The Public Health Directorate provides Clinical and Public Health input into maintaining, protecting and improving population health and relevant acute health services. This includes clinical and professional leadership of Acute Out of Area Activity and cross boundary flow.
For information on ‘Overseas Visitors’ and ‘Preventing Illegal Working’ please view the following page:
- Acute Health Services – Overseas Visitors + Preventing Illegal Working
- European cross-border healthcare: National Contact Point for Scotland
Acute Unplanned Activity
Acute Unplanned Activity (UNPAC), is NHS work which needs to take place but which is either unusual or highly specialised to the extent that there is not an existing service covered by a service level agreement. Some highly specialised services are provided by National Services Scotland under national agreements but where no agreements exist it is necessary to arrange treatment on a case by case basis.
The CPHM Acute Services provides clinical leadership and professional advice on requests for Acute Unplanned Activity (UNPACS) which refers to all Acute NHS Activity which takes place outside the pre-existing Service Level Agreements.
Referrals for NHS care for local residents should wherever possible be made to the appropriate local NHS services unless there is a pressing clinical reason to refer elsewhere. Primary Care referrals outside NHS Scotland require prior funding approval from the CHP. The NHS Board and Public Health Directorate cannot approve out of area referrals by Primary Care, which must be made through the primary care UNPACS process wthin the CHP. Where a patient requests referral for a highly specialised procedure then the opinion of a local consultant should be sought. The consultant can then make the appropriate acute referral as set out in the following guidance.
- Process for Funding for Acute Unplanned Activity including Highly Specialist Out of Area Referrals
- NHS Scotland Guidance on Establishing the Responsible Commissioner; Guidance and Directions for Health Boards, March 2013
- Overseas Visitors’ Eligibility to Receive NHS Care and Services – A Guide for NHS Professionals in Scotland – August 2009
- Healthcare Improvement Scotland – evidence based reviews and guidance on health technologies and novel treatments
- National Services Division
Primary care referrals outside NHS Scotland need prior funding approval from the appropriate Community Health Partnership (CHP). Secondary Care referrals are managed through the UNPACS process led by the CPHM (Acute Services).
Accessing Healthcare in other Countries of the European Economic Area
Information on accessing healthcare in other countries of the European Economic Area is detailed in the following document.