Current status: Answered by Jenni Minto on 22 July 2025
To ask the Scottish Government what action it is taking to reduce preventable baby deaths, particularly in relation to early-onset infections such as group B streptococcus (GBS), and whether it will consider implementing universal GBS screening for pregnant women as part of routine antenatal care, in light of the recent reported rise in infant mortality in Scotland and ongoing concerns about maternity care standards.
Scotland is guided by the recommendations of the UK National Screening Committee (UK NSC), an independent expert advisory group which advises all four nations of the United Kingdom on screening policy. Following their last review in 2017, the UK NSC currently does not recommend introducing a screening programme for GBS. However, they are closely monitoring the GBS3 trial, which is investigating whether testing pregnant women for GBS reduces the risk of infection in newborn babies compared to the current strategy in place in the UK. Results are expected towards the end of 2025 with a review of recommendations.
All pregnant women in Scotland are provided with a copy of Ready, Steady, Baby! in the antenatal period through their midwifery care and can choose to access the information online, if they prefer. This is a comprehensive guide to pregnancy, labour, birth and early parenthood up to eight weeks and contains specific information for women on Group B Strep (GBS). The Scottish Government has also provided funding to Group B Strep Support (GBSS) through our Improving Health and Wellbeing grant scheme in 2023-24 and 2024-25 to support the development of an online learning module on GBS for health professionals and GBSS’s public awareness and education campaign.
More broadly, the Scottish Government has commissioned Healthcare Improvement Scotland (HIS) to develop a set of maternity standards for Scotland, designed to drive improvements in care at a local level, which are expected to publish in Spring 2026. We also welcomed the introduction of the HIS Safe Delivery of Care in acute settings maternity inspection programme in January 2025. These provide independent assessments of maternity services in acute settings and can provide reassurance to all parents and families, as well as identifying areas for improvement.