NHS Scotland – only half the diagnostic scans outsourcing and building capability rather than just relying on private sector

In the Guardian today: The NHS [England] is paying private firms record sums to analyse diagnostic scans because hospitals are too busy and understaffed to do the work themselves, research has revealed. The amount being spent on outsourced the interpretation of CT and MRI scans is “spiralling out of control” and reflects a short-sighted failure to train enough doctors, ministers are being told. Scans are vital for diagnosing diseases such as cancer and for monitoring patients’ responses to treatment, so they need to be done quickly. Many hospitals, however, rely on non-NHS health companies reading some scans to ensure they get the … Continue reading NHS Scotland – only half the diagnostic scans outsourcing and building capability rather than just relying on private sector

No hospital postcode lottery in Scotland as Glasgow’s giant is revealed as one of safest in Scotland and far safer than several of NHS England’s really troubled hospitals

From Hospital Standardised Mortality Ratios January 2025 to December 2025 published today, the above chart and: No hospitals had a significantly higher standardised mortality ratio than the national average. HSMR acts as a signal, highlighting hospitals where mortality is higher or lower than predicted. This prompts hospitals to review their care processes, check for possible issues and identify areas for improvement. In Scotland, the national HSMR is set at 1.00. A hospital with an HSMR less than one has fewer deaths observed than predicted within 30 days of admission, whereas an HSMR greater than one indicates more observed deaths than … Continue reading No hospital postcode lottery in Scotland as Glasgow’s giant is revealed as one of safest in Scotland and far safer than several of NHS England’s really troubled hospitals

Let’s not vote to have Scotland changed to be more like Labour’s Wales!

By stewartb British Labour Party politicians and the MSM in Scotland have been working hard (colluding?) to shield voters here from the overwhelming evidence that whatever improvements Scotland’s NHS needs, there is no reason to believe they will be delivered by electing a Labour government to Holyrood. The Party’s track record of governing with (just) devolved powers in Wales provides ample justification for this view. The authoritative health think tank, the Nuffield Trust lays out the state of NHS Wales under a Labour government in power for c.30 years. It compares NHS Wales to the NHS elsewhere in the UK. … Continue reading Let’s not vote to have Scotland changed to be more like Labour’s Wales!

Interfering with democratic principles just before an election – BBC Scotland repeats ‘too-soon’ evaluation of new GP walk-in clinics just to let opposition, with no evidence on these presented, campaign free-of-charge

BBC Scotland’s Andrew Picken, yesterday, had: One of the new flagship GP walk-in clinics has seen just 183 patients in its first five weeks, latest figures shows. The facility at Lochee Health Centre in Dundee is part of a network of clinics planned by the Scottish government where patients have access to GP-led care without an appointment. Data released to the BBC under freedom of information laws shows that in the five weeks to 30 April, the Dundee clinic – which is open every day between 12:00 and 20:00 – had 183 people attend. then only 5 paragraphs later: But the walk-in … Continue reading Interfering with democratic principles just before an election – BBC Scotland repeats ‘too-soon’ evaluation of new GP walk-in clinics just to let opposition, with no evidence on these presented, campaign free-of-charge

Scotland’s model for pharmacy offers lessons for predicted ‘Iran war’ shortages

hours searching for stock of common medicines like antidepressants and HRT and government (UK) payments no longer cover the cost of some drugs. BBC Breakfast this morning has the above in a fuller report on the problem. Neither they nor the subsequent Reporting Scotland news, report what is happening in Scotland Here’s why. In the Guardian 29 March 2026: Britain [sic] is “a few weeks away” from medicine shortages ranging from painkillers to cancer treatment if the Iran war continues, according to experts, while drug prices could also rise. https://www.theguardian.com/business/2026/mar/28/uk-weeks-away-medicine-shortages-iran-war-impacts-experts-warn The above makes no mention of Scotland. Searching for reports … Continue reading Scotland’s model for pharmacy offers lessons for predicted ‘Iran war’ shortages

Sky News reports on maternity ‘horror stories in this country’ but it’s not THIS country

Thanks to Dottie once more for alerting me to this. This Sky News special on maternity services, ‘in this country’, is of course about England. They go on quickly to relate their special to the report by Baroness Amos and remind us that it made ‘pretty horrific reading.’ I watched no further. Why? Baroness Amos looked only at England. Is the Sky News special likely to be informative on Scotland? No, because: Thousands of babies and mothers avoidably dead in maternity trusts, twelve trusts under investigation and two trusts face police investigations into potential corporate manslaughter and gross negligence manslaughter … Continue reading Sky News reports on maternity ‘horror stories in this country’ but it’s not THIS country

There is no reliable evidence that patients die in A&E units ‘due’ to care shortages in Scotland only this Prof’s anecdotes again

On the front page of the Sunday Post, the above, aimed at its elderly audience to provoke another ‘That SNP!’ reaction, days before an election is from Geriatrician, Professor Andrew Elder (sic) of the Royal College of Physicians of Edinburgh. You see those ‘reports’? Indeed, no figures, no sources. These ‘reports‘ are associations, not direct proof of causation. The “excess deaths” method from the Royal College is a modelled estimate, not a count of individually verified deaths caused by delays. Patients waiting long times are often already very ill, which complicates attribution. Sicker patients both wait longer (due to needing … Continue reading There is no reliable evidence that patients die in A&E units ‘due’ to care shortages in Scotland only this Prof’s anecdotes again

First GP Walk-in clinic – Herald evaluation is too quick, asks wrong questions and their ‘top medic’ is far from that

The Herald today has: Doctors have told the SNP to drop its plans to expand walk-in GP clinics after new figures showed patients waited up to six hours to be seen at the first facility in Scotland. The clinic at Wester Hailes Healthy Living Centre in Edinburgh, opened in February and was the first of around 30 walk-in clinics promised by the Scottish Government, currently led by the SNP. and So, another combined effort by Scottish BMA and the Herald to undermine the top party leader, John Swinney and the SNP. Are they stupid? Don’t they know this? Early reporting (including the article you … Continue reading First GP Walk-in clinic – Herald evaluation is too quick, asks wrong questions and their ‘top medic’ is far from that

The causes of healthy life expectancy falling – Scotland already has far more, per head of population, GPs, nurses, midwives and other professionals than other parts of the UK so maybe look at this?

The Herald today has: Scotland already has far more, per head of population, GPs, nurses, midwives and other professionals than other parts of the UK (table above, sources below) so Prof Cameron’s theory seems a little thin, simplistic. Here’s another explanation but one of course which cannot be laid at the door of the SNP Government’s limited devolved powers. The major rise in processed/UPF availability and reliance began decades earlier (1980s–2000s), becoming entrenched by the 2010s. This long-term poor diet quality (cumulative effects on obesity, inflammation, mental health, and chronic conditions) helps explain why health gains from medical advances stalled … Continue reading The causes of healthy life expectancy falling – Scotland already has far more, per head of population, GPs, nurses, midwives and other professionals than other parts of the UK so maybe look at this?

How diplomacy by the Scottish Government helped to avert all planned health service strikes in Scotland

In the Guardian today: Many of us reluctantly supported industrial action at the beginning, with a government that wasn’t listening – wanting to support junior colleagues whose pay had fallen far behind contemporaries. Now we see how divided and conflicted resident doctors are too, and we long for a resolution. We recognise that the strikes are harmful. Communication and diplomacy are skills we pride ourselves on, and politicians have never needed them more than now. Diplomacy is the way to resolve this crisis for our NHS as well.Dr Helen HoltConsultant physician and chair of the medical staff committee, University Hospitals Dorset https://www.theguardian.com/society/2026/apr/15/strike-is-harming-the-nhs-and-dividing-doctors To what … Continue reading How diplomacy by the Scottish Government helped to avert all planned health service strikes in Scotland