The Scottish Access Collaborative (the Collaborative) was created in October 2017 to sustainably improve waiting times for patients waiting for non-emergency procedures.
The Collaborative, which is made up of a range of professional bodies including the Scottish Academy of Medical Royal Colleges, patient representatives and service leaders, have developed six fundamental principles that will shape and prioritise the way services are provided in the future. The principles will serve as a frame that will help to guide the co-produced service development ideas that emerge from the work.
The work will build on and incorporate existing national strategies, for example, the Modern Outpatient programme, Flow programmes and Access Support, with the aim of working with and influencing both the clinical and public culture and attitudes to achieve more effective and faster service change and appropriate demand management – realistic medicine.
The framework and the six fundamental principles required to deliver this programme of work was developed through a series of initial meetings that took place throughout October 2017. These meetings were jointly led by Paul Hawkins, Chief Executive of NHS Fife and Derek Bell, President of the Royal College of Physicians and attended by patient representative and professional bodies from across the service. Delivering this improvement work will be done locally, with national support, and building on the MSK, Ophthalmology, Flow Improvements and other local successes.
The Cabinet Secretary for Health and Sport launched the Collaborative on the 22 November 2017 at the Glasgow Royal Infirmary and announced £4 million to support the setting up of the infrastructure to progress this work, which will be closely aligned with the Diagnostic and Treatment Centre Strategy, Regional Planning, Realistic Medicine and extant Performance Management and Delivery Activities and Programmes.
The Collaborative will address key speciality pathways by forming speciality groups to work collectively on their area of expertise. The objective is to identify best practice, understand and, where appropriate, address variation, collectively review and optimise current service pathways and associated primary/secondary care communication across key clinical areas. Each group will draw on their collective experiences and knowledge to map existing pathways, highlight key challenge areas, and develop ideas for change.
Groups will take part in three design led workshops, in which they will map out what they understand as their key challenges, and seek to identify the opportunities to make sustainable improvements for the future. Over the course of the three workshops specialist groups will map and create symptom led pathway visualisations, and create a platform for health services to come together to learn from each other and test identified areas of good practice in their local areas.