Unsuitable properties may be sold as NHS looks to divert money into services being diverted into other areas of care.
Head of property Mark Anderson said: “We are going through a time of change and are taking a close look at our entire estate.
“Maintaining it as it is now is clearly not affordable, but more than that, many of the buildings no longer align with clinical demand. They are not fit for modern medical practice.”
Mr Anderson said there was a significant and costly maintenance backlog on
many buildings, a number of which would remain unsuitable for care, no matter the investment made in upgrades.
He said NHS Tayside would be collaborating with other NHS boards and with Angus, Perth and Kinross,Dundee and Fife councils to look at sharing space and resources, but also pledged to continue investing in existing buildings to ensure the highest level of care.
Director of ehealth Jenny Bodie said the board appreciated how attached people can become to the buildings from which their care is provided but stressed that it is the staff and not the buildings that are the cornerstone of services.
“It is important the public understand that closures will not take place for money-saving reasons but because these buildings are no longer fit for purpose,” she said.