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Lochaber Redesign IA/ OBC 


NHS Highland





Working with NHS Highland through Hub North to support the development of an Initial agreement (IA) for investment in Health and Social care in Lochaber, in a new Rural General Hospital.


Work progressed to support for Capacity modelling, Design Development and Community Services redesign as part of the Outline Business Case (OBC), in alignment with Scottish Capital Investment Manual (SCIM) guidelines, for submission to the Scottish Capital Investment Group.

Image by Bjorn Snelders

Elements of the approach

A combination of 1 to 1 meetings, stakeholder workshops and site visits enabled the approach. Workshops involved clinical and operational staff, and key outputs were shared with public representatives to ensure a broad range of views were gathered. The IA was approved in May 2022 by the Scottish Government, Community services redesign outputs and key work-streams were developed for January 2024, RIBA Stage 2 design Development concluded in March 2024,  and work is now progressing on the Outline Business Case (OBC). 

Developing the RGH Clinical model

A clearly defined RGH service model was agreed by key stakeholders

A compelling strategic case

A structured and well developed business case which

articulated a compelling case for investment was approved by Scottish Government in May 2022

Comprehensive stakeholder engagement

Involving a wide range of stakeholders including staff, members of the public and a range of delivery partners

What key stakeholders have to say...

”Buchan Associates were an integral part of the team involved in delivery of an Initial Agreement for Lochaber, providing professional expert knowledge and facilitation of various workshops to ensure we could articulate a clear Strategic Case to Scottish Government.”

Heather Cameron, Senior Project Manager, Capital Planning, NHS Highland

The Numbers

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