Joint inspections of services for adults
Our approach
The Public Bodies (Joint Working) (Scotland) Act 2014 sets the legislative framework for integrating adult health and social care.
Integrating health and social care services is important to ensure that people have quick access to the range of services and support they need, that their care feels seamless to them and that they experience good outcomes and high standards of support. This is particularly vital for the increasing numbers of people with multiple, complex, long-term conditions in Scotland.
Since April 2017, the Care Inspectorate and Healthcare Improvement Scotland have had joint statutory responsibility to inspect and support improvement in the strategic planning and commissioning of integrated approaches.
In 2019, the Ministerial Strategic Group (MSG) for Health and Community Care asked us to further develop our joint inspections to focus on how integration impacts on people’s outcomes, to consider the performance of the whole health and social care partnership and to ensure a balanced focus across health and social care provision.
In response to the MSG recommendation, the Care Inspectorate and Healthcare Improvement Scotland have reviewed our joint inspection methodology to answer the following question:
“How effectively is the partnership working together, strategically and operationally, to deliver seamless services that achieve good health and wellbeing outcomes for adults?”
In order to address the question over the broad spectrum of adult health and social care services, we will conduct a rolling programme of themed inspections, looking at how integration of services positively supports people’s experiences and outcomes. It’s important to note that these thematic inspections are not considering the quality of specialist care for each care group but are simply a means of identifying groups of people with similar or shared experiences through which to understand if health and social care integration arrangements are resulting in good outcomes. In this way, we’re looking at integration through the lens of different care groups which, taken together, will in time build a picture of what is happening more broadly in health and social care integration and how this is experienced by people and the outcomes achieved.
How we do it
Our inspections last for a number of months. We work closely with the partnership to co-ordinate our inspection activities.
We have a range of ways to gather information that will help us to assess how integrated services in the area are helping to improve outcomes for people and their unpaid carers. These include:
- asking for information from the partnership
- speaking to people who use health and social care services and their unpaid carers
- speaking with staff, managers and leaders across the partnership
- reading people’s records.
We communicate regularly with the partnership and keep them up to date with our findings.
After the inspection, we publish a report about our findings on the Care Inspectorate’s and Healthcare Improvement Scotland’s websites. The report explains what we have found, identifies strengths and points out areas that could be improved. We agree an Improvement plan with the partnership to address those areas.
Getting involved
The voices of people who use health and social care services and of their unpaid carers are at the centre of our inspection. We will use as many opportunities as we can to get people involved and talk to them about their experiences of health and social care services.
We have developed an engagement framework to support all our engagement activity. The framework sets out 12 statements about positive outcomes and experiences that we will speak with people about.
More information
You can find full information about joint adult inspections:
- The Partnership guide sets out the inspection process step by step and provides all the information that partnerships need to manage their part in the inspection.
- The Quality Improvement Framework (QIF) explains the criteria we use to evaluate quality in our inspections
- The Engagement framework provides a set of “I” statements to help us consider the experience of people who use health and social care services and their unpaid carers. It underpins all the engagement with people and unpaid carers that takes place during the inspection.
- Our joint inspection reports can be found here.
- The record review template and record review guidance supports our reading of health, social work and social care records. The current version is used to read the records of people living with mental illness.
Joint inspections of services for children and young people
Joint inspections of services for children and young people subject to compulsory supervision orders and living at home with parents
As part of our strategic scrutiny plan this year we will work with scrutiny partners to take a more focused look at the experiences and outcomes of children and young people subject to compulsory supervision orders and living at home with parents.
Our joint inspections will look at the services provided for them by health workers (for example, school nurses, health visitors and doctors), social workers, police officers and lots of other people who work with them and their families.
We will be starting this programme of scrutiny in summer 2025 and we will complete up to four inspections with this focus by April 2026. On the 8 July 2025 we hosted a webinar to share our plans. We will continue to review and revise the approach over the course of these inspections.
Watch our webinar below:
More information about our approach:
Previous joint inspections
- Joint inspections of services for children and young people at risk of harm 2021-2025.
- Joint inspections of services for children and young people in need of care and protection: review of findings from the inspection programme 2018-2020
- Joint inspections of services for children and young people: a report on the findings of inspections 2014-16
- The Guide
Joint inspections of services for children and young people at risk of harm
At the request of Scottish Ministers, between 2021 and 2025 the Care Inspectorate led on joint inspections of services for children and young people at risk of harm.
The remit of these joint inspections was to consider the effectiveness of services for children and young people up to the age of 18 at risk of harm. The inspections looked at the differences community planning partnerships are making to the lives of children and young people at risk of harm and their families.
These joint inspections aimed to provide assurance on the extent to which services, working together, could demonstrate that:
- Children and young people are safer because risks have been identified early and responded to effectively.
- Children and young people’s lives improve with high-quality planning and support, ensuring they experience sustained, loving and nurturing relationships to keep them safe from further harm.
- Children and young people and families are meaningfully and appropriately involved in decisions about their lives. They influence service planning, delivery and improvement.
- Collaborative strategic leadership, planning and operational management ensure high standards of service delivery.
We will shortly be producing an overview report. You can access individual inspection reports here.
Joint review of diversion from prosecution
In this joint review, we sought to assess the operation and impact of diversion from prosecution in Scotland. Working in partnership we provided an overview of diversion practice from a policing, prosecution and justice social work perspective, highlighted what was working well and explored any barriers to the more effective use of diversion.
The review was carried out by HM Inspectorate of Constabulary in Scotland (HMICS), HM Inspectorate of Prosecution in Scotland (IPS), the Care Inspectorate, and HM Inspectorate of Prisons for Scotland (HMIPS) (the scrutiny partners).
We considered:
- the extent to which the police, the Crown Office and Procurator Fiscal Service (COPFS) and justice social work, alongside other community justice partners, shared a vision for diversion from prosecution and collaborated on a strategy for delivery, while respecting the important principle of independent prosecutorial decision-making
- the effectiveness of systems and processes that supported diversion from prosecution and the progress made in implementing the national guidelines on diversion
- the extent to which the impact of diversion was understood and the intended outcomes were being achieved
We considered the individual and collective roles that the justice partners play at the various stages in the diversion process:
- the Standard Prosecution Report (SPR)
- the decision to divert
- the referral to justice social work
- the suitability assessment and the response by COPFS
- the diversion intervention
- the completion report and the response by COPFS
- communication with the accused
- communication with the complainer.
In support of our review, we gathered evidence from a range of sources including:
- a review of relevant strategies, policies, guidance, procedures and other documentation relating to diversion from prosecution
- analysis of data on diversion
- a survey of all community justice partnerships in Scotland regarding the operation of diversion from prosecution in their local area
- extensive interviews with those involved or with an interest in the diversion process
- a review of cases in which an initial decision to divert the accused from prosecution had been taken by COPFS, as well as some cases in which diversion did not appear to have been considered.
We published a report of our findings in February 2023. The review report provides more detail on our methods and full details of our findings and recommendations.
Justice
Background
The strategic justice team in the Care Inspectorate was established in 2018. Since that time we have undertaken a range of justice social work related scrutiny, assurance and improvement activities, often in collaboration with partners.
The Scottish Government also tasked the Care Inspectorate with producing a self-evaluation guide to support quality improvement for community justice in Scotland and to offer support and guidance in using the guide to deliver national and local outcomes. These expectations are published within the Community Justice Performance Framework.
We published an overview report in December 2021. This report provides an overview of the scrutiny and assurance work undertaken between 2018-2021, and summarises the findings from our initial activities.
Our work
Please use the links below for further details on our scrutiny, assurance and improvement work and to access our published reports:
- Community justice social work: inspections of community payback orders
- Community justice partnerships: supported and validated self-evaluation
- Community justice social work: throughcare review
- Joint review of diversion from prosecution
- Thematic review of prison-based social work
- Justice social work: Self-evaluation of performance, quality and outcomes – a national review
- Quality assurance of serious incident reviews
Collaboration work with partners
In addition to our previously noted scrutiny and improvement work, the Care Inspectorate has a long-standing commitment as guest inspectors in inspections of prisons and other institutions led by His Majesty’s Inspectorate of Prisons in Scotland (HMIPS).
Getting involved
We are committed to listening to and hearing from people with living experience during all of our activities. We are also committed to embedding an ethical, person-centred approach that promotes best practice for meaningfully involving people with living experience of the justice system.
If you have any questions about our work please email This email address is being protected from spambots. You need JavaScript enabled to view it.
Justice social work: Self-evaluation of performance, quality and outcomes
Aim 2 of the National Strategy for Community Justice is to “Ensure that robust and high-quality community interventions and public protection arrangements are consistently available across Scotland”. In relation to community sentences, there is an associated priority action to “Ensure that those given community sentences are supervised and supported appropriately to protect the public, promote desistence from offending and enable rehabilitation by delivering high quality, consistently available, trauma-informed services and programmes.”
Key to delivering on these intentions, and the overarching aim, is the ability of justice social work services to demonstrate that the supervision and support offered to those on community sentences is of a high quality. To develop an overview of what was working well and where improvement was required in this regard, the Care Inspectorate undertook a national review, using a self-evaluation approach between September 2024 and March 2025.
The review sought to:
- evaluate the extent to which justice social work services were able to evidence performance, quality and outcomes in relation to community-based sentences.
- explore the factors that impacted justice social work services’ ability to confidently and robustly demonstrate the effectiveness and impact of community support and supervision.
As part of this work, all 32 local authority justice social work services completed a structured self-evaluation in which they considered their current approaches to gathering and reporting on performance, quality and outcomes and the factors that were enabling or hindering this work.
Thereafter, we undertook a range of activities to validate the self-evaluations in six local authority justice services. This allowed us to better understand the strengths and challenges at a local level. The activities included:
- a review of documentary evidence referenced in the local authority self-evaluation
- focus groups and interviews with senior leaders, operational managers and staff
- focus groups and interviews with people on community sentences
We published a report of our findings in May 2025. The report contains more detail on the methods we used.
Learning reviews
The Care Inspectorate, on behalf of the Scottish Government, acts as a central repository for all learning reviews carried out by child protection, adult protection and public protection committees in Scotland.
As part of our general duty of furthering improvement in the quality of social services, the Care Inspectorate is responsible for reviewing the effectiveness of the processes for each learning review and providing observations to individual chief officer groups and protection committees. This forms part of the Care Inspectorate’s improvement remit. The key aim in relation to learning reviews is to assist the sector in its continual development and improvement of the learning review approach.
National Guidance for Adult Protection Committees; Undertaking Learning Reviews was published in May 2022. The revised National Guidance for Child Protection Committees for Undertaking Learning Reviews was published in 2024. Both guidance documents clearly set out that adult and child protection committees should inform the Care Inspectorate of two things. Firstly, the decision about whether they are proceeding with a learning review and if not, the reasons for not doing so. Secondly, the outcome of the learning review, including an anonymised copy of the review report which should be sent to us.
For all situations considered under learning review guidance, a decision notification form should be completed. This electronic notification form should be completed at the point when a decision has been made whether to conduct a learning review, or to detail the reasons for not doing so. Committees are required to notify the Care Inspectorate of their decision to proceed, or not to proceed, to learning review using the learning review notification forms below.
In circumstances where protection committees agree to carry out an alternative review approach for learning they should submit anonymised completed reports or minutes that record learning and recommendations to the Care Inspectorate via secure e-mail to This email address is being protected from spambots. You need JavaScript enabled to view it.. This will enable the Care Inspectorate to use the learning from these alternative approaches to inform the content of annual national overview reports. The Care Inspectorate will not provide observations to partnerships on these types of submissions.
Submission of learning review reports
Please submit the full learning review report via secure email to This email address is being protected from spambots. You need JavaScript enabled to view it.. Any queries can also be directed to this address.
Link inspectors and relationship managers
The Care Inspectorate provides a designated link team for local authorities and strategic partnerships. This is because there are multiple services of different types and a need for regular planned contact to discuss emerging issues across the breadth of their work. Link teams consist of a strategic inspector, who is responsible for scrutiny carried out at authority or strategic partnership level; a relationship manager for adult care services and complaints about care services; and a relationship manager for children’s care services and registration.
Relationship managers also provide a designated point of contact for larger providers who operate multiple services.
Managers responsible for services for children also link to each of the six regional collaboratives that have now been established across the country.
Named strategic link inspectors and relationship managers can be found here.
Find information on the link inspector role for council and partnership staff here.
You can get information about the link inspector for a particular local authority area by e-mailing the strategic support team at This email address is being protected from spambots. You need JavaScript enabled to view it.