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Swinney announces NHS reforms to cut health boards, reduce patient travel

Scotland's Deputy First Minister John Swinney announced plans to reform the NHS by reducing health boards from 14 to two, aiming to improve local access to care and prevent patients from traveling loโ€ฆ

Swinney suggests Scots will not travel further for health care under reforms
BBC Politics โ€” 6 September 2026
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Scotland's Deputy First Minister John Swinney has indicated that under proposed reforms to the National Health Service, patients should not have to travel further for health care. The government plans to reduce the number of health boards from 14 to just two, dividing the country into eastern and western regions. This announcement comes as concerns grow about the long distances some patients currently travel for essential services, particularly in remote areas.

The reform aims to improve local access to health care services and enhance patient safety, particularly for maternity and pediatric care. For instance, women in far northern regions must currently travel up to 100 miles to give birth in Inverness. Swinney emphasized that the intention is to maximize local service delivery, ensuring equitable access for all Scots, regardless of their location. He acknowledged the ongoing challenges, particularly in areas like Caithness, where maternity services have faced scrutiny.

While Swinney did not specify the number of expected job losses within the NHS, he confirmed that public sector employment would decline as part of these changes. A significant review of maternity services is set to begin this autumn, following an investigation revealing serious issues within the system. Additionally, Dr Gray's Hospital in Elgin has paused all planned pediatric surgeries due to safety concerns, which could last until December.

The proposed restructuring raises several questions about its implementation and its impact on patients, especially those in the islands. While Swinney's plan aims to streamline operations and potentially reduce costs by cutting senior roles, the details remain unclear. As discussions continue, stakeholders are eager to learn how these reforms will address existing healthcare gaps and whether the changes will ultimately benefit patients throughout Scotland.

Read Full Story at BBC Politics โ†’
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