Service delivery to remain priority for NHS Fife amid Scottish Government shake-up plans

NHS Fife members will be told that the health board should “continue to prioritise” service delivery during the development of the Scottish Government reform plans.

A report to be considered by board members on Tuesday reveals that Fife has been identified for the initial development of community health and care hubs as part of the programme.

NHS Fife's Victoria Hospital in Kirkcaldy.placeholder image
NHS Fife's Victoria Hospital in Kirkcaldy.

The Scottish Government’s Programme for Government 2026-31, which was announced earlier this month, proposes replacing Scotland’s 14 NHS boards with two large regional boards covering the east and west of the country.

Ministers say the reforms are intended to simplify governance, improve accountability and reduce duplication across NHS Scotland.

The report to be presented to NHS Fife says details are still to be confirmed as to how the scheme will affect the Kingdom.

It explains: “There is no published detail confirming the sub structure arrangements, Board and committee structures, local and regional leadership, relationships with Integration Joint Boards and local authorities or the detailed implementation timetable.

“Potential opportunities include the identification of Fife for the initial development of community health and care hubs as part of the proposed £10 billion NHS capital programme.

“The Community First approach is consistent with prevention, early intervention and care closer to home. However, the location, scope, funding, governance and timescale of any Fife hub have not been confirmed.

“NHS Fife should continue to prioritise delivery during the development of the reforms. This includes delegated functions, effective use of resources and optimal services for the people of Fife.

“Future arrangements should retain strong local accountability, maintain effective clinical, operational and community leadership, support meaningful public participation, recognise Fife’s needs and geography, strengthen integration with Fife Council and the Fife Health and Social Care Partnership, support the Population Health and Wellbeing Strategy, and improve access, quality, outcomes and patient experience.”

The report said communication with staff would take place as plans progress.

It added: “Future leadership, organisational and employment arrangements are not yet defined but NHS Fife should support staff through open and transparent dialogue and engage with staff and trade unions as the reforms develop.”

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