The Scottish NHS: meeting the financial challenge ahead

James Barbour, Alec Morton, Laura Schang, Kevin Kane (Editor)

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The Scottish NHS faces a crisis of affordability in the next couple of decades as the population ages and demands on services intensify. This presents two challenges: the first is how to redesign services to achieve greater efficiencies, and the second is how to engage the public so that there is a realistic public view about what is affordable, against which a mature discussion about the hard choices about funding and provision can take place. We refer to these as the innovation and openness challenges. In the paper we outline the current state of the system and discuss possible policy options. We conclude with some recommendations for next steps.
Original languageEnglish
Pages (from-to)126-146
Number of pages21
JournalFraser of Allander Economic Commentary
Issue number2
Publication statusPublished - 12 Nov 2014


  • Scottish NHS
  • Scottish financial challanges
  • Scottish economy
  • economics


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