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Conclusion
1. The consultation drew a wide range of responses to almost all of the questions asked. This proved the range of views that existed across Scotland in individuals, community groups, professional organisations, local authorities and in the NHS. The key message taken from the consultation was the need to proceed very carefully and ensure that the NHS continues to be able to provide first class patient care with the public and patients as partners in the planning and delivery of services.
Section 1
2. There is no clear consensus in support of elections but there is a clear message that the status quo is not a tenable position when it comes to engaging and involving communities. Improvement needs to take place in order that Boards can effectively work with communities. Part of this work will need to address the landscape of bodies that currently exist who have some remit for public / patient involvement including the Scottish Health Council. The purpose of Independent Scrutiny was recognised and was generally welcomed in providing a check to the evidence gathering and decision making process carried out by Boards.
Section 2
3. There was no clear consensus around elections. In general terms, those respondents who were involved in the health system or a related body were not in favour of elections. However, a number of individuals and other bodies not currently involved in the health system were in favour of elections. Amongst those who were against the idea there was an understanding that if elections were to proceed, they should be rolled out cautiously with a full evaluation of their impact before any national implementation is considered.
4. The issues raised as a result of the consultation will now be considered in the drafting of the Local Healthcare Bill. The Bill will be published by Parliament on 26 June 2008.
Scottish Government
Health Delivery Directorate
June 2008
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