Change in direction and leadership needed to save Scotland's NHS, report warns

Serious change in direction and leadership is needed to save Scotland’s NHS, a report has found.

The review by Mike McKirdy, a retired consultant surgeon from NHS Greater Glasgow and Clyde and the former president of the Royal College of Physicians and Surgeons of Glasgow, warned “more of the same will not be enough”.

Mr McKirdy said the founding principles of the NHS were “becoming strained and frayed” and that current trends risk “entrenching a two-tier system where access depends increasingly on ability to pay rather than clinical need”.

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Source: Grampian Online, 8 December 2025