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Chamber

Meeting of the Parliament 30 April 2025

30 Apr 2025 · S6 · Meeting of the Parliament
Item of business
Neonatal Care (Best Start Model)
McCall, Roz Con Mid Scotland and Fife Watch on SPTV

I am happy to speak on this important topic, and I congratulate my colleague, Meghan Gallacher, on bringing the debate to the chamber.

What could be more important to a country than providing the best start in life for all children? I cannot imagine the fear and anxiety that any parent will experience when they find out that their baby will be delivered before the due date and will need specialist neonatal care to help them thrive—or even, unfortunately, to survive. Nonetheless, that is the case for one in seven babies born in the UK.

What that means is that approximately 5,200 babies are admitted to neonatal units in Scotland every year, and that more than 5,000 families are facing the worst circumstances for their newly born baby that they can imagine. They put all their trust and hopes in the skills of the highly trained staff, knowing that they are in no position to provide the levels of care that are needed. Their beautiful new baby is suffering, but there is nothing that they can do about it. The feeling of helplessness must be overwhelming.

I have not had to experience that situation, but I think that we can all empathise with the panic and stress that must arise from it. It is what led to the review of the best start new model of neonatal care, the report of which was published back in 2017, and reaffirmed by the minister in 2023. We might have concerns about the downgrading of some of the neonatal units, but we are halfway through 2025 and so much more still needs to be done, with staffing levels and accommodation for parents still needing intense focus.

I thank Bliss for giving me sight of its briefing for today’s debate. It was really worrying to read of an 88 per cent shortfall in Scotland between the recommended AHPPP—or allied health professionals and psychological and pharmacy professionals—staffing levels in units and the staffing levels that are being achieved. That is 20 per cent worse than the UK average, and I hope that the minister will address that particular issue in her closing remarks.

Another worrying statistic in the briefing concerns accommodation. The briefing highlights that, for every 10 babies needing to stay overnight in a unit, there is only one room for a parent to stay with them. That means that parents are routinely separated overnight from their newborn during their time in neonatal care. The stress that I mentioned in my opening remarks can be only heightened when distances and lack of family support are factored into the emotional mix. The costs involved will be prohibitive, with accommodation, food and travel costs all having to be met, especially as getting funding for those costs, although welcome, is a cumbersome process. I hope that the minister will take on board the recommendations from the Bliss briefing, not only to address the staffing and residential shortfalls but to provide a much-needed timetable for the implementation of the agreed neonatal model.

In conclusion, I acknowledge the work that has been done, as far as it goes, and as much as we might have concerns about the part of it that goes in the wrong direction of downgrading, I stress the urgency of moving forward at pace with the staffing and accommodation aspects. For every child who deserves to have the best start in neonatal care, we, in this place, should ensure that the correct staffing levels are in place to guarantee that that happens. For every parent who has to deal with emotional stress when they should be rejoicing in the birth of their beautiful child, we, in this place, should minimise the additional stress factors as much as possible. For every family facing this situation, we, in this place, should ensure that there is clarity and commitment for the future. That is the very least that we can do.

18:13  

In the same item of business

The Deputy Presiding Officer (Annabelle Ewing) SNP
The final item of business is a members’ business debate on motion S6M-17186, in the name of Meghan Gallacher, on the best start new model of neonatal care. ...
Meghan Gallacher (Central Scotland) (Con) Con
Before I begin my remarks, I take the opportunity to thank the team at Bliss Scotland for working with me to lodge the motion in Parliament. I first raised ...
The Deputy Presiding Officer SNP
We move to the open debate. I call Clare Adamson, who joins us remotely. 18:02
Clare Adamson (Motherwell and Wishaw) (SNP) SNP
The birth of a new baby is one of the most exciting times in a family. There is nothing more precious than the birth of a baby, and for parents and families,...
The Deputy Presiding Officer SNP
Ms Adamson, I must ask you to bring your remarks to a close, please, because you are quite a wee bit over your time. Thank you.
Clare Adamson SNP
Oh—my apologies, Deputy Presiding Officer. I thank the people who work in the Wishaw neonatal unit, and I look forward to hearing the minister’s response to ...
Roz McCall (Mid Scotland and Fife) (Con) Con
I am happy to speak on this important topic, and I congratulate my colleague, Meghan Gallacher, on bringing the debate to the chamber. What could be more im...
Jackie Baillie (Dumbarton) (Lab) Lab
I thank Meghan Gallacher for bringing the debate to chamber and I commend her for her speech. The Labour amendment is intended not to take anything away from...
Tess White (North East Scotland) (Con) Con
I, too, thank my colleague, Meghan Gallacher, for securing parliamentary time to debate such an important topic. The centralisation of neonatal intensive ca...
The Deputy Presiding Officer SNP
I call the minister, Jenni Minto, to respond to the debate. 18:22
The Minister for Public Health and Women’s Health (Jenni Minto) SNP
I thank those members who have taken part in the debate. Like other members, I thank Meghan Gallacher for bringing the debate to the chamber, and I note that...
Jackie Baillie Lab
Will the minister give way?
Jenni Minto SNP
I will just come to the end of this section. It is important to stress that local neonatal units will continue to provide care to babies who need it, includ...
Jackie Baillie Lab
The “Best Start” report recommendation was actually for “Three to five ... units”. Why did you not include Wishaw neonatal unit? You could easily have done t...
The Deputy Presiding Officer SNP
Always through the chair.
Jenni Minto SNP
I thank Jackie Baillie for her intervention; I know that she has had conversations with the cabinet secretary in that regard, and he has made it clear that t...
Meghan Gallacher Con
I understand what the minister is saying. We are talking about how the implementation is going to be carried out—a lot of boards are involved, and various di...
Jenni Minto SNP
I thank Meghan Gallacher for her intervention. As I said earlier, my office door is very much open. I would be very happy to have a conversation with you on ...
The Deputy Presiding Officer SNP
Minister, we all need to speak through the chair; that has applied to a number of speakers already. Otherwise, you are referring to me, and I do not think th...
Jenni Minto SNP
My apologies, Deputy Presiding Officer—and I would never refer to you as “you”. I would be very happy to meet Ms Gallacher, and I will come to the point abo...
Tess White Con
Will the minister take an intervention?
Jenni Minto SNP
I have taken two interventions already, so I would just like to continue. I thank all neonatal units, which are committed to the Bliss baby charter, and I t...
The Deputy Presiding Officer SNP
That concludes the debate. Meeting closed at 18:32.