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The Integration Joint Board is responsible for the planning of those limited acute hospital services delegated to it. The Health Board is responsible for the operational delivery and management of all acute services. The Chief Officer and the senior manager responsible for the delivery and management of hospital services will ensure joint arrangements are in place to enable effective working relationships across the whole health and care system. The Health Board is responsible for providing information on a regular basis to the Integration Joint Board on the operational delivery of all acute services and associated spend.

Services delegated to Orkney Health and Care through the scheme of integration

• Adoption and Fostering.
• Adult Placement Services.
• Adult Protection and Domestic Abuse.
• Aspects of Housing Support, including aids and adaptions.
• Assessments of Offenders.
• Care Home Services.
• Carers and Support Services.
• Child Care Assessment and Care Management.
• Child Protection.
• Clinical Psychology Services.
• Community Care Assessment teams.
• Community Learning Disabilities and Social Work services for Learning Disabilities and Physical Disabilities.
• Community Mental Health Services.
• Community Physiotherapy, Speech and Language, Dietetics and OT Services.
• Continence Services.
• Day Services.
• District Nursing.
• Diversions from Prosecution and Fiscal Work Orders.
• Early Intervention.
• Family Health Services Prescribing.
• General and Public Dental Services.
• Intermediate Care Team.
• Local Area Co-ordination.
• Looked After and Accommodated Children.
• Multi Agency Public Protection Arrangements.
• Occupational Therapy and Re-ablement Services, Equipment and Telecare.
• Out of Hours GP service.
• Palliative Care Services.
• Pharmaceutical Services.
• Primary Medical Services.
• School Nursing Health Visitors.
• Services provided by health professionals that aim to promote public health.
• Services to Courts and Parole Board.
• Sexual and Reproductive Health excluding hospital obstetrics/gynaecology services.
• Social Work Services for adults and older people; Children and Young People; Criminal Justice.
• Special Needs/ Additional Support.
• Substance Misuse Services and Drug and Alcohol Services.
• Supervision of Offenders Subject to a Community Based order.
• Support Services.
• Through care and Supervision of released prisoners.
• Through Care Services
• Youth Justice Services.

Hospital Services

• Accident and Emergency.
• Inpatient Hospital Services.
• Macmillan Palliative Care.
• Mental Health Service provide in a hospital.
• Ophthalmic Services.
• Resource Transfer, including Voluntary Services.