Making Difficult Decisions in NHS Boards in Scotland

Foreword
All NHS Boards are challenged with making difficult decisions, whether about prioritising which services they invest in, or whether to fund certain treatments for individual patients. With increasing scrutiny of the decisions that NHS Boards make, and concerns about how such decisions are reached, together with the challenges of trying to meet ever increasing demands for services and treatments, NHS Boards need to ensure that their decision making is robust and fair. I very much welcome this helpful and important report whose origins lie in discussions started off by senior clinical colleagues in NHS Fife. The report provides real and practical assistance for all of us whose responsibility it is to make difficult decisions on behalf of the people we serve.
George Brechin, Chief Executive, NHS Fife