Health and care strategies and plans

This document contains the Orkney Health and Social Care Partnership’s Strategic Plan for 2025–2028. It sets out how services will work with communities and partners to tackle inequality, prevent ill health, support unpaid carers, help people age well, improve mental health and strengthen local support. It also covers housing, population information, workforce challenges, service planning and the financial pressures affecting health and social care.

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This document contains the Orkney Health and Social Care Partnership’s delivery plan for 2025/26. It sets out actions and measures for six priorities: reducing inequalities, prevention, unpaid carers, ageing well, community-led support, and mental health and wellbeing. Planned work includes healthier schools, improved support for carers, more care at home, community action plans, faster assessments, and expanded mental health services. Progress will be reviewed at the end of the year.

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This document contains an equality impact assessment of the Orkney Health and Social Care Partnership Strategic Plan 2025–2028 and its 2025–2026 delivery plan. It considers how the plan may affect people using community health and social care services and the staff delivering them, including people with protected characteristics and those facing disadvantage. The plan aims to address inequalities, support people to age well and meet carers’ needs. Actions will be managed through the annual delivery plan and monitored through annual performance reports.

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This document contains an Island Communities Impact Assessment for the Strategic Plan 2025–2028 and its 2025/26 delivery plan. It considers how island communities may experience services differently, using consultation and the Island Wellbeing Survey, and notes that access to health, social care and travel services can be limited. The plan aims to reduce these inequalities through community-led support, helping people age well and tackling disadvantage. No further consultation or island-specific measures are planned; the assessment was approved on 16 April 2025.

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This document contains the Orkney Health and Social Care Partnership’s Strategic Plan for 2022–2025. It sets out how health and social care services will work with communities and partners, focusing on unpaid carers, helping older people stay at home, community-led support, and mental health and wellbeing, alongside prevention and reducing inequality. It also summarises the impact of COVID-19, local needs and population changes, housing support, funding pressures, and how progress will be monitored.

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This document contains the Orkney Health and Social Care Partnership’s Delivery Plan for 2022–2025, setting out how it will deliver six priorities. These cover community-led support, mental health, helping older people stay at home, unpaid carers, early intervention and prevention, and reducing inequalities and disadvantage. It includes planned actions and measures for 2023/2024, including improved mental health services, home care and technology, carer engagement, family and oral health support, and tailored services for island communities.

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This document contains Orkney Health and Care’s strategic plan for 2019 to 2022. It sets out the vision, values and priorities for improving health and social care, including community hubs, mental health, support for unpaid carers, children and young people, primary care and self-management. It explains plans for community-led support, digital care and person-centred decision-making, and describes how progress will be measured.

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This document contains the Orkney Alcohol and Drugs Partnership’s strategy for 2021-2026, setting out its vision, evidence and approach to reducing harm from alcohol and drugs. It covers national and local challenges, including inequalities, mental health, trauma, rural access, stigma and the effects of COVID-19, alongside current services and governance. Its priorities are prevention and early intervention, person-centred recovery support, help for children and families, and support or alternatives to justice for vulnerable people.

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This document contains Orkney’s plan to meet the 10 medication assisted treatment standards for people affected by drug use. It covers same-day access to treatment, informed medication choices, harm reduction, ongoing support, mental health care, trauma-informed care, advocacy and recovery support. It sets out completed work and planned improvements, including stronger links with hospitals, police, community groups and primary care. Progress will be overseen by the Alcohol and Drugs Partnership Strategy Group and the Joint Clinical and Care Governance Committee.

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This document contains Orkney’s referral pathway for residential rehabilitation for alcohol and drug problems. It explains how specialist assessment covers substance use, health and social needs, risks and admission criteria, followed by an agreed care and recovery plan. It sets out different routes for people who need stabilisation and detoxification and those who do not, before residential treatment. The pathway ends with regular reviews, aftercare planning, local service referrals and recovery support.

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This document contains Orkney’s five-year plan for improving support for people living with dementia and unpaid carers. It sets out local challenges, existing services and feedback from people with dementia, families, carers and professionals. The strategy focuses on earlier diagnosis, ongoing support, flexible respite, living at home, skilled staff, rights, joined-up care and dementia-friendly communities. It also outlines 11 commitments, expected outcomes and plans to measure progress.

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This document contains Orkney’s Mental Health Strategy for 2020 to 2025. It sets out a plan to improve mental health and wellbeing support for people of all ages, focusing on prevention, early help, recovery, community support and reducing stigma. It describes current services, including support for children, adults, older people, substance misuse, psychological therapies, suicide prevention and community organisations. It also outlines expected outcomes, partnership working, actions and measures for tracking progress.

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This document contains the Orkney Health and Care Performance Management Framework for 2021 to 2025. It explains how the Integration Joint Board will measure and report progress against its priorities, national health and wellbeing outcomes, legal duties and best value responsibilities. It sets out reporting arrangements with Orkney Islands Council, NHS Orkney and the Board, and includes indicators covering people’s experiences, safety, independence, care quality, staff and resource use.

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This document contains the Scottish Government’s December 2016 plan to improve health and social care in Scotland. It sets out action to provide more person-centred care in homes and communities, strengthen primary care, reduce avoidable hospital stays, improve mental and public health, reform services and use digital technology. It also covers workforce planning, funding of £70 billion over five years, and ways to monitor progress, with targets running mainly to 2021.

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This document contains the Orkney Integration Joint Board’s Communication and Engagement Strategy for 2025 to 2027. It sets out how the Board will communicate with and listen to people who use community health and social care services, their families, carers, staff and partner organisations. It covers planned use of newspapers, radio, social media, websites, video, consultations and other approaches, with a focus on clear, accessible and inclusive communication.

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This document contains the Orkney Integration Joint Board’s procedure for handling complaints about Board decisions or actions by its officers. Complaints can be made verbally or in writing and are handled in two stages: a quick frontline response within five working days or a fuller investigation, normally within 20 working days. It explains what issues are covered, how complaints are recorded and used to improve services, and when to contact the Scottish Public Services Ombudsman; complaints about services delivered by Orkney Islands Council or NHS Orkney follow those organisations’ procedures.

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This document contains the Integration Joint Board’s progress on equality priorities from 2021 to 2023. It covers support for unpaid carers, children and young people’s mental health, access to digital technology, and reducing social isolation among older people. It also explains how equality is considered when planning services and making decisions, including through equality impact assessments.

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This document contains the Integration Scheme agreed by Orkney Islands Council and NHS Orkney under Scotland’s health and social care integration law. It explains how the Orkney Integration Joint Board is governed, funded and held accountable for planning and overseeing integrated services, including performance, care standards, staffing, information sharing, complaints, risks and disputes. It also lists the health, social care, children’s and criminal justice functions and services delegated to the Board by both organisations.

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This document contains the standing orders for meetings of the Orkney Integration Joint Board, which brings together NHS Orkney and Orkney Islands Council. It explains membership, terms of office, chairing meetings, meeting notices, voting, quorum, decision-making and the use of committees. It also covers conduct, conflicts of interest, confidential information, minutes, public access and the removal or replacement of members. The document is dated February 2016 and is subject to ongoing review.

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This document contains the standing orders for meetings of the Orkney Health and Social Care Integration Joint Board, dated March 2016. It explains the Board’s membership, terms of office, replacements, chairing arrangements and how meetings are called and run. It also sets out rules for reaching decisions, voting, quorums, conflicts of interest, confidential information, minutes, public access and committees.

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This document contains the role description for members of Orkney’s Integration Joint Board (IJB), including their duties, responsibilities and expected standards of conduct. Members attend meetings, development sessions and working groups, support good governance, represent relevant communities or professional views, and help improve health and social care services. It outlines the time commitment, meeting arrangements, expenses and two-year appointment terms. Members need an interest in local services, good communication skills, and the ability to work respectfully with people who hold different views.

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This document contains an induction guide for members of the Orkney Integration Joint Board, a partnership between NHS Orkney and Orkney Islands Council. It explains the Board’s purpose, membership, governance arrangements, code of conduct, member responsibilities and time commitment. It also covers committees, strategic planning, directions for delivering services, equality duties, member support, key documents and common terms.

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This document contains the April 2026 structure and membership of Orkney’s Integration Joint Board and its four groups: the Performance and Audit Committee, Strategic Planning Group, Joint Staff Forum, and Joint Clinical and Care Governance Committee. It includes current members, meeting arrangements and vacancies. The terms of reference explain each group’s purpose, responsibilities, decision-making arrangements, reporting duties and review dates, covering planning, staff partnership, performance, audit, safety and care quality.

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This document contains a report to the Integration Joint Board on directions to NHS Orkney and Orkney Islands Council. It explains the legal requirements for directions, which set out how health and social care services must be delivered and funded. Existing directions have been monitored, with no immediate changes proposed. The report recommends new working arrangements, including a standard template, clear service and budget details, prompt issuing of directions and a register to track them.

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This document contains the Integration Joint Board’s 2025 Risk Management Strategy. It explains how the Board identifies, assesses and manages risks affecting its legal responsibilities, decision-making, services, finances, reputation and environment, and sets out who is responsible for oversight and reporting. It also defines risk appetite, required responses for low to very high risks, and a matrix for judging likelihood and impact across areas such as service disruption, staffing, injury, finances and reputation.

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This document contains the Orkney Integration Joint Board’s risk register, showing how key risks are identified, assessed and monitored. It uses likelihood and impact scores to rate risks from low to very high. The register covers financial, strategic and operational risks, including funding, budget pressures, workforce shortages, public protection, unpaid carers and the move from analogue to digital phone lines. It also lists current controls, responsible officers, planned actions and target dates.

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This document contains the Integration Joint Board’s Records Management Plan, setting out how its public records are created, stored, protected, shared, kept or securely destroyed. It covers the 15 elements required under the Public Records (Scotland) Act 2011, including leadership, classification, retention, archiving, information security, data protection, business continuity and review arrangements. The plan explains the roles of the Board, Orkney Islands Council and staff, and applies to paper and electronic records. It is version 1.3 and is due for review in April 2028.

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This document contains the Integration Joint Board’s Freedom of Information Policy, explaining the public’s rights to access recorded information and how requests are handled. It covers how to make a request, the 20-working-day response time, charges, information that may be withheld, and the roles of staff. It also explains how to request a review and appeal to the Scottish Information Commissioner, with contact details and a summary of legal exemptions.

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This document contains the Integration Joint Board’s Publication Scheme, approved in November 2025 and due for review in November 2028. It explains what information the Board publishes, how to access it, when information may be withheld, copyright rules and possible charges. It also gives contact details for requesting unpublished information and outlines information classes covering the Board’s services, decisions, spending, resources, procurement and performance.

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This document contains Orkney Islands Council and Orkney Integration Joint Board’s annual report under the Health and Care (Staffing) (Scotland) Act 2019 for 2025/26. It explains how care contracts and individual placement agreements require providers to follow the Act’s principles on staffing, training and service delivery. It also identifies limited local care options and recruitment difficulties, especially the challenge of filling vacant care posts, as ongoing risks.

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This document contains a protocol for how Orkney Islands Council and NHS Orkney internal auditors will work together to support the Orkney Integration Joint Board’s internal audit. It explains how audit plans and reports will be shared, including when work for either parent organisation may affect the Board, while protecting confidentiality and avoiding duplicated work. Relevant reports go to the Board’s Audit Committee for noting or scrutiny, depending on the seriousness of the findings, and annual audit conclusions are shared with both parent organisations.

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