NHS Delivery - a new national delivery organisation to lead transformation across our health and social care system

Page 1 of 5

Closes 30 Nov 2025

This service needs cookies enabled.

Questions

1. Do you agree that creating a new national organisation to drive forward digital transformation and system change – beginning with the consolidation of NES and NSS into one organisation – is the right approach to deliver the ambitions set out in Scotland’s Population Health Framework and Service Renewal Framework?

Please explain your response.

Question 2 (a). Do you agree with the proposed strategic objectives for the new organisation (driving innovation, delivering Once for Scotland services, and streamlining structures)?

Please explain your response.

Question 2 (b). Should the organisation consider additional strategic objectives?

If yes, please specify.

Question 3. Are there services or functions currently delivered by other organisations (in addition to what NES and NSS already do) that should be delivered only by NHS Delivery to improve consistency and reduce duplication?

This includes consideration of capabilities that are perhaps fragmented across multiple bodies, where a clear lead organisation should be identified.

If yes, please specify.

Question 4. What areas of national delivery could be improved by NHS Delivery to make services more efficient or better joined-up?
Question 5. Are there any existing services, programmes, or functions currently delivered by NES or NSS that you believe could be stopped, scaled back, or redesigned (or handed over to another organisation) to better align with current priorities and system-wide impact?

Examples may include legacy services, low-impact initiatives, or areas of duplication with other bodies.

If yes, please explain.

Question 6. Do you agree that NHS Delivery should lead the development of national digital capabilities (e.g. Electronic Health Records, digital inclusion, data architecture) for Scotland’s health and social care system?

Please explain your response.

Question 7. Should NHS Delivery be tasked with improving data sharing, data access and interoperability across health and social care?

Please explain your response.

Question 8. Do you believe NHS Delivery should be tasked with the lead national support role in innovation development & adoption, service redesign, change management, improvement, and commissioning?

Please give reasons for your answer. This may include areas where fragmented delivery or unclear accountability currently limits impact. Examples could also include aspects such as leading pathway redesign, supporting local improvement efforts, coordinating national commissioning of services.

Question 9. As NHS Delivery evolves in the longer term, what additional capabilities, functions or bodies should be considered for integration into a single national delivery capability that supports the aspirations of the Service Renewal Framework?

This may include functions currently delivered by other national bodies, territorial Boards, or Scottish Government divisions, as well as organisations whose consolidation could improve efficiency, reduce duplication, or enhance outcomes. We recognise you may feel it is too early to say, and that further consultation would be required.

Question 10. What principles should guide decisions about future expansion of NHS Delivery’s remit and structure?

Examples might include:

  • Alignment with the Service Renewal Framework and Public Service Reform Strategy
  • Evidence of system-wide benefit
  • Avoidance of duplication
  • Stakeholder consensus
  • Legislative clarity and accountability
Question 11. What mechanisms should be put in place to review and adapt NHS Delivery’s remit and performance post-launch?

Suggestions may include:

  • Formal review after 12–24 months
  • Stakeholder engagement and feedback loops
  • Independent evaluation or audit
  • Legislative review or amendment