NHS National Services Scotland
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NHS National Services Scotland

NHS National Services Scotland (NSS) was a public body and national health board of NHS Scotland.

Accountable to the Scottish Government, NSS worked at the heart of Scotland’s health service, providing national strategic support services and expert advice to NHS Scotland.

Its integral role to NHS Scotland means the organisation worked closely with other organisations across Scotland’s health and care landscape - especially NHS Boards - in the delivery of its services.  

NSS employed around 3,400 highly specialised staff based in various locations across Scotland.

NSS began operations on 1 April 1974 as the Common Services Agency, formed in accordance with The National Health Service (Functions of the Common Services Agency) (Scotland) Order 1974. The agency's mandate was to provide national strategic support services and expert advice to Scotland's health sector while maximising health impacts and cost savings. This remains central to NSS's purpose today.

The UK Supreme Court ruled in favour of the Common Services Agency in a 2014 legal ruling, Healthcare at Home Limited v. The Common Services Agency. An unsuccessful tenderer had challenged the agency's contract award decision. In the course of the court's deliberations over the legal issues, Lord Reed spoke at some length of the various hypothetical persons whose judgment is held to be indicative of the assessment that a reasonable person might make, typically called the Man on the Clapham omnibus. The Court held that there was a long tradition in law of considering such hypothetical judgments, and rejected the need to consider the evidence of any actual witnesses in place of the hypothetical reasonable person.

In 2013, the Public Services Reform (Functions of the Common Services Agency for the Scottish Health Service) (Scotland) Order 2013 extended the remit of NSS, enabling the provision of services to other bodies, including local authorities and government departments.

The following year, the Public Bodies (Joint Working) Scotland Act 2014 reinforced this requirement to maximise health, financial, and environmental impacts by engaging with and offering services to the wider public sector in Scotland.

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