

Edinburgh’s Health and Social Care Future: A Strategic Plan for Unprecedented Times
For elderly people and their families, pages 28–35 of the report are of particular interest.
The plan represents a crucial effort to balance rising service needs and demand against dwindling resources. The goal is to provide the best possible care for Edinburgh’s citizens while operating from what is described as a “financially unsustainable position.”
Navigating a Challenging Financial Landscape
This means a reduction in incoming social security contributions and an increase in outgoing costs for care benefits and other related needs.
The plan acknowledges these hurdles, stating that maintaining the IJB’s many legal responsibilities is becoming “increasingly difficult.” It outlines the need for a rigorous fiscal approach, ensuring every penny of the budget is spent responsibly and contributes directly to the board’s strategic priorities. This approach is a key theme throughout the document, reflecting a commitment to doing “the best it can with the resources it has.”
It does not paint a pretty picture, but it does set out goals that have the best interests of Edinburgh citizens at heart.


Prevention and Early Intervention
Recognising that proactive care is more effective and cost-efficient than reactive treatment, this priority focuses on supporting citizens before their needs escalate. This involves a shift towards community-level support and hospital-at-home services, thereby tackling health inequalities at their root.
Maximising Independence
The plan emphasises supporting people to live independently for as long as possible. This includes providing services that help individuals with long-term conditions and disabilities to manage their care, empowering them to remain active members of their communities. This approach not only improves quality of life but also reduces the burden on more intensive, high-cost services like a care home facility.
Protecting Our Most Vulnerable
This pillar underscores the IJB’s commitment to safeguarding the city’s most vulnerable residents. It outlines a focus on ensuring that those who need it most—including people with addictions, mental health issues, and unpaid carers—receive the support necessary to maintain their health and wellbeing.
Using Our Resources Effectively
This priority is a direct response to the financial pressures. It details a commitment to a “whole system approach” to ensure resources are used efficiently. The plan outlines a commitment to working with all partners, including companies like 1st Focus Homecare, to identify ways to make services more effective and sustainable—a clear acknowledgement of the need for innovation and difficult choices.
If you feel that 1st Focus Homecare is a company you can trust, please contact our office on 0131 510 7878, where we can discuss your care needs. If we can help you or your loved one, we can arrange to meet you in person at your home to assess your care needs. Once an agreement is in place with you privately or via the local council, we will build you a care and support plan and agree on a start date.
A Collaborative Path Forward for Social Care in Edinburgh
The Edinburgh IJB’s strategic plan is not a solitary effort. It is the result of extensive collaboration and input from a wide range of stakeholders. The document highlights the IJB’s commitment to working closely with its key partners, NHS Lothian and the City of Edinburgh Council, as well as with the independent and third sector. This “whole system approach” is seen as essential for developing a more collaborative model of commissioning and service delivery.
Feedback from various organisations, such as the Edinburgh Third Sector Interface (TSI) and the Third Sector Reference Group, has also been key to developing the plan. Their responses, which have been publicly documented, recognise the challenges but also suggest that the final plan should focus on “creating and sustaining healthy communities” and “maximising strategic partner collaboration.” This community-led input adds a layer of accountability and ensures the plan is grounded in the lived experiences of those it is designed to serve.
Conclusion
The Edinburgh Integration Joint Board’s Strategic Plan for 2025–28 is an ambitious document crafted under immense pressure. It acknowledges the daunting financial challenges while presenting a clear, four-pillar strategy for navigating them. By prioritising prevention, independence, the protection of the vulnerable, and the effective use of resources, the IJB is attempting not only to sustain services but to transform them for the better for future generations.
The success of this plan will depend heavily on the continued collaboration between the IJB, its partners, and the community it serves, as it continues on the difficult but essential journey of building a safer, healthier, and fairer future for Edinburgh.
Other Useful Guides
1st Focus HomeCare is one of the leading in-home care providers in Edinburgh. Below are some other guides that you may find useful when planning care at home:
Source Attribution
This post has been written by the management team at 1st Focus Homecare in Edinburgh. Information from the following source was used to compile this article:

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