Designed to Care - Renewing the National Health Service in Scotland
Executive Summary

   

Better Services for Patients

20. Implementation of the new arrangements announced in the White Paper will result in a National Health Service designed for patients which provides better services for them in ways that are responsive to their needs and wishes. Good quality health care delivered consistently and to a high standard is a key objective of the NHS in Scotland. It is a shared responsibility of everyone working in the NHS, and covers all aspects of health care including the effectiveness of clinical practice, the environment in which it is delivered, and responsiveness to the needs of patients.

21. Essential to achieving this objective is:

  • improving reliability and co-ordination of care through use of new technology;
  • improving clinical effectiveness by ensuring that performance meets agreed standards and that these standards are driven upwards;
  • promoting the adoption of more effective care based on evidence;
  • involving patients to a greater extent in decisions about their own care and treatment; and
  • providing patients with more information about their health and about the options for treatment when they are ill.

22. The Government’s objective is to use technology to promote a seamless pattern of care. With this in mind we have decided to fund a number of demonstration projects focusing on two issues of current concern to patients:

  • the establishment of one-stop clinics where all tests are carried out in a single visit, and results and diagnosis, where possible, are available the same day. We will set a timetable to ensure that this practice becomes widespread within the NHS in Scotland;
  • during 1998 we will electronically link up every GP surgery in Scotland. By the year 2002 patients will know the date of hospital appointments when they leave the surgery.

23. At some time in our lives, every one of us will be a patient. Although most of the White Paper itself is about the nuts and bolts of the renewed NHS in Scotland, we must never lose sight of what that will mean for the patient. Our vision is of a patient making no more than a short trip to discuss their health with their family doctor, a consultation which will take place in premises with a welcoming atmosphere, where the most up-to-date technology is literally at the doctor’s fingertips. If more than reassurance is needed, as much as possible will be done for the patient in these familiar surroundings. If more specialist advice is needed, we intend that the patient will leave the surgery certain of what is going to happen next, and where and when it will happen. That is what we mean by seamless care designed for the patient’s benefit.