The Lothian Strategic Development Framework sets out our system view of the future for health and care services in Lothian.
The Lothian Health and Care System is made up of five organisations: four Integration Joint Boards and NHS Lothian. These organisations are responsible for planning and delivering health and care services in Lothian, to meet the needs of their communities. Together, the organisations that make up the Lothian Health & Care System want to ensure that:

The Lothian Strategic Development Framework – published in 2022 – describes what we are trying to achieve, our current situation, the challenges we face and the direction of travel we propose to take.
This Summary is the core of the LSDF, and gives an overview of our framework.
Easy Read version of the LSDF summary
You can also view this narrated presentation, which explains why we need to new Framework, and what it aims to achieve. It also gives an overview of the Framework’s content, which includes the broad assumptions we have made about what the future might look like and the Principles we want to apply across the system and when we design new services and models of care.
We have developed five-year plans to set out how we will achieve our aims and vision. These plans are separated into six pillars. The high-level plans for each pillar can be seen within the Lothian Strategic Development Framework – full version and in more detail in our Implementation Books.
Each pillar of the framework is sensitive to and supported by five parameters: Capital; Revenue; Workforce; Digital Developments and Environmental Sustainability.
The current financial situation does affect our plans. The LSDF was designed to be flexible, to allow the Lothian Health & Care System to respond to uncertainty in our assumptions about the future. This means that we can review and amend or flex our plans to respond to change, while still aiming for the same outcomes.
We reflect the LSDF and its Implementation books in both our Annual Delivery Plan and our Corporate Objectives, to ensure we retain strategic alignment across the Health & Care System.
As we developed the LSDF, we listened to the views of local people. All of the feedback that we have gathered and considered is included in our engagement report.












