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The Public Bodies (Joint Working) (Scotland) Act 2014 set the framework for the integration of adult health and social care services. Teams, organisations and sectors are now required to work in partnership and interdependently to deliver shared outcomes for the people they serve. The purpose of this paper is to explore any features, practices and behaviours that could influence effective partnership working across sectors.

A questionnaire was designed and distributed to a range of stakeholders working in health, social care and the third sector. With reference to the changing health and social care reform agenda, the aims of the survey were to gather views, experiences and perceptions of working across sectors, and any workforce development needs.

The majority of respondents were from the NHS (80.3 per cent, 118/147), and experiences were largely drawn from those working with the third sector. The utility of working with the third sector was positively highlighted; however, there were limited opportunities to fully engage. Whilst formal education and training was welcomed, workforce development needs were mostly related to fostering relationships and building mutual trust.

This paper highlights views, perceptions, enablers and barriers to integrated care in Scotland. Whilst the Scottish integration landscape is currently not fully fledged, insights into prevailing attitudes towards integrated care, by a cohort of the Scottish health and care workforce, are offered. In particular, reflections by the NHS workforce to working with third sector services are discussed.

The purpose of this paper is to describe a collaborative study on supervision with health and social care practitioners in Scotland. The study attempted to gain a better understanding about the use and benefit of supervision from a multiprofessional perspective.

Consultation events with health and social care staff and 12 informant interviews were undertaken. Data analysis was via the Framework Method.

Managers were more likely to conceive of supervision as a positive intervention than those in lower pay bands. The practice of supervision was variable. Not all staff appeared to take part in regular supervisory activities even when it was mandated. A lack of professional, organisational or local commitment to implement robust supervisory structures and processes was seen as the major barrier to effective supervision.

This was a small study, thus findings would need to be confirmed by health and social care staff working across a wider spectrum of disciplines and regions across Scotland.

A combination of factors would seem to determine effective supervisory practice. Supervision was perceived to be of benefit when individuals were willing to participate fully, when there was reflection and planned action, constructive challenge, respectful relationships, regular and protected sessions and processes were appropriate to an employee’s circumstances.

This study situates supervision in the current context of health and social care and finds it to be an irregular practice. The findings confirm the existing literature about the importance of supervisor-supervisee relationships but explain differing perceptions of supervision in terms of staff seniority.