The NHS has spent the last five years working on reform at the whim of the Scottish Government. The SNP had the bright idea of reducing the number of health boards to five before deciding not to at the last minute after they had made Boards develop full blown merger plans. This was round about the time Tayside was hitting the headlines and possibly a way to pave over that disaster (which happened to be where the previous Cabinet Secretary for Health’s constituency was based

) They finally decided that it wouldn’t sort out issues with funding, staffing levels or health and social care integration - which NHS staff and leaders said all along.
They then decided instead to develop a new network of specialist primary care and trauma centres across the country which seemed to fall out of favour the minute the first ones were launched.
Then they launched the National Transformation Fund to support projects delivering local, regional and national structural change (like getting health boards to use the same systems). Money was committed and projects half delivered before the Scottish Government hollowed out the money, cancelled loads of work midway and decided to focus on Jeane Freeman’s big ticket priorities around waiting times.
In summary years and years of work with very little to show for it. But it’s not the Scottish Government’s fault of course!