Portfolio Question Time – in the Scottish Parliament at on 11 September 2024.
To ask the Scottish Government what action it is taking to support specialist neonatal intensive care units across Scotland. (S6O-03698)
The Scottish Government commissioned independent modelling of neonatal intensive care in Scotland, and the report was published on 29 May. We have asked the regional chief executives to progress with development of implementation plans, with the expectation that implementation of the new model is phased over the next one to two years. Additionally, the Scottish Government, with the support of Health Improvement Scotland and Bliss, has consulted families on implementation of the new model. We are sharing the outputs of that consultation with regional chief executives to inform development of pathways and processes for the new model of care. Jointly with national clinical leads, we are considering Scotland-level actions required.
The Scottish Government continues to provide funding to the boards hosting the neonatal intensive care units to build the capacity required.
I thank the minister for her reply, but let us get the facts straight here. The proposal to downgrade the neonatal unit at Wishaw hospital is based on inconsistent, old and inaccurate data, a flawed methodology, and excluded any consultation with parents and families.
This morning, the Citizen Participation and Public Petitions Committee considered a petition from those same parents and families. As a result, the committee has agreed to go on a site visit. Why has Scotland’s Minister for Public Health and Women’s Health never done the same? Will she now visit the Wishaw specialist neonatal intensive care unit, speak to staff and listen to their concerns? Will she review again her decision to downgrade the unit in Wishaw in the light of deliverability, capacity and resilience issues that risk not only the human rights but the human lives of those affected?
I am sure that Richard Leonard would like to correct the parliamentary record, because I have visited the Wishaw neonatal unit. I have also visited Ninewells hospital and the Queen Elizabeth university hospital and I have been gathering evidence from people across the health boards and the neonatal and maternity services that Scotland provides.
I am completely focused on ensuring that we make the right decision for the smallest and sickest babies in Scotland. I have read on numerous occasions the expert advice that we have received and I have spoken to the people who were involved in producing it, and that advice shows that reducing to three the number of intensive neonatal care units is the correct decision to support families with the smallest and sickest babies.
Can the minister speak to the success of the implementation of “The Best Start: A Five-Year Forward Plan for Maternity and Neonatal Care in Scotland”, and advise how the Scottish Government will continue to ensure that women and babies receive the highest quality of care according to their needs?
The plan set out our vision of a transformation of maternity and neonatal services, and the vast majority of its recommendations have been implemented. Health boards have embedded the plan in local maternity and neonatal care, and that has been supported by national initiatives such as the young patients family fund, improvements to adverse events investigating and the national bereavement care pathway.
Work continues to establish the new model of neonatal intensive care and to deliver continuity of carer, which is highlighted as a programme for government commitment.
I thank all the people who have been involved in helping to achieve the best start vision, and we will publish a full programme report later this year.