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Primary and secondary care are integrated in Scotland. Unlike in England, NHS trusts do not exist in Scotland. Instead, healthcare is provided through fourteen regional health boards. These health boards are further subdivided into Health and Social Care Partnerships. The Scottish Ambulance Service is the pan-Scotland board responsible for ...
Current provision of healthcare is the responsibility of 14 geographically based local NHS boards, seven national special health boards, supported by Public Health Scotland, [8] plus many small contractors for primary care services. Hospitals, district nursing services and healthcare planning are managed by health boards.
NHS Western Isles is an NHS board serving the Outer Hebrides (Western Isles) of Scotland. It is one of the fourteen regions of NHS Scotland. NHS Western Isles is responsible for providing primary and secondary healthcare to the 26,000 people in the Outer Hebrides. It employs over 1,000 staff (excluding GPs and dentists). [3]
The health of the Scottish population is, and has been for many years, worse than that of the English. Life expectancy is the lowest in the UK, at 77.1 for men and 81.1 for women, and one of the lowest in the OECD. The gap between Scotland and England has grown since 1980.
Public Health Scotland (PHS; [2] Scottish Gaelic: Slàinte Poblach na h-Alba) is the national public health body for Scotland. [ 3 ] [ 4 ] It is a Special NHS Health Board, and it is jointly accountable to the Convention of Scottish Local Authorities (COSLA) and the Scottish Government .
NHS Highland is one of the fourteen regions of NHS Scotland. Geographically, it is the largest Health Board, covering an area of 32,500 km 2 (12,500 sq mi) from Kintyre in the south-west to Caithness in the north-east, serving a population of 320,000 people. [3] In 2016–17 it had an operating budget of £780 million. [4]
The board was established following the dissolution of several NHS trusts which provided healthcare services in the Dumfries and Galloway area: Dumfries and Galloway Acute and Maternity Hospitals NHS Trust, Dumfries and Galloway Community Health NHS Trust and Dumfries and Galloway Primary Care NHS Trust, all of which were established in the 1990s and dissolved between 1999 and 2003.
The Public Bodies (Joint Working) (Scotland) Act 2014 provides the legislative framework for the integration of health and social care in Scotland.. Ahead of the legislation coming into effect, an Integrated Resource Framework (IRF) was developed and tested, with HSCP models tested in four localities: Highland; Lothian; Ayrshire and Arran; and Tayside.