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We do not routinely publish breastfeeding rates at discharge. However this data is collected on the Scottish Morbidity Record 02 (SMR02) submitted by maternity hospitals to Information Services Division Scotland and this data has been used to gather the information on breastfeeding rates for mothers leaving hospital after giving birth.

The three tables show the numbers and rates of women who had a live birth in Scotland and who breastfed at the time of discharge. Breastfeeding means those women exclusively breastfeeding or those that were mixed feeding (breast and formula feeding). The breastfeeding rate is calculated using only those records where ‘feed on discharge’ is known i.e. records where feeding status is either unknown or missing are excluded.

It is not possible to split all hospitals into community or consultant led, therefore, results are presented by type of maternity unit(s) in each hospital. The three groups are: Obstetric Units (or Consultant-led) only, Obstetric Units with Alongside Midwifery Units, and Freestanding Midwifery Units.

For those delivery episodes occurring in hospitals with an Obstetric Unit and an Alongside Midwifery Unit it is not possible to determine if the birth was in the obstetric or midwife led unit. For example, The Royal Infirmary of Edinburgh is an Obstetric Unit with Alongside Midwifery Unit, it has a hospital code of S314H irrespective of the delivery taking place in the obstetric unit or the midwifery unit.

A copy of these tables has been placed in the Scottish Parliaments Reference Centre, bib 58041.

The information provided in the answer to this question is provided in a list of tables, is based on data per given financial year and therefore runs from 1 April to 31 March of the following year.

Birth location is often planned at the time of antenatal booking. This records either the women's choice of place of birth or, if no choice is made, the location of the booking visit. There can be planned changes to place of delivery during antenatal care and/or emergency transfers during labour.

A copy of these tables have been placed on the Scottish Parliaments Information Centre bib 58077.

The number of births by type of delivery for consultant-led maternity units and obstetric units alongside midwifery units has been placed in the Scottish Parliament Information Centre (Bib. number 58076)

For those delivery episodes occurring in Obstetric Units with Alongside Midwifery Units it is not possible to determine if the birth was in the obstetric or midwifery part of the unit. For example, The Royal Infirmary of Edinburgh is an Obstetric Unit with Alongside Midwifery Unit, it has a hospital code of S314H irrespective of the delivery taking place in the obstetric unit or the midwifery unit.

It should be noted that women delivering in hospitals that have consultant-led units will have different characteristics to women delivering in hospitals with midwife units. Women deemed to be low-risk are more likely to deliver in midwife units. For this reason the figures presented for the different types of units in the Scottish Parliament Information centre are not comparable.

Tables Source: SMR02, Information Services Division Scotland

Ref: IR2016-01270

Advice services in Scotland are provided mainly by local authorities and the third sector. They are accessed by a cross-section of Scottish society, but are of particular value to the most vulnerable through their work to tackle social inequalities. In many cases, this advice is funded by the Scottish Government.

There is scope to better understand and improve the coordination of Scottish Government funding for advice services to ensure that they continue to meet the needs of Scotland’s communities, that spending aligns as effectively as possible with ministerial priorities and provides maximum value for money for the use of public funds. Scottish Government officials are at the very early stages of this work and will continue to engage with the sector as this project develops.

As part of its wide-ranging efforts to support the oil and gas sector at this challenging time, the Energy Jobs Taskforce has provided significant levels of support under the Partnership Action for Continuing Employment (PACE) initiative. The 8,800 figure reported by Skills Development Scotland includes individuals who have received a PACE guide from their employer and those who have received a face to face service such as an ‘Introduction to PACE’ presentation, a workshop or a guidance interview.

As stated in the Scottish Government's response to the report of the Working Group on Consumer and Competition Policy for Scotland (http://www.gov.scot/Resource/0049/00498180.pdf), we are working with stakeholders to consider the possible form and functions of a dedicated consumer protection body for Scotland.

a) The membership of the Scottish Government maternity and neonatal services review is as follows:

Jane Grant (Chair), Chief Executive, NHS Forth Valley

John Froggatt, Head of Improving Health and Wellbeing Division, Scottish Government

Ann Holmes, Chief Midwifery Advisor and Associate Chief Nursing Officer, Scottish Government

Corinne Love, Consultant Obstetrician, NHS Lothian and Senior Medical Officer (Obstetrics), Scottish Government

Gillian Smith, Director for Scotland, Royal College of Midwives

Jean Davies, Clinical Nurse Manager Paediatrics, Royal College of Nursing

Steven Monaghan, Consultant Obstetrician, Clinical Director, NHS Fife

Professor Alan Cameron, Consultant Obstetrician NHS Greater Glasgow and Clyde, Vice President Clinical Quality at Royal College of Obstetrician and Gynaecologists

Helen Mactier, Consultant Neonatologist, NHS Greater Glasgow and Clyde and Chair of the Scottish Neonatologists Group, British Association of Perinatal Medicine (BAPM) Scottish Representative and Honorary Secretary Elect

Edile Murdoch, Consultant Neonatologist, NHS Lothian, South East and Tayside Managed Clinical Network Clinical Lead

Elizabeth McGrady, Consultant Anaesthetist, Royal College of Anaesthetists, NHS Greater Glasgow and Clyde

Dr Jenny Bennison, General Practitioner, Edinburgh, NHS Lothian

Jacqui Simpson, South East and Tayside Managed Clinical Network

Sharon Adamson, West of Scotland Regional Planning Director

Iain Wallace, Medical Director, NHS Lanarkshire

Prof Angela Wallace, Nurse Director, NHS Forth Valley

Alison Wright, Neonatal Nurse, Chair, Scottish Neonatal Nurses Group, NHS Tayside

Justine Craig, Head of Midwifery and Chair of Lead Midwives Scotland Group, NHS Tayside

Hannah Irvine, Midwife Practitioner, Supervisor of Midwives, NHS Dumfries and Galloway

Tracy Miller, Community Midwife (Stonehaven), NHS Grampian

Professor Mary Renfrew, Midwife, Professor of Mother and Infant Health, University of Dundee

Ann McMurray, Stillbirth and neonatal death society (Sands), Sands Scottish Network Convenor

Rosemary Dodds, Senior Policy Advisor, National Childbirth Trust

Helen Kirrane, Campaigns and Policy manager, Bliss Scotland.

b) The remit of the review is as follows:

Choice:

The review will examine what we mean by choice, informed choice and consent, what is realistic and practical in offering women choice in maternity services, and examine this for women in all care settings.

It will explore the women/families perspective on choice and what they think it means and what they want.

The review will also consider whether choice is provided equitably to all service users, including groups who do not engage well with mainstream services.

In the neonatal care setting, the review will examine the choices available to families involved with neonatal services, and how we support provision of those choices.

Safety:

The review will look at the processes in place to report, examine and learn from adverse events and incidents in maternity and neonatal care,

It will examine cultural and behavioural issues within the maternity and neonatal care setting that influence both safety and experience of care.

The review will also look at the issues faced by remote and rural maternity and neonatal units and consider how they can be addressed and supported.

Quality:

It will examine risk assessment protocols, referral pathways and models of maternity and neonatal care to ensure our services are designed to deliver the best care in the best place with the best outcomes, all of the time, recognising that this will require local, regional and national level solutions.

The review will look at the quality, quantity and efficiency of data collection and consider what is needed and how it is used to drive service improvement.

Workforce – the review will examine whether we have the right balance of skills in the care setting, and are using those skills efficiently and effectively, and have appropriate and available training to build a sustainable workforce.

The Review Group will provide a report to Ministers in summer 2016 which will record its findings, and make recommendations for implementation of the findings. The findings are expected to be published in late summer/ early autumn.

The Scottish Government does use external staff to fill temporary vacancies. The suppliers are: - Pertemps; Brightwork; ASA Resourcing; Harvey Nash Group; Parity Professionals and Spring Technology.

A full list providing a breakdown of the alongside and free-standing maternity units in NHS board area is available below:

NHS Board	Community Maternity Unit
Ayrshire and Arran	Arran War Memorial Midwifery Led Unit, Crosshouse
Dumfries and Galloway	Clenoch Birthing Centre, Galloway Community Hospital, Stranraer
Fife	Victoria Hospital, Kirkcaldy – Midwife-Led
Grampian	Peterhead Community Hospital Aberdeen Maternity Hospital – Alongside Midwifery Unit
Greater Glasgow and Clyde	Royal Alexandra, Paisley Community Unit Inverclyde Royal, Greenock Vale of Leven, Alexandria
Highland	Dunoon and Districts Hospital Victoria Hospital, Rothesay Mid Argyle Hospital, Lochgilphead Belford Hospital, Fort William Campbeltown Hospital Lorn and Islands Hospital, Oban Islay Hospital Dr MacKinnon Memorial Hospital, Skye
Lothian	Simpson Birthing Centre
Shetland	Shetland Maternity Unit (GP/Midwife led)
Tayside	Montrose Infirmary, Community Midwifery Unit Arbroath Infirmary, Community Midwifery Unit Perth Community Maternity Unit Dundee – Midwifery Unit
Western Isles	Uist and Barra, Benbecula

The table below provides information on births for the above mentioned areas.

To note:

1) Areas were determined by using the closest possible match using National Registers of Scotland (NRS) Scottish Postcode Directory. For more information on these geographies, see the following link: http://www.nrscotland.gov.uk/statistics-and-data/geography/our-products/nrs-postcode-extract/2016-1

2) Figures are based on births to women who were usually resident in these areas.

3) Figures are based on the year of registration of the birth, and are recorded by financial year.

4) NRS does not collect information on home births, but records the institution in which the event took place. NRS are able to identify hospital births, and births which did not take place in an institution. The majority of these non-institution births will be home births, but some may have taken place in other locations, e.g. on route to hospital etc.

Number of Births to women resident in selected areas by year and location of birth

		2009	2010	2011	2012	2013	2014

(a) Dumbarton

Hospital 249 202 242 225 209 233 Non-institution 4 1 0 1 4 0

(b) Vale of Leven

Hospital 279 292 284 304 273 262 Non-institution 2 3 1 1 2 6

(c) Helensburgh and Lomond

Hospital 233 204 227 241 201 202 Non-institution 1 3 1 5 1 4

(d) Clydebank

Hospital 337 338 317 285 302 278 Non-institution 2 3 5 9 6 5

(e) Bearsden

Hospital 199 203 244 194 248 227 Non-institution 0 3 3 4 0 3

(f) Milngavie

Hospital 106 93 96 98 114 86 Non-institution 0 0 0 1 0 0