Services Contract that came in to force 1 April 2018. In 2008, the Scottish Government introduced the Scottish Patient Safety Programme, which aimed to reduced iatrogenic illness by changing the safety culture to be more in line with the aviation industry, by providing clinicians with skills in improvement methodology and root cause analysis. In 2022 an extra £82.6million was announced to bolster pharmacy support for repeat prescriptions and medication reviews in GP practices. The same year, NHS Scotland recruited 191 nurses from overseas. The nurses were recruited from several countries, including India and Philippines. A plan was made to hire another 203 foreign nurses through recruitment agencies. A contract was awarded to Inhealthcare for remote monitoring services across Scotland. This will enable patients to record relevant information at home and relay the readings to NHS teams for analysis using a mobile app or landline telephone. It will be used to manage hypertension, chronic obstructive pulmonary disease, asthma, heart disease, diabetes, depression, malnutrition, cancer and COVID. There is a substantial effort to develop a drone delivery service. The University of Strathclyde, NHS Grampian, NATS Holdings, AGS Airports and other partners form a consortium, Care and Equity – Healthcare Logistics UAS Scotland known as ‘CAELUS‘ which has designed drone landing stations for NHS sites across Scotland and developed a virtual model of the proposed delivery network. It is testing whether drones will improve logistics services, including the transport of laboratory samples, blood products, chemotherapy and medicines. It is hoped that this will provide equity of care between urban and remote rural communities. At present patients in remote areas may have to travel for hours to reach a hospital able to provide specialised treatment. Skyports, a drone operator, is running flight trials and live flights should start in 2023. Performance In 2014 the Nuffield Trust and the Health Foundation produced a report comparing the performance of the NHS in the four countries of the UK since devolution in 1999. They included data for the North East of England as an area more similar to the devolved areas than the rest of England. They found that there was little evidence that any one country was moving ahead of the others consistently across the available indicators of performance. There had been improvements in all four countries in life expectancy and in rates of mortality amenable to health care. Despite the hotly contested policy differences between