Video transcript
William Moyes, Chair of the Accounts Commission
Integration Joint Boards, the bodies responsible for planning and contracting health and social care services, face considerable financial challenges. There are immense difficulties recruiting and retaining staff. Demand for services is increasing. 
It’s likely more people have unmet health and social care needs. 
Most IJBs underspent on the costs of providing services in 2021/22, largely because of difficulties in filling vacancies and pandemic-related reductions in services. 
IJBs doubled money in reserves, but some of this money will need to be paid back to the Scottish Government. 
In 2022/23, IJBs faced a £124 million gap in the amount of funding they needed to cover anticipated spending.
To improve lives and better manage demand, IJBs must focus on prevention, whilst transforming services.
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