Health and social care reform - year 1 progress report: population health and service renewal frameworks
High-level progress update on the first year of delivery of the Population Health Framework (PHF) and Service Renewal Framework (SRF).
Annex B: Monitoring progress towards the Health and Social Care Vision
Future reports will monitor progress towards the Health and Social Care Vision using a small set of high-level portfolio level indicators as shown in tables below. To enable change to be assessed transparently, this section provides details of the portfolio level indicator set, which has been developed with these principles:
- Analysis should indicate progress against the core values of the HSC Vision over its 10-year lifespan, and improvement in inequalities between area deprivation categories where published data allows; and
- Indicators are based on robust data sources and stand up to scrutiny.
To ensure progress can be assessed consistently over time, each indicator has been assigned a baseline based on the data point closest to the publication of the PHF and SRF in June 2025. Where data covering the baseline time point is yet to be published, the expected publication date is noted below.
Overall: A Scotland where people live longer, healthier and more fulfilling lives
|
Indicator |
What it measures |
Source link |
Baseline time point |
|---|---|---|---|
|
Life expectancy |
Average number of years a person would live if they experienced the age-specific mortality rates of a given time period throughout their life. |
2021-23 three year period [1] |
|
|
Healthy life expectancy |
Average number of years a person would live in good health if they experienced the age-specific mortality rates and levels of general health of the population at a given time period throughout their life. |
2024-26 three year period [2] |
|
|
Premature mortality |
Age-standardised death rate for people aged under 75 years from all causes. |
2025 |
[1] The baseline for Life Expectancy was set previously in the Population Health Framework: evidence paper.
[2] Baseline data for Healthy Life Expectancy is expected to be published by National Records of Scotland in 2028.
Prevention: Health and care is preventative, supports self-care and partners work together to create good health
|
Indicator |
What it measures |
Source link |
Baseline time point |
|---|---|---|---|
|
Adults living with obesity |
Percentage of adults with a BMI of 30 or more. |
2025 |
|
|
Early years development |
Percentage of children with a concern noted about at least one area of development at the 27-30 month review. |
Financial year 2025-26 [3] |
|
|
Screening uptake |
Percentage of people successfully returning their bowel screening kit. Rotating spotlight on different screening programmes and signposting to individual screening programme reports. |
1 May 2024 – 30 April 2026 (two-year period) |
|
|
Vaccination uptake |
Human papillomavirus (HPV) vaccination coverage among S1 pupils. Rotating spotlight on different vaccination programmes and signposting to annual Scottish Vaccination and Immunisation report (given the range of vaccination programmes). |
2025-26 school year |
|
|
Mental health and wellbeing |
Mental wellbeing score as measured using the measured using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Percentage of adults with a score of four or more on the General Health Questionnaire (GHQ-12) which indicates possible psychiatric disorder/mental ill health. |
2025 [4] |
[3] Baseline data for Early years development will be published in 2027.
[4] Baseline data for Scottish Health Survey indicators will be published in 2026.
Access: Health and care is accessible, seamless and equitable
|
Indicator |
What it measures |
Source |
Baseline time point |
|---|---|---|---|
|
Time spent in A&E |
Percentage of patients attending consultant-led Accident & Emergency departments who were admitted, transferred, or discharged within four hours of arrival. |
May 2025 |
|
|
Hospital waiting times – new outpatient and inpatient/day case |
Percentage of patients with a completed wait for a new outpatient appointment or inpatient/day case admission who were seen or treated within 12 weeks of referral or being ready for treatment. |
May 2025 |
|
|
Diagnostic waiting times |
Percentage of patients with a completed wait for a key diagnostic test (such as endoscopy, imaging, or physiological measurement) who were seen within six weeks of referral. |
May 2025 |
|
|
Social care - people waiting for care at home |
Rate per 1,000 population of people waiting for care at home following an assessment of their needs. |
May 2025 |
|
|
General Practice – urgent access within two days |
Percentage of people who needed to see or speak to a doctor or nurse from their General Practice quite urgently and were able to do so within two working days. |
2025-26 survey period |
Quality: Health and care is high quality, effective, sustainable and good value
|
Indicator |
What it measures |
Source |
Baseline time point |
|---|---|---|---|
|
Avoidable mortality |
Age-standardised rate of deaths per 100,000 population that are either preventable or treatable for those aged under 75 years, in line with the international avoidable mortality definition. |
2025 [5] |
|
|
Hospital – Emergency readmission rate |
Rate of emergency readmissions to hospital within 28 days of discharge, per 1,000 discharges. |
2025 |
|
|
Healthcare associated Staphylococcus aureus bacteraemia (SAB) infections |
Rate of healthcare associated SAB infections per 100,000 total occupied bed days. |
Antimicrobial Resistance and Healthcare Associated Infection Scotland |
2025 (Quarter 2) |
|
General Practice - Care rated as excellent or good |
Percentage of people rating the overall care from their General Practice as excellent or good. |
2025-26 survey period |
|
|
Social care – Care rated as excellent or good |
Percentage of adults receiving any care or support who rate it as excellent or good. |
2025-26 survey period |
[5] The publication for date for 2025 Avoidable Mortality data is to be confirmed by NRS.
Person-led: Health and care is responsive, respects individual needs and delivers outcomes that matter to people
|
Indicator |
What it measures |
Source |
Baseline time point |
|---|---|---|---|
|
General Practice – informed choice |
Percentage of respondents who agreed or strongly agreed with the statement 'I felt able to make an informed choice about my treatment and care'. |
2025-26 survey period |
|
|
A&E/GP Out of Hours – treated with compassion and understanding |
Percentage of respondents who agreed or strongly agreed with the statement 'I was treated with compassion and understanding' during A&E or GP Out of Hours care. |
2025-26 survey period |
|
|
Social care – People took account of the things that mattered to me |
Percentage of respondents who agreed or strongly agreed with the statement 'People took account of the things that mattered to me' in their social care services experience. |
2025-26 survey period |
|
|
Carers feeling supported to continue caring |
Percentage of carers who agreed or strongly agreed with the statement ‘I feel supported to continue caring’ in their caring role. |
2025-26 survey period |
Contact
Email: Malcolm.Summers@gov.scot