New national targets to tackle long waits for planned care in Scotland

Ambitious new targets have been set out for NHS Scotland to address the impact of the pandemic on long waiting times for planned care.

Health Secretary Humza Yousaf announced NHS Scotland will aim to eradicate waits of more than two years, and then one year in most specialities by September 2024.

Mr Yousaf has asked health boards to take a focussed approach to tackle the waiting lists now that activity in the NHS is beginning to recover from the pandemic.

The targets are to treat those patients waiting longer than:

  • two year waits for outpatients in most specialities by the end of August 2022
  • eighteen months for outpatients in most specialities by the end of December 2022
  • one year for outpatients in most specialities by the end of March 2023
  • two years for inpatient / daycases in most specialties by the end of September 2022
  • eighteen months for inpatient / daycases in most specialities by the end of September 2023
  • one year for inpatient / daycases in most specialities by the end of September 2024

Mr Yousaf, who made the announcement while visiting Perth Royal Infirmary said: “We know that waiting times have grown as a result of the pandemic, which is why we now need to focus on treating these people that are waiting too long for treatment. That’s why I am announcing some of the most ambitious targets in the UK.

“From speaking to patients and clinicians across the country, I know there is a physical and mental consequence in having to wait a long period to be treated, that is why addressing long waits is a key focus of our plans for NHS recovery.”

Mr Alastair Murray, Chair of Scottish Committee for Orthopaedics and Trauma said: “Scottish orthopaedics very much welcomes the introduction of targets to address the growing number of people waiting for essential treatment. It is hoped that the targets set out will drive ongoing efforts to reduce waiting times for orthopaedic surgery in Scotland.”

The NHS will work together to reduce backlogs of care, specifically longest waiting patients, and that will mean some patients will be offered appointments outwith their local health board area to provide treatment more quickly – for example, the Golden Jubilee University National Hospital or at National Treatment Centres as they become operational over the next year.  

The approach will also build on the success of the Centre for Sustainable Delivery, which was established to drive innovation and introduce new ways of delivering care that will create additional capacity for inpatient, daycase and outpatients. 

The National Clinical Prioritisation Framework will be revised to ensure any patient waiting more than two years is prioritised and treated, as well as those who require urgent clinical care.

Funding for the new drive will come from the £1 billion allocated for the NHS Recovery Plan.

LOTHIAN LABOUR MSP: “Our NHS is in a state of year-round crisis”

Lothians list MSP Foysul Choudhury said: “The latest figures show that waiting times in NHS Lothian A&E departments are at historic highs. The last eighteen months have seen a significant drop in compliance with the Scottish Government’s target of 95% of A&E patients to be seen within four hours.

“The figures for NHS Lothian currently sit at 65% of A&E patients being seen within four hours, with the Royal Infirmary currently around 50%, one of the worst figures in the country.

“I welcome the new appointments system for the Minor Injuries Unit, but this will only have an impact on overall waiting times if the whole system – including NHS 111 – is properly staffed, resourced and able to cope with the current and future levels of demand.

“Speaking to staff from NHS Lothian, they too often feel the stress of the pressures on the NHS. They are increasingly being abused at work by patients frustrated at long waiting times, and staff absences are being kept high by repeated waves of COVID. The Scottish Government must better support NHS staff to defuse the building crisis of morale among our healthcare workers.

Our NHS is now in a state of year-round crisis. The Scottish Government promised the Scottish people only last year that they would focus on pandemic recovery, and these latest figures only make it more disappointing that they are instead being distracted by their obsession with the constitutional question.”

Just another day at the office?

Boris Johnson ‘gets on with the job’ as his government collapses around him

IT was perhaps the most remarkable day in British political history. Seldom, if ever, has so much drama been packed into twenty-four hours.

What happened yesterday? In summary:

  • New Chancellor of the Exchequer Nadhim Zahawi does the early morning round of media calls: business as usual, getting on with the job, etc. etc.
  • An uncomfortable Prime Minister’s Questions sees Boris Johnson ridiculed by Opposition party leaders and attacked by members of his own party
  • PMQs is followed by a damning statement to parliament by outgoing Education secretary Sajid Javid
  • Boris Johnson leaves Westminster to attempt to appoint new ministers. This proves impossible as there is a steady stream of resignations – more than 40 by the end of the day – as well as new flood of letters of no confidence.
  • If PMQs was painful. an appearance in front of the high-powered Liaison Committee later in the afternoon was excruciating, with politicians from all sides taking the opportunity to heap further misery on a clearly flustered Prime Minister.
  • Asked by a committee member how his week was going, Boris Johnson replied: ‘Terrific’. I assume he was joking – but then, with this Prime Minister, you can never be really sure …

You might have thought the Prime Minister’s ‘terrific’ day couldn’t have got any worse … but this was no ordinary day.

Awaiting the PM at Downing Street was a group of Cabinet ministers, including newly-appointed Chancellor Nadhim Zahawi-, the vast majority of whom urged him to stand down.

The chairman of the Tory Party’s 1922 committee also patiently awaited his audience with the PM – and it’s not breaking any confidences to say that Sir Graham Brady was not the bearer of glad tidings of great joy either …

Johnson met each of them individually, but rather than heed their considered advice that the game was up, the Prime Minister instead sided with the views of arch-loyalists Nadine Dorries and Jacob Rees-Mogg and decided instead to fight on … and as a parting shot for the evening fired arch-conspirator Michael Gove!

Putting all those internal difficulties aside, The Prime Minister found time to ‘get on with the job’ and fired off a letter to Scotland’s First Minister Nicola Sturgeon to confirm that no, I won’t be agreeing to another referendum …

A busy day at the office indeed, and a day on which Wimbledon really couldn’t match Westminster for excitement and drama.

Who knows what surprises today will bring as the Prime Minister attempts to salvage his government from the remnants of his deeply divided party?

Can his ‘terrific’ week really get any worse? Resignation looks inevitable but could this serial survivor really escape once again?

BREAKING NEWS: JOHNSON TO RESIGN

The BBC is reporting that Boris Johnson will resign as Conservative leader today and will continue as prime minister until the autumn.

It’s understood Mr Johnson will publicly announce his resignation later today.