Christina West from Argyll and Bute Health and Social Care Partnership says the use of jargon needs to be addressed.

Ms West says the ageing population will be a challenge for the health and social care partnership. 

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Jo Gibson from the North Ayrshire Health and Social Care Partnership says decisions are based on issues in the population at the time.

Ms Gibson says the partnership tries to ensure the strategic planning group is as informed as the partnership.

She agrees about the complications around information and says the partnership has sought to address this.

Ms Gibson says the partnership has used peer researchers.

Andrew Strong from the Health and Social Care Alliance Scotland (the ALLIANCE) says "if we truly value public involvement then it needs to be paid for and budgeted for". 

Mr Strong says "we need to make sure respite is available for carers to be involved." 

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Dr Marion Slater from the Royal College of Physicians of Edinburgh says she was quite astonished by the Care Inspectorate response which had no evidence to back it up.

The consultant says: "We can start collecting data now to evaluate these projects."

Labour MSP Neil Findlay says if decisions are being taken without an evidence base then it "flies in the face of the approach."

David Small, Chief Officer, East Lothian Health and Social Care Partnership says there is still work to do because different areas have different needs.

Mr Small says across Scotland there will be hundreds of people working on boards and it's about how to get the views from those people. 

"It is about getting the voice of those who are engaged."

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Green MSP Alison Johnstone says the evidence has been depressing  asks what could be done now to make collaboration be taken more seriously.

Corinne Curtis, a service user with Orkney Integration Authority Strategic Planning Group, says in New Zealand she was treated and paid as an equal.

Ms Curtis says she has been absolutely horrified by the lack of data coming through the strategic planning group

Amy Dalrymple from Alzheimer Scotland says information transparency would help.

Ms Dalrymple says "we could help share best paractice if the information about who to contact is there."

She says it should be more obvious as to who the right person to contact is.

"There is a lack of transparency about who is in charge of what," she says. 

Michael Kellet from Fife Health and Social Care Partnership says "there is a role for the national strategy bodies."

Mr Kellet says it is about how they capture and spread best practice.

He says "we as IJBs have a responsibility to share best practice."

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Margaret McKeith from Partners for Integration with Scottish Care says Scottish Care would like to have a seat on every IJB.

Corinne Curtis, a service user with Orkney Integration Authority Strategic Planning Group, says there is a lot of difference in levels of engagement around the country.

Jo Gibson from the North Ayrshire Health and Social Care Partnership says the job in the IJB is "relentless and has been from the start".

Andrew Strong from the Health and Social Care Alliance Scotland (the ALLIANCE) says this inquiry is very timely but "we need to look beyond consultation."

"We need to look at how some ideas around the table can be rolled out elsewhere," he says. 

Mr Strong says the strategic planning level is perhaps where changes are more likely to take place. 

David Small, Chief Officer, East Lothian Health and Social Care Partnership says there is varied input to the IJB in East Lothian.

"It is important to have that diversity of input," he says. 

Mr Small says one of the key tools for the future will be "hospitals at home."

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Dr Marion Slater from the Royal College of Physicians of Edinburgh says although health is a large part of this but front line clinicians are not being allowed to influence the process.

She says the pressure on staff is not being taken into account.

Amy Dalrymple from Alzheimer Scotland says "health is very dominant as a sector in the health and social care partnerships."

Ms Dalrymple says the NHS is a very hierarchical organisation and that is why health professionals maybe believe that they are not being listened to. 

She says this is making things more difficult. 

Labour MSP Neil Findlay says Margaret McKeith from Partners for Integration with Scottish Care said the people's views are not being listened to.

Mr Findlay asks if there are enough people involved in rolling out the engagement to capture their views.

Corinne Curtis, a service user with Orkney Integration Authority Strategic Planning Group, says she has been shocked at the way the patient is treated in their care here compared with in New Zealand.

Jo Gibson from the North Ayrshire Health and Social Care Partnership says a lot of work has went into trying to promote an inclusive ethos.

Ms Gibson says we have only seen the tip of the iceberg in terms of potential.

She says people are beginning to mix up the hats people are wearing in terms of decision making and chairing meetings. 

"We are blurring those boundaries between organisations," she says. 

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Dr Marion Slater from the Royal College of Physicians of Edinburgh says there is no real sense that the clinical voice is being recognised or valued.

The consultant says there is a frustration that the clinical voice is not being heard.

Christina West from Argyll and Bute Health and Social Care Partnership says there is carer and third sector representation in a number of groups. 

Ms West says there is a lot more detail that could be included to help people.

She says "we are trying vary hard to support that bottom-up growth". 

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Amy Dalrymple from Alzheimer Scotland says the third sector could help to make sure the community is brought along with decisions made by Integration Joint Boards (IJBs).

Ms Dalrymple says it is not just about communicating the decision that is being made but involving them in the decision making.

She says: "There are pockets of good practice but nowhere is doing everything right though."