Chamber and committees

The best available data about long COVID prevalence among children and young people comes from the Scottish Health Survey (SHeS) 2022 (respiratory chapter) , published in December 2023, which reported on people who had ever had long COVID. This data shows that 4% of children aged 0-15 were reported to have ever had long COVID. This is the lowest prevalence rate among all age groups shown in this survey. In January 2024, a breakdown will be published to distinguish between people who were currently experiencing, and had ever experienced, long COVID.

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.

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 .

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).

As has been established practice for many years, the staff and vehicle required to move critically ill patients is determined based on circumstances and clinical need. Our specialist neonatal transfer service (ScotSTAR) will transfer those babies by air or road in specialist ambulances equipped to care for neonates.

ScotSTAR will be introducing a Standard Operating Procedure (SOP) which will have variations between emergency and scheduled/planned transfers. NHS Grampian will be on the outer limits for drivers but expectation would be that the journey will be done without a break.

The Scottish Government does not hold this information.

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

The Best Start emphasises parents as key partners in caring for their baby and aims to keep mothers and babies, and families together as much as possible in the crucial early weeks, with services designed around them.

We have a number of measures already in place to support families who have babies in neonatal care including:

• Providing accommodation for parents to stay on or near neonatal units;
• Roll out of the Young Patients Family Fund (formerly the Neonatal Expenses Fund) to support families with the costs of travel, accommodation and food whilst their baby is in neonatal care;

And

• Repatriating babies to their local neonatal units as soon as clinically possible.

In addition, as part of Best Start, Boards have introduced Transitional Care facilities in maternity units, which keeps babies with their mothers on the postnatal ward with in-reach support from neonatal staff, and neonatal community care, which allows babies to get home sooner, supported by the community team. We continue to look to find opportunities to minimise separation, whilst providing safe care.