NHSScotland Chief Executive's Annual Report 2013/14

Foreword

This report shows examples of our person-centred, safe and effective care for the people of Scotland.
Paul Gray

We are improving the quality of care and outcomes for the people of Scotland.

I am pleased to be able to bring you my first Chief Executive's Annual Report. It outlines some of NHSScotland's many achievements, and reflects on the opportunities and challenges ahead. I am extremely proud to lead the workforce - over 150,000 - of NHSScotland. The achievements in this report are a result of their compassion, professionalism and dedication and that of our partner organisations, and the wonderful contributions made by patients, carers, families and volunteers every day.

We have maintained commitment to our vision that by 2020 more people will be living longer healthier lives at home or in a homely setting. Our focus on person-centred, safe and effective care remains paramount, and I am delighted that the health and wellbeing of the people of Scotland continues to improve. But entrenched inequalities remain. Further impetus on tackling these inequalities is a key priority for the Scottish Government, and for me.

We know that, over the next few years, demand for health and social care services will continue to rise; people are living longer with multiple conditions. We need to ensure that care is delivered where it is most effective, and where we can secure the best outcomes for the people we serve. Our work with partners to integrate health and social care is central to that aim.

For the vast majority of people, their experience of NHSScotland is a very positive one, but we know things don't always go right. The recent report into deaths related to Clostridium difficile infection at the Vale of Leven Hospital between 2007/08 was rightly critical of the care provided. We must redouble our efforts to ensure people receive the care they expect and deserve, and the Scottish Government will continue to act decisively to drive and sustain long-term improvements based on Lord MacLean's recommendations.

NHSScotland is a world leader in using improvement science to deliver outstanding results. That needs to continue, but I believe that the experience of patients, families, carers and communities defines the reputation of NHSScotland. We will therefore also raise our game by focusing on the strengths of our people and communities, rather than perceived weaknesses, and by designing and delivering solutions with people, rather than for them.

I hope you enjoy reading the report.

Paul Gray
Chief Executive of NHSScotland and
Director-General Health and Social Care