Health and Social Care Service Renewal Framework
The Health and Social Care Service Renewal Framework provides a high-level guide for change, to ensure the sustainability, efficiency, quality, and accessibility of health and social care services in Scotland.
Footnotes
1 WHO (2018). Building the economic case for Primary Care.
2 Scottish Fiscal Commission. (2025) Fiscal Sustainability Report.
3 Existing or occurring below a national level, but not necessarily according to Health Board or Local Authority regional boundaries.
4 Value Based Health and Care delivers better outcomes through the equitable, sustainable, appropriate and transparent use of available resources. Value Based Health and Care in Scotland is based on the primary principle of person centred care that is not only high in quality but also delivers the outcomes and experiences that really matter to people, defined by and reported by them.
5 A Renewed Approach to Population Based Planning Across NHS Scotland
6 The Place Principle | Our Place
7 For example: Care in the Digital Age: delivery plan 2024 to 2025; Community Health and Social Care Integrated Services Framework; Mental Health and Wellbeing Strategy 2023; A National Clinical Strategy for Scotland 2016; Health and Social Care: National Workforce Strategy 2022; Healthcare quality strategy for NHSScotland 2020; and work of Primary and Community Health Steering Group on primary care reform.
8 Chief Medical Officer Annual Report 2024-25; Annual Report 2023-24
9 Addressing child poverty is crucial to enabling healthier lives and breaking the cycle of ill health that perpetuates inequalities. The PHF and this SRF seek to complement and build upon ongoing and planned action described in the Best Start, Bright Futures: tackling child poverty delivery plan. This includes action by the NHS in Scotland to reduce child poverty through the NHS Anchors programme.
10 The Independent Living Fund enables people with complex disabilities to access the support they need to live more independent lives in their communities. The Fund reopened to new applicants in 2024 and we are continuing to grow the Fund in 2025/26.
11 Scottish Fiscal Commission. (2025). Fiscal Sustainability Report.
12 Public Health Scotland. (2025). NHS dental data monitoring report. Quarter ending March 2025.
13 Public Health Scotland. (2025). NHS Pharmacy First Scotland, 1 April 2021 to 30 September 2024.
14 Scottish Government (2025). Long term conditions - framework: consultation paper.
15 Scottish Government (n.d.). Illnesses and long-term conditions.
16 NHS Lanarkshire (2024). Pioneering Community Appointment Days.
17 Alexander, H., Sinclair, A., Dover, L., et al. (2025). A New Model of Care: Community Appointment Day Outcomes and Impact on Musculoskeletal Physiotherapy Waiting Times. Journal of Primary Care and Community Health, 16, ePub 2025.
18 Evidence suggests awareness of the right to get involved in service design has been low. For example, see Ninth Citizens’ Panel Report (2022).
19 National Care Service – Making sure my voice is heard: regional forums. Findings Summary. (2023)
20 National Care Service – Realising rights and responsibilities: regional forums. Findings Summary. (2023)
21 This ‘Local living’ is one of the six spatial principles set out in the fourth National Planning Framework (NPF4) to inform how we should plan our places.
24 Thirteenth Citizens’ Panel survey. (2024)
25 Scottish Government (2025) Socioeconomic inequality and barriers to primary care in Scotland: A literature review. Social Research.
26 Scottish Government (2024). Health and Care Experience Survey 2023/24: National Results.
27 NHS 24 (n.d.) Previous NHS 24 111 operational statistics.
28 Scottish Government. (2016). A National Clinical Strategy for Scotland.
29 The Steering Group was convened by Scottish Government in May 2024. It brings together Primary Care and Community Health independent contractors, stakeholders and partners. The Steering Group is collaborative and has led work on Primary Care reform, including the development of a Primary Care Route Map (see above).
30 Scottish Government. (2022). Rehabilitation and Recovery: A Once for Scotland Person-Centred Approach to Rehabilitation in a Post-COVID Era.
31 Healthcare Improvement Scotland (2025). Hospital at Home Programme. Progress update March 2025.
32 Healthcare Improvement Scotland (2025). Hospital at Home Programme. Progress update March 2025.
33 Public Health Scotland (2025). Technology enabled care; support provided or funded by local authorities in Scotland 2023/24.
34 See, for example, Morris et al. (2024). Implementing A 10-Year Health Plan: International Examples, The King's Fund.
35 Scottish Government (2016). A National Clinical Strategy for Scotland.
36 Scottish Government (2016). A National Clinical Strategy for Scotland.
37 Citizen’s Panel. Fourteenth Panel Report.
38 Scottish Government. (2023). Health and social care: data strategy.
39 Audit Scotland (2024) Tackling digital exclusion.
40 Scottish Government. (2024) Supporting people with high blood pressure.
41 Scottish Government. (2024) Care in the Digital Age: Delivery Plan 2024-25.
42 Scottish Government (2024). NHS Scotland 'Once for Scotland' workforce policies: consultation.
43 The Mental health and wellbeing strategy leadership board was established in August 2024 to support and oversee the ten priorities and related actions set out in the mental health strategy, delivery plan and workforce action plan.