Meeting of the Parliament 20 September 2023
In the 75 years of the national health service, we have never stood still and we have adapted our service to meet the needs of the population. I have had the pleasure of meeting a number of parents, families and maternity staff, who all have the same aspirations: they all want the best for the babies in their care, and we must act accordingly to support that.
The approach set out in “The Best Start—A Five-year Forward Plan for Maternity and Neonatal Care in Scotland” outlined that Scotland should move from the current model of eight neonatal intensive care units to a model of three units supported by the continuation of current NICUs, which would be redesignated as local neonatal units.
The evidence is clear that the chances of survival are better for highest-risk babies when they are cared for in units by clinicians who see more of those babies and have access to specialist support services. Babies born at highest risk are defined as those who are born at less than 27 weeks’ gestation, who weigh less than 800g or who need multiple complex intensive care interventions or surgery.