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POLICY: NHS Delivery - a new national delivery organisation to lead transformation across our health and social care system

28 November 2025

This consultation proposes merging two special NHS Health Boards, National Services Scotland (NSS) and NHS Education for Scotland (NES), into a single Health Board, known for now as NHS Delivery. This it is claimed will reduce “fragmentation of key functions (which) has led to duplication, variation, and slower progress” and “will provide the national leadership, capability, and accountability needed to drive transformation at scale and pace, supporting the “Once for Scotland” ethos of consistency and excellence, enhancing efficiency and productivity.”

RCN Scotland is neutral on the proposed merger but (1) we want NHS Delivery to ensure and increase the active and extensive involvement of the nursing workforce, and the taking into account of its views, in appropriate proportion to its size and relevance to the services within which it operates; (2) we would not support the stopping, scaling back, or redesigning of existing services, programmes, or functions that were demonstrating tangible success in supporting nursing; (3) we want the Scottish Government’s no compulsory redundancy policy with respect to NHS Scotland to be upheld and (4) we wish to see a slightly different approach from Scottish Government to the involvement of Professional Organisations & Trade Unions in the work on the merger going forward, as compared to the approach taken to that involvement to date.

Page last updated - 05/12/2025