NHS Grampian was placed under stage four “special measures” last May after reporting an overspend of more than £65 million. In November last year, Scotland’s public finance watchdog said the health board was projecting a £68 million overspend for 2025-26. ‘Special measures’It’s possible the health board could remain under special measures for “one or two years”. NHS Grampian will still be left with a £45 million overspend – the maximum government ministers will allow – if the current cost-cutting targets are met. Meanwhile, we revealed in December how the health board is dealing with an average of 32 complaints per week.