Overview

Introduction

The Edinburgh Integration Joint Board (EIJB) was established in 2016 to bring together the planning and operational oversight for a range of NHS and Local Authority services. This was intended to improve overall health and wellbeing through the delivery of more efficient and effective health and social care services.

The Edinburgh Health and Social Care Partnership (EHSCP) is responsible for providing integrated services through the operational delivery of the EIJB’s strategic plan. Its workforce is made up of staff employed by both the City of Edinburgh Council and NHS Lothian. Our Chief Officer is accountable to the Chief Executives of both the City of Edinburgh Council and NHS Lothian.

Our current Strategic Plan 2019-22 is available online. This performance report sets out our progress against the strategic priorities and transformation plans within the Strategic Plan. The content in this report covers the financial year April 2020 to March 2021 unless otherwise shown.

Edinburgh is one of the largest health and social care partnerships in Scotland, with a population of 527,620 as of June 2020. 79,979 residents were aged over 65, with this age group projected to increase the most over the coming years.

Edinburgh is also the wealthiest city in Scotland, with 74.6% of the working age population in employment. 38.1% of the economically inactive population within the city are students.

However, 15% of the population, and as many as a fifth of children, live in relative poverty. This poverty is spread throughout the city, with two thirds of those living in poverty not living in areas described as deprived. The majority of those in poverty are in employment.

Our recently updated joint strategic needs assessment (JSNA) provides more detail on the population and demographics of Edinburgh.

We organise our community health and social care services in Edinburgh around four localities: South East, South West, North East and North West. The management of most community health and social care services is carried out in these localities, including assessment and care management, home care, day centres for older people and care homes in Edinburgh.

This allows us to plan and tailor services to the communities we are supporting. Each locality has a hub team that responds to new and urgent work and two cluster care management teams that arrange and review ongoing support. There is also a mental health and substance misuse team in each locality. We are in the process of developing locality operational plans that will support and implement our Strategic Plan.

There is a lot of variation across, and within, the four localities with areas of high and low deprivation found in each.

North East

  • 118,760 people live in the North East locality[1]
  • 50.8% are female and 49.2% are male
  • 15.2% are aged under 18, 71.4% are 18-64 and 13.5% are over 65
  • 16.5% of the population reside within the 20% most deprived areas of Scotland[1]
  • life expectancy at birth is 80.5 years for women and 76.1 for men[2]
  • 31,900 average home care hours per week between January and March 2020
  • 1,464 receive home care service
  • 18 GP practices[3]

North West

  • 149,417 people live in the North West locality[1]
  • 51.8% are female and 48.2% are male
  • 19.9% are aged under 18, 62.7% are 18-64 and 17.3% are over 65
  • 9.0% of the population reside within the 20% most deprived areas of Scotland[1]
  • life expectancy at birth is 83.6 years for women and 79.8 for men
  • 25,600 average home care hours per week between January and March 2020
  • 1,378 receive home care service
  • 18 GP practices[3]

South East

  • 136,200 people live in the South East locality[1]
  • 52.1% are female and 47.9% are male
  • 13.8% are aged under 18, 72.3% are 18-64 and 13.9% are over 65
  • 9.4% of the population reside within the 20% most deprived areas of Scotland[1]
  • life expectancy at birth is 82.4 years for women and 78.3 for men[2]
  • 25,100 average home care hours per week between January and March 2020
  • 1,170 receive home care service
  • 19 GP practices[3]

South West

  • 120,553 people live in the South West locality[1]
  • 49.8% are female and 50.2% are male
  • 17.3% are aged under 18, 67.3% are 18-64 and 15.4% are over 65
  • 12.6% of the population reside within the 20% most deprived areas of Scotland[1]
  • life expectancy at birth is 83.3 years for women and 79.1 for men[2]
  • 27,900 average home care hours per week between January and March 2020
  • 1,251 receive home care service
  • 16 GP practices[3]