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Sturgeon dismisses 'two tier' NHS Scotland making wealthy pay for care

The first minister says the principle of the NHS being free for all is "not up for discussion" after leaked documents showed senior health officials discussing the idea.

File photo dated 03/10/14 of a ward at the Royal Liverpool University Hospital, Liverpool. A "real sprint" will be needed before winter to protect the NHS from the combined threats of seasonal flu, Covid-19 and the cost-of-living crisis, the Health Secretary has said. Steve Barclay warned hospitals face "very serious challenges" ahead of an expected influx of patients and the health system cannot afford for the Government to drag its heels on the issue. Issue date: Monday August 8, 2022.
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Nicola Sturgeon has dismissed a leaked document discussing turning NHS Scotland into a two-tier system where the wealthy pay for care.

Minutes from a meeting of senior health officials in September, seen by the BBC, claimed the chief executive of NHS Scotland, Caroline Lamb, had given the "green light" for the idea to be talked about as the service faces an ongoing crisis.

One suggestion in the minutes was to "design in a two-tier system where the people who can afford to, go private".

But the country's first minister said she was "emphatically" against the idea.

Ms Sturgeon added: "The founding principles of the National Health Service are not up for discussion.

"It's democratically elected governments who decide the policy basis of the National Health Service."

Asked if she or her ministers knew the discussions were taking place, she said: "I don't dictate to NHS chief executives what they can and can't discuss - we live in a democracy."

More on Nhs

Other suggestions in the minutes included setting a target to discharge patients within 23 hours, a review of long-term drug prescriptions and applying a charge for freedom of information requests, with officials claiming there was a £1bn fiscal black hole to fill.

But Ms Sturgeon claimed NHS Scotland was outperforming other areas of the UK and had her full support.

"Let me be unequivocally clear, we will do that within those long established, well accepted and, I think, almost universally supported principles of a public service free at the point of use and need," she said.