Hansard

That is right; I recall it now. Welcome to you both. The petition calls on the Scottish Parliament to urge the Scottish Government to stop the planned downgrading of established and high-performing specialist neonatal intensive care services across NHS Scotland from level 3 to level 2 and to commission an independent review of that decision in light of contradictory expert opinions on centralising services. Neonatal units operate at three different levels: level 1 units provide special care, for example tube-feeding and intravenous antibiotic therapy; level 2 units provide specialised and high-dependency care, including assisted ventilation and short-term neonatal intensive care; and level 3 units provide the full range of medical neonatal medical care. Following a review of maternity and neonatal services, the Scottish Government published a report entitled “The Best Start: A Five-year Forward Plan for Maternity and Neonatal Care in Scotland”, which recommended that a new model of neonatal services should be designed to accommodate the current levels of demand, with a smaller number of intensive care neonatal units. The British Association of Perinatal Medicine’s framework recommends that neonatal intensive care units should admit at least 100 very low-birthweight babies a year and undertake at least 2,000 intensive care days per year. The perinatal group recommended the retention of three NICUs and that the remaining units be downgraded to level 2 neonatal units. As part of that change, the scope of the practice carried out by level 2 units will be wider than the previous level 2 definition. The Scottish Government accepted the recommendations of the report, and work is under way to implement the new model of care. The Minister for Public Health and Women’s Health’s response to the petition states that the intention with the new model of care is that mothers in suspected extreme pre-term labour will be transferred before they give birth to maternity units in the hospitals that have neonatal intensive care units. The submission states that those units will have expanded capacity. It is noted that it will not always be possible to transfer mothers before they give birth, and in those cases the specialist neonatal transfer service, ScotSTAR, will transfer those babies in specialist ambulances. The submission states that consultation will take place with families during the implementation phase. I should say that Monica Lennon has joined us for this petition as well—I neglected to mention her earlier, as she was already sitting at the table. I invite Jackie Baillie to make some comments.