Demand for systemic anticancer therapy (SACT) has grown in recent years. To meet this rising demand, the West of Scotland Cancer Network (WoSCAN) initiated a regional two-phase project in 2015 to develop a safe and sustainable SACT service delivery model. NHS Ayrshire and Arran, one of four health boards in the West of Scotland, implemented some of the phase-1 initiatives in its SACT services before the coronavirus disease 2019 pandemic. This provided the groundwork for the rapid reconfiguration of SACT services that was required during the pandemic.

The reconfiguration was aligned with the WoSCAN service delivery model, which has supported sustainability of the changes. This article gives an overview of the WoSCAN Future Service Delivery model project, some of the initiatives implemented by NHS Ayrshire and Arran before the pandemic and some elements of the interim service redesign undertaken during the pandemic that remain in place.