Nurse with diabetic patient.

2005 National Framework for Service Change

Developed after public meetings around Scotland, it calls on people to take more responsibility for their own health, view the NHS as a service delivered mainly in local communities rather than hospitals, anticipate and prevent rather than react.

It leads to Delivering for Health, a programme of action to implement the recommendations. The framework was developed by a team headed by Glasgow-born Professor David Kerr, a cancer expert at Oxford University.