In 2008-2009, the Scottish Government initiated the "Shift the Balance of Care" policy, advocating for a transition of care from hospitals to community settings for more sustainable outcomes.

This policy aimed to integrate health and social care services around the citizen, emphasizing a multi-disciplinary community care model.

Further, the Chief Medical Officers' Annual Report in 2017 urged the adoption of predictive and proportionate care models, emphasizing citizen co-management and joint decision-making, departing from a paternalistic medical approach.