Staff, communities and the public must lead immediate action to shift the NHS towards long-term, fundamental change.
The Auditor General for Scotland’s latest report NHS in Scotland 2018 (this link will take you away from our website) notes that the health service is “not in a financially sustainable position” and that NHS boards increasingly rely on loans and one off savings. The report concludes that decisive action is required with a particular focus on meeting the future needs of Scotland’s population.
These actions should involve:
• significant organisational and cultural change.
• developing and then introducing new ways of working.
• designing, delivering, and using new digital technology.
The report repeats Audit Scotland’s 2017 recommendation that open and regular involvement with local communities is needed to develop options for delivering services differently. This should coincide with a push for more openness and greater access to information that can inform “honest debate” about the future of the NHS.