Audit Scotland urged ministers to be transparent about how long it will take to reduce hospital backlogs.
The Scottish government's plan was designed to change how services are delivered and reduce the backlog of patients from the pandemic, when some health boards postponed non-urgent procedures.But Audit Scotland said that aim was "not on track" and posed a risk to the recovery of primary hospital care.It said aims to recruit 1,000 additional mental health staff were "at risk" due to cuts of £65m from primary care and £35m from mental health services.
The annual report on the state of Scotland's health service said the care backlog continued to increase, with more people added to waiting lists than were being removed, while operations sat at 25% below pre-pandemic levels.Only three - NHS Forth Valley, NHS Shetland and NHS Western Isles - were predicted to balance the books in the new financial year., which were meant to provide an additional 40,000 procedures by the end of 2026.
"That recovery, outlined in our £1bn plan, is backed by record investment and has delivered real success, including the Covid-19 vaccination drive and a significant reduction in the number of two-year outpatients waits. The report says it does not seem feasible to meet commitments to scale up planned operations by more than 10% above pre-Covid levels.
That makes it hard to measure whether things are working or not and where more targeted efforts are needed.Designing a health service that is fit for the future is no easy task. "That is leaving suffering patients and my burnt-out colleagues on the frontline in the dark about what progress - if any - is being made on reducing the huge treatment backlogs."
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