This Framework for Clinical Prioritisation, which has been approved by the Chief Medical Officer and the Cabinet Secretary for Health and Sport, should now be adopted across NHS Scotland. The framework provides NHS Scotland with clear guidance for prioritising elective care whilst ensuring appropriate COVID-19 safety and priority measures are in place.
The list below sets out the six key principles that should be considered when clinically prioritising patients:
- a consistent National approach to outpatient, diagnostic and surgical pathways in line with P1 to P4 clinical categorisation (as set out in Section 1)
- duties under the Patient Rights (Scotland) Act 2011 and associated secondary legislation continue to apply
- this framework does not cut across the current rights for patients under the above legislation
- maintain essential and urgent services in critical care capacity, maternity, emergency services, mental health provision and vital cancer services
- enabling Boards to demonstrate that the most urgent patients are treated
- Consistent application of Active Clinical Referral Triage (ACRT) and key indicators for active waiting list management, including addressing demand and capacity issues for each priority level.
- Cross boundary capacity support where patients can be treated out with their own Health Board area.
- application of realistic medicine, incorporating the six key principles (see Section 4)
- long waits are actively reviewed (particularly priority level four patients)
- patients should be communicated with effectively ensuring they have updated information around their treatment and care
Waiting Times Team: WTIP@gov.scot