The scale of the crisis in NHS Lothian has been laid bare today with the publication of a series of damning new reports.

With NHS Lothian facing a funding gap of £31million, Kezia Dugdale said SNP Health Secretary Shona Robison must resign.

The official NHS data published today reveals:

  • More than 400 operations were cancelled due to capacity or non-clinical reasons in March because hospitals could not cope - a near four-fold increase since February.
  • The cost to NHS Lothian of Shona Robison’s broken promise on delayed discharge has reached nearly £85million.
  • The Royal Infirmary of Edinburgh recorded the worst A&E performance in Scotland, with just 68.6 per cent of patients seen within four hours in the week ending April 22.

On Wednesday February 25, 2015, SNP Health Secretary Shona Robison told the BBC Good Morning Scotland Programme: “I want over the course of this year to eradicate delayed discharge out of the system and I am absolutely determined to do that.”  But since Shona Robison’s promise, more than 360,000 bed days have been lost to delayed discharge in the Lothian region. Delayed discharge is when a patient is medically cleared to go home but cannot leave hospital, often because a social care package is not in place.

The number of cancellations due to capacity or non-clinical reasons in March was 417 – up from 106 in February and 370 in January. In March 2017, there were just 89 cancellations for this reason.


Kezia Dugdale said:

“NHS Lothian is in crisis, as these latest figures prove. Shona Robison’s failure to keep her promise on delayed discharge has cost our health service a staggering £85million.

“That is money that could have been reinvested in our health service in the Lothians to improve patient care.

“To compound the crisis, there has been a massive increase in cancelled operations, causing anguish for patients across the region. At the Royal Infirmary, the A&E performance continues to fall far short of the government’s target.

“NHS staff in the Lothians are simply not getting the support they need from the SNP government.

“The short sighted crisis management approach to our health service needs to change – starting with the Health Secretary. Shona Robison is out of her depth and out of time.”




Delayed Discharge - 03/15 - 03/18
  Total Bed Days Cost
Ayrshire & Arran 92,619 £21,580,227
Borders 31,944 £7,442,952
Dumfries & Galloway 35,705 £8,319,265
Fife 112,260 £26,156,580
Forth Valley 82,624 £19,251,392
Grampian 196,337 £45,746,521
Greater Glasgow & Clyde 200,695 £46,761,935
Highland 145,596 £33,923,868
Lanarkshire 226,285 £52,724,405
Lothian 363,964 £84,803,612
Orkney 2,862 £666,846
Shetland 4,011 £934,563
Tayside 125,412 £29,220,996
Western Isles 24,103 £5,615,999
NHS Scotland 1,644,417 £383,149,161


A&E performance published this week shows:


Location Percentage within 4 hours
Royal Infirmary Of Edinburgh 68.6
Queen Elizabeth University Hospital 76.4
Royal Alexandra Hospital 79.5
Wishaw General Hospital 82.6
Glasgow Royal Infirmary 84.6
Hairmyres Hospital 84.6
Forth Valley Royal Hospital 85.5
Aberdeen Royal Infirmary 86.6
St John’s Hospital 88.7
Dumfries & Galloway Royal Infirmary 90.4
Borders General Hospital 91.3
Galloway Community Hospital 91.3
University Hospital Crosshouse 91.7
University Hospital Ayr 92.2
Caithness General Hospital 94.7
Lorn & Islands Hospital 94.8
Monklands District General Hospital 94.8
Victoria Hospital 94.9
Royal Hospital For Sick Children (Edinburgh) 95
Balfour Hospital 95.2
Raigmore Hospital 95.6
Inverclyde Royal Hospital 96.1
Dr Gray’s Hospital 96.3
Belford Hospital 96.3
Gilbert Bain Hospital 96.6
Perth Royal Infirmary 97.5
Royal Hospital For Children 97.6
Royal Aberdeen Children’s Hospital 97.7
Ninewells Hospital 97.8
Western Isles Hospital 99.3
NHS Scotland 87.6


Cancelled operations data:


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