The Scottish Government provides policies, frameworks and resources to NHS Boards to allow them to deliver services that meet the needs of their local populations. It is the responsibility of NHS Boards to ensure that they follow locally agreed and national clinical guidelines on the management of patients with psoriatic arthritis.

The Scottish Intercollegiate Guidelines Network (SIGN), who are part of Health Improvement Scotland, have produced guidelines on psoriasis and psoriatic arthritis (guide 121). The guideline makes clear the importance of annual reviews to ensure that the condition is monitored, and to detect signs of progression. This management may be delivered as shared care between primary care and specialist rheumatology care, involving members of multi-disciplinary teams as needed.