Audit Scotland’s recent report highlights an urgent need for reform in Scotland’s NHS, emphasizing that failing commitments and record-high delayed discharges reflect systemic issues. Health Secretary Neil Gray acknowledges backlogs intensified by the pandemic and promotes a shift towards preventative care. Critics from various parties, including the Scottish Conservatives and Labour, cited the report as evidence of the Scottish National Party’s mismanagement of healthcare. The report’s findings urge leaders to make ‘difficult decisions’ about service effectiveness and efficiency amidst rising healthcare costs.