Existence of NHS as we know it is under threat, warns BMA Scotland

Scotland’s NHS is in “permanent crisis” and its very existence as we know it is under threat, a leading doctor is to warn.

In a speech on Tuesday, Dr Iain Kennedy, chairman of the British Medical Association (BMA) Scotland, will say that winter pressures are here 365 days a year.

He will warn that Scotland is “sleepwalking” into sacrificing an NHS that is free at the point of use, with the growth of a two-tier, health care system now “beyond question”.

In a speech to the BMA’s 2024 annual representatives meeting (ARM) in Belfast, he will also warn the Scottish Government’s plans for engagement on NHS reform “lack clarity and urgency”.

Dr Kennedy is expected to say: “Scotland’s NHS is in a state of permanent crisis. Winter pressures are here 365 days a year.

“Since my last ARM speech and the end of April this year, over 58,000 patients have waited more than 12 hours in a Scottish A&E department – that’s 24 times greater than five years ago.

“This massive deterioration in performance is completely outwith the control of our doctors who work tirelessly in traumatic circumstances.

“And these figures are a warning light that the whole health and social care system is not coping with the demand.

“Long waits are forcing those who can afford it, to go private. A two-tier health service in Scotland is now beyond question. If you can stump up the cash, then you can get the care you need.

“But we all value an NHS free at the point of use. Yet, Scotland is sleepwalking into sacrificing this principle, threatening the very existence of the national health service as we know it.”

Dr Kennedy will say that if Scotland is to emerge from its “NHS perma-crisis” it must properly invest in and value doctors.

He will again call for an urgent national conversation about the future of the NHS – pointing out it is an idea now widely supported across Scotland.

Dr Kennedy will say: “While I welcome the Scottish Government’s plan for direct engagement with the public and stakeholders this year, it lacks both clarity and urgency.

“So, today, I urge the Scottish Government to come forward now with a detailed plan to guarantee an inclusive national conversation, along with a plan to implement what it tells us.”

The Scottish Government has been asked for comment.