Introduction

The Centre for Sustainable Delivery (CfSD) is uniquely positioned within NHS Scotland as a national, clinically led delivery unit that bridges the gap between government policies and frontline healthcare.

Managed by NHS Golden Jubilee, it plays a pivotal role in transforming healthcare delivery by bridging the gap between government policy and frontline services and ensuring that the redesign and reform of NHS Scotland services is aligned to Scottish Government commitments set out in the Programme for Government, NHS Scotland Operational Improvement Plan, NHS Health and Social Care Service Renewal Framework and Scotland’s Population Health Framework.

CfSD develops, implements and scales system-wide solutions that address Scotland’s most pressing health challenges in a rapid and sustainable way. Applying a “Once for Scotland” approach, CfSD ensures that innovations are scalable and consistently applied across all NHS Boards, while still supporting local adaptation, where necessary.

Its collaborative approach brings together clinicians, patients, government, academia and industry to co-design care pathways that are safe, efficient and future ready.

CfSD includes several high-impact national programmes designed to streamline services, reduce waiting times, and support national strategies. Central to CfSD’s work is data-driven decision-making to enable targeted improvements, identify priority areas and measure impact. This analytical capability supports NHS Boards with tailored improvement strategies.