1 / 8

Healthcare System in Scotland

Healthcare System in Scotland. David R Steel Senior Research Fellow, University of Aberdeen Former Chief Executive, NHS Quality Improvement Scotland. Background. tradition of excellence and innovation in medicine poor health record higher level of spending per head

sheila
Télécharger la présentation

Healthcare System in Scotland

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Healthcare System in Scotland David R Steel Senior Research Fellow, University of Aberdeen Former Chief Executive, NHS Quality Improvement Scotland

  2. Background • tradition of excellence and innovation in medicine • poor health record • higher level of spending per head • distinctive identity ‘service within a service’

  3. Health and Social care system in Scotland

  4. Key features • integration of planning and delivery functions • accountability of whole system through NHS Boards to Government and Parliament • cooperation and collaboration across NHS and with partners • partnership with staff and with patients and carers • focused performance management system

  5. .. or to put it another way • no purchaser/provider separation • no foundation trusts • very limited competition among NHS providers or with independent sector • patient choice valued but not as driver of change • no financial incentives such as PbR • no transfer of responsibility for public health

  6. Policy divergence • increasing divergence • culture and language • specific policies (eg free personal care, no prescription charges, free eye tests) • but continuing centripetal forces • common issues (funding, demographics, technology) • reserved matters • informal networks

  7. Aspects of particular interest • volume of policy activity • difficulty of fair comparison of performance across UK • cross-border exchange • ‘contamination’ • learning

  8. Key future challenges • maintaining financial balance whilst improving quality • need to articulate distinctive Scottish approach to public sector • sustainability of current arrangements regardless of referendum outcome

More Related