Tag: NHS in Scotland

Strengthening Scotland’s NHS?

New plan to focus on delivery

Health Secretary Neil Gray has set out how the Scottish Government plans to improve access to treatment, reduce waiting times and shift the balance of care from hospitals to primary care through the publication of the Operational Improvement Plan.

Through the additional £200 million investment contained in the Budget to reduce waiting times and improve flow through hospital, we will create 150,000 extra appointments and procedures using greater use of regional and national working.

By introducing a seven-day service in radiology, using mobile scanning units and additional recruitment, 95% of referrals will be seen within six weeks by March 2026, reducing backlogs in MRI, CT, ultrasound and endoscopy procedures.

To improve flow in acute hospitals and support increases in community care, we will expand Hospital at Home to at least 2,000 beds by the end of 2026, meaning the service, which provides hospital level care in the comfort of the patients home, will become the biggest hospital in Scotland.

By this summer there will be specialist staff in frailty teams in every A&E department in Scotland. Flow Navigation Centres, which direct patients to the most appropriate service for their condition, will be able to refer patients to more services, reducing the number of people who have to wait in A&E.

Investment in primary care will make it easier for people to see a doctor, dentist, optometrist or community pharmacist, and £10.5 million will be invested in general practice to take targeted action to prevent heart disease and frailty. 

Digital services will be expanded to modernise services and improve efficiency, with the Digital Front Door app launching in Lanarkshire in December. This launch will be followed by a national roll-out in 2026, allowing people to securely access their hospital appointments, receive communications and find local services. Over time it will be expanded to include social care and community health services.

On a visit to Kirklands Hospital’s Flow Navigation Centre, Health Secretary Neil Gray said: “This plan details how the Scottish Government will deliver a more accessible NHS, with reductions to long-waits and the pressures we currently see. It shows how we will use the £21.7 billion health and social care investment in the 2025-26 Budget to deliver significant improvements for patients.

“We want to increase the number of appointments, speed up treatment and make it easier to see a doctor. By better using digital technology, we will embrace innovation and increase efficiencies.

“This plan is ambitious but realistic, and builds on the incredible work of our amazing health and social care staff across our health boards, to deliver real change.”

NHS Scotland Operational Improvement Plan

Audit Scotland: Full transparency on NHS recovery needed

The Scottish Government needs to be clearer about how long it will take the NHS to recover from the Covid-19 pandemic and to reform services, says public spending watchdog Audit Scotland.

The government’s NHS recovery plan aims to reduce the healthcare backlog and change how services are delivered. But the plan does not contain the detailed actions that would allow progress to be accurately measured. It also lacks robust modelling to understand demand and capacity. The backlog has continued to increase in the 18 months since the plan was published as the NHS deals with a range of pressures.

Workforce capacity remains the biggest risk to the recovery of NHS services. Health boards are continuing to find it hard to recruit the doctors, nurses and other health professionals needed to make sure NHS services are sustainable in the long-term. Key recruitment targets, such as recruiting 800 GPs by 2027, are unlikely to be met. The NHS workforce remains under severe pressure and there are concerns over staffing levels, wellbeing, and retention.

The Scottish Government is moving ahead with the innovation and reform essential to NHS sustainability. But it is too early to gauge the impact of this work. In the meantime, every NHS board is facing significant financial challenges which could limit how much they can invest in recovery. And the Scottish Government also needs to make information on how long people will have to wait for treatment clear and meaningful.

Stephen Boyle, Auditor General for Scotland, said: “NHS staff remain under severe pressure and the Scottish Government is facing tough choices.

“Money is tight but investment is needed in recovery. That means ministers have to prioritise which NHS aims can realistically be delivered. And they need to be more transparent about the progress they’re making.

“The Scottish Government has set out the big challenges facing the NHS. But it also needs to clearly explain to the public what those challenges mean for the level of service they can expect, including waiting times.”

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