innovate in how we invest remaining funding.”