Chamber and committees

The Scottish Government undertook a lessons learned exercise following winter 2025-26 involving NHS Boards, Health and Social Care Partnerships, national organisations and Scottish Government officials. The review found that planning and partnership working had improved, but that services continued to face significant pressures associated with high hospital occupancy, delayed discharge, workforce challenges and sustained demand across health and social care.

The review also found that many of the pressures experienced during winter reflect wider year-round challenges rather than a short-term seasonal event. Key lessons identified included the importance of whole-system working, improving patient flow, supporting workforce resilience, strengthening preventative approaches and providing earlier and clearer national direction.

These findings are informing current planning for 2026-27, including a refresh of the National Planning Priorities and Principles for Surge and Winter Preparedness, strengthened governance and assurance arrangements, enhanced regional coordination and improved operational intelligence. They are also informing development of the National Flow Plan, which is intended to improve patient flow, reduce delayed discharge, improve use of available capacity and strengthen whole-system coordination across urgent and unscheduled care services.