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The Scottish Government aims to publish our new palliative and end of life care strategy for consultation in Spring 2024.

Under the new model of care, mothers in suspected extreme pre-term labour will be transferred to give birth in hospitals that have neonatal intensive care units. Those maternity units will have expanded capacity to receive those women.

It is recognised that it will not always be possible to transfer mothers before they give birth. In those cases, as has been established practice for many years, our specialist neonatal transfer service (ScotSTAR) will transfer those babies by air or by road in specialist ambulances equipped to care for neonates, accompanied by neonatal staff.

The Scottish Perinatal network has developed and published guidance for all Boards across Scotland to support identification and transfer of mothers in suspected extreme preterm labour. Experiences of testing the new model of neonatal intensive care showed that the vast majority of mothers in suspected pre-term labour were identified and transferred before giving birth.

Women from NHS Lanarkshire would normally be transferred to the Queen Elizabeth University hospital in Glasgow. Should that unit be at capacity, it may it be necessary to transfer those women to Edinburgh, or to Aberdeen, and parents will be involved in those discussions.

Journey times from Wishaw to Aberdeen will vary depending on the time of day and urgency of the transfer.

I refer the member to the answer to S6W-23794 on 29 December 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

As part of the next phase of the work Scottish Government have commissioned Consulting firm RSM-UK to undertake detailed modelling work to fully map the capacity requirements across the system to inform capacity building and implementation of the new model.

The Scottish Ambulance Service will be included as part of the modelling work. We expect that mothers in threatened extreme early labour, or those whose babies will need surgery, will be identified pre-birth and will birth in the maternity unit alongside the NICU. The Perinatal Network has been leading some work, and recently published guidance on transfer in these cases.

Where cot capacity has been reached then clinical judgement with parental involvement will determine the best receiving unit.

Neonatal cot capacity is managed on a network basis through a daily call attended by all Neonatal Units. The data provided is then collated and is used to identify any sustained or acute pressure on intensive care cots.

The availability of beds is not solely down to the availability of neonatal cots, but also maternal beds and the availability of specialists to support both mother and baby. This ensures that for any woman or baby who requires immediate delivery, suitable arrangements are made. The perinatal teams across Scotland, including ScotSTAR who coordinate such transfers work hard to negotiate and create space when required.

Scottish Government does not hold this information.

Neonatal cot capacity is managed on a network basis through a daily call attended by all Neonatal Units. The data provided is then collated and is used to identify any sustained or acute pressure on intensive care cots. The availability of beds is not solely down to the availability of neonatal cots, but also maternal beds and the availability of specialists to support both mother and baby. This ensures that for any woman or baby who requires immediate delivery, suitable arrangements are made.

I refer the member to the answer to question S6W-21151 on 19 September 2023. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at: https://www.parliament.scot/chamber-and-committees/questions-and-answers .

We do not recognise the source of the data you refer to that shows excess deaths in Scotland to be 10.1% above average.

National Records of Scotland (NRS) report the age-standardised rate of excess deaths to be 6% and 1% above expected levels for the first quarter (Q1) and second quarter (Q2) of 2023 respectively, and 4% below expected levels for the third quarter (Q3).

I refer the member to the answer to question S6W-21151 on 19 September 2023. All answers to written Parliamentary Questions are available on the Parliament’s website, the search facility for which can be found at: https://www.parliament.scot/chamber-and-committees/questions-and-answers .

The recommendations for the new neonatal model of care are underpinned by strong evidence that population outcomes for the most premature and sickest babies are improved by delivery and care in units looking after a critical mass of these babies, with experienced staff, and with full support services.

The Best Start recommended that Scotland should move from the current model of eight Neonatal Intensive Care Units (NICU) to a model of three units supported by the continuation of current NICUs redesignated as Local Neonatal Units (LNU’s).

As part of the next phase of the work Scottish Government have commissioned Consulting firm RSM-UK to undertake detailed modelling work to fully map the capacity requirements across the system to inform capacity building and implementation of the new model.

The Scottish Ambulance Service will be included as part of the modelling work. We expect that mothers in threatened extreme early labour, or those whose babies will need surgery, will be identified pre-birth and will birth in the maternity unit alongside the NICU. The Perinatal Network has been leading some work, and recently published guidance on transfer in these cases.

Neonatal cot capacity is managed on a network basis through a daily call attended by all Neonatal Units. The availability of beds is not solely down to the availability of neonatal cots, but also maternal beds and the availability of specialists to support both mother and baby. This ensures that for any woman or baby who requires immediate delivery, suitable arrangements are made.

The Options Appraisal Report , published on 25 July 2023 describes the process undertaken to determine the three final Neonatal Intensive Care Units. Annex D of the report outlines the cot availability for each Neonatal Unit.

Additional information can found on the hospital’s websites or requested directly.