This report details the activity and outcomes of a series of design led workshops involving stakeholders of Respiratory services in the NHS Scotland. Participants came from 16 specialists’ areas and 6 different NHS Board areas, giving both a broad geographic and functional reach. The first step for the workshops was to identify common Respiratory patient symptoms, noting their importance. Issues were mapped for each symptom and areas to focus on agreed. Further discussion around these focus areas led to suggestions for sustainable improvement to Respiratory services. These ranged from reducing unnecessary initial, return and follow-up appointments and improving chronic infection and sleep apnoea pathways. Work to further scope these improvements will be under taken in the coming months allowing a prioritization process to take place through the Scottish Access Collaborative (SAC). Future work will involve national support to ensure the Respiratory community, along with primary care partners are supported to make the necessary changes to ensure efficient and effective patient pathways are achieved. It is envisaged that the work areas will be taken forward either through the Respiratory community itself or for broader issues which are not specialty specific, be achieved through the SAC Combined Action Group (CAG).