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NHS 24 operate under clear, evidence-based clinical protocols that are designed to safeguard patient safety and ensure timely access to care. These include a structured triage system, clinical decision support tools, and escalation pathways for urgent or complex cases, which apply equally to repeat callers.

The Scottish Government monitors compliance with these protocols and expects NHS 24 to adhere to them rigorously. Detailed information on specific guidance may be obtained from NHS 24.

The Scottish Government does not hold this data.

Public Health Scotland (PHS) publishes regular statistics relating to waiting times in A&E.

The latest publication can be found here: Accident and emergency - Urgent and unscheduled care - Healthcare system - Public Health Scotland

The Scottish Government does not collect data on the number of callers who report being unable to access care after multiple attempts to contact NHS 24.

The Scottish Government continues to support NHS 24, including revising performance indicators to better reflect demand and improve service delivery. Over the past two financial years, NHS 24 has received £28.3 million in additional funding, enabling the recruitment of 22 extra clinicians and achieving its highest-ever treatment capacity.

The Scottish Government is confident that NHS 24 operates a robust triage system that prioritises patient safety.

NHS 24 will always refer patients on to other areas of the healthcare system when appropriate to do so and in the best interests of the patients care.

NHS 24 performance is subject to regular monitoring, and NHS 24 continues to meet statutory and clinical obligations.

The Scottish Government does not hold this information.

The Scottish Government does not hold this data.

Public Health Scotland (PHS) publishes regular statistics relating to waiting times in A&E.

The latest publication can be found here: Accident and emergency - Urgent and unscheduled care - Healthcare system - Public Health Scotland

I refer the member to the answer to question S6W-39185 on 8 August 2025. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at www.parliament.scot/chamber-and-committees/questions-and-answers.

We expect all women who experience pelvic floor trauma and post-partum haemorrhage (PPH) will have this recorded within the electronic maternity record. Rates of third- and fourth-degree tears for each Board are available on the Scottish Pregnancy, Births and Neonatal Dashboard: Scottish Pregnancy, Births and Neonatal Dashboard. Data on PPH is collected by Healthcare Improvement Scotland as part of the Scottish Patient Safety Perinatal Programme.

We have written to all NHS Boards identifying the Obstetric Anal Sphincter Injury (OASI) care bundle as an approach which can be used by maternity services with a view to reducing the incidence of third- and fourth-degree tears. This will be one of several priorities for consideration by the expert members of the Scottish Maternity and Neonatal Taskforce.

Please see the following table with details of the complaints HIS has received about maternity care provided by maternity units in each year since 2020-21, broken down by maternity unit.

The information held by HIS relates to concerns raised through its Responding to concerns – Healthcare Improvement Scotland that were referred by another national organisation; raised with HIS by an NHS member of staff, and one complaint that was raised with by a member of the public. Whilst complaints from members of the public are not usually within the remit of the RTC process or HIS’s remit, the HIS Executive Review Team agreed that in that instance an assessment should be undertaken.

I was first made aware of issues with maternity services in NHS Lothian in December 2024. At that time Healthcare Improvement Scotland (HIS) had already started an investigation following whistleblower reports. I met with Lothian Chief Executive and Chair, and they outlined the improvement work they had underway. At my request, the Deputy Chief Medical Officer and Chief Nursing Officer/Deputy Chief Nursing Officer began working directly with NHS Lothian on the issues, providing support and reporting back to Ministers on progress. They noted that NHS Lothian was taking forward a suitable programme of work to address the issues raised as a priority. However the complexity of the issues and improvement required, particularly cultural change, would take time to take full effect.

Following the unannounced HIS inspection, the decision was made to escalate NHS Lothian’s maternity services to Level 3 of NHS Scotland’s Support and Intervention Framework. I have met with NHS Lothian’s Chief Executive to discuss the findings of the report and wider concerns on patient safety oversight, leadership, staff wellbeing and delays in care. NHS Lothian has provided assurances that they will move quickly to implement the required changes and I am scheduled to meet with the Chief Executive and Chair of NHS Lothian on 25 November for an update on progress.