Scottish Access Collaborative

How can we sustainably improve waiting times for patients waiting for non-emergency procedures?


A key strand of the collaborative work is the delivery of the Specialty Sub-Group programme, in which a range of experts in clinical specialties are undertaking a cycle of design-led workshops led by DHI. The workshops are developing high level maps of each clinical area to identify clinically led and patient centred sustainable improvements. The findings from these workshops will inform solutions to help scheduled care services to sustainably meet the challenges of the future. The workshops for the Speciality areas of Cardiology, Urology and Gynaecology have been completed with Gastroenterology, Respiratory, Chronic Pain, Neurology, Dermatology, Vascular Surgery, Breast Surgery, General Surgery and ENT ongoing.


The Cabinet Secretary for Health and Sport launched the Collaborative in November of 2017. This is closely aligned with the Regional Planning, Realistic Medicine, Elective Centres Programme, and Performance Management and Clinical Priorities delivery activities and programmes. In the complex landscape of healthcare planning and delivery the collaborative will focus on building on existing work streams and networks to sustainably balance demand and capacity. The Collaborative is led by Professor Derek Bell, Chair of the Academy of Medical Royal Colleges, and Paul Hawkins, Chief Executive of NHS Fife. It is made up of a range of professional bodies including the Scottish Academy of Medical Royal Colleges, patient representatives and service leaders.


Impact & Value

  • Insights provided by DHI will inform the SAC programme in order to:
  • Deliver solutions that will help scheduled care services to sustainably meet the challenges of the future;
  • Improve waiting times for patients waiting for non-emergency procedures;
  • Facilitate knowledge exchange, sharing of best practice and the identification of cross-cutting themes across regions and specialties.



  • Scottish Government – Health Performance and Delivery Directorate and the Scottish Access Collaborative Programme Board