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The Options Appraisal Report , published on 25 July 2023 describes the process undertaken to determine the three final Neonatal Intensive Care Units, and the feasibility analysis and testing that followed the conclusion of that process. Annex A of the Report includes the criteria and weighting used for the Options Appraisal Process. Annexes C and D of the report outline the data that supported the Options Appraisal process.

Further detail on the methodology and the scoring of individual units can be found as part of the following Freedom of Information request:

Information relating to Options Appraisal Report: FOI release - gov.scot (www.gov.scot)

Membership of the expert group, remit/terms of reference and minutes of expert group meetings group will be published on the Building and Fire Safety Ministerial Working Group website once they have been agreed. A detailed programme of work is currently under development to establish a timeframe for reporting and will be agreed at the first meeting of the group on 28 November 2023.

The locations of the three Neonatal Intensive Care Units was based on clinical evidence that the very smallest and sickest babies, including those born extremely premature (below 27 weeks), do best when they are cared for in larger specialist neonatal units which look after a lot of these babies, and have the right staff and services available on site to give them the very best care. The Best Start report recommended that we move to three of these units in Scotland, to meet the needs of our population.

The Options Appraisal Report , published on 25 July 2023 describes the process undertaken to determine the three final Neonatal Intensive Care Units, and the feasibility analysis and testing that followed the conclusion of that process. Annex A of the Report includes the criteria and weighting used for the Options Appraisal Process. Based on the evidence, the criteria focused on collocated clinical specialist services.

To support all parents who have babies admitted to neonatal care the Young Patients Family Fund provides funds to cover the cost of travel, subsistence and any accommodation required.

The three NICU units; Royal Hospital for Children in Glasgow, the Aberdeen Maternity Hospital and the Edinburgh Royal Infirmary will serve the West, North and East regions of Scotland. Data on births in Scotland is published on the National Records of Scotland website for every year since 1991, broken down by NHS Board or council area of birth.

It is not within Healthcare Improvement Scotland’s legal remit to assess decisions made nationally. Healthcare Improvement Scotland’s Community Engagement arm supports, ensures and monitors NHS Boards and Integration Authorities activity in relation to patient focus and public involvement in health services.

When decisions are made by the Scottish Government on NHS services, they are scrutinised through the Parliamentary process, the Health and Social Care Committee and Audit Scotland.

The Scottish Government’s Participation Framework provides information / guidance on relevant commitments to public participation that Scottish Government must adhere to. The Participation Framework supports Scottish Government to take decisions about how to open up opportunities for participation in ways that best suit the needs policy areas, the types of contribution being sought, and the characteristics and needs of the people being engaged with.

As noted in S6W-19908 on 31 July 2023, the age ranges for breast screening are based on recommendations from the UK National Screening Committee (UK NSC), an independent expert advisory group which informs decisions taken across the UK on screening programmes. There is no clear evidence that the benefits of screening this age group outweigh the potential harms.

Since October 2022, women aged 71-74, and those over 75 with a history of breast cancer, have been able to self-refer for a screening appointment. Due to the challenges around programme capacity and wait times as a result of the pandemic, self-referrals for those over 75 without a history of breast cancer remain paused. This ensures those between 50 and 70 and for whom screening has clear benefits are prioritised. The most recent statistics show that breast screening uptake has increased across Scotland which is the most important factor when maximising cancer detection and effectiveness of the screening programme.

Considerable work has been undertaken to improve programme capacity, including extending screening hours, using additional mobile units, and optimising appointment allocation. The scale of the challenge facing the screening programme since the pandemic means it has taken time for this work to have a significant impact. However, considerable progress has been made, and the scope to extend self-referrals to all those over 75 remains under active review. Both Parliament and NHS Inform will be updated when any decision is made to lift the current pause.

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

The first workshop will be set up by the end of 2023 as outlined in the Short Life Working Group report, published on 2 October 2023.

The Section 34 letter to Local Authority Chief Executives under the Building (Scotland) Act 2003 (Section 34 - Reports and Information - Notification of Application for Building Warrant - Section 2 - Fire) to require that a verifier must notify the Scottish Government where future conversions of historic buildings are to be used as hotel accommodation has been sent to all Local Authority Chief Executives and copied to Building Standards Managers on 31 October 2023.

The Best Start Report, published in 2017 followed a review of maternity and neonatal services in Scotland, and was based on research evidence, the views of clinicians and the views of service users. Based on data on birth data, the report recommended that we move to a model of three intensive care units in Scotland.

The process of determining which units should provide Neonatal Intensive Care followed an Options Appraisal process undertaken by an expert group, including clinical leads and service user representatives. The Royal Hospital for Children in Glasgow, Edinburgh Royal Infirmary and Aberdeen Maternity Hospital scored highest based on an agreed short list criteria, definitions and weighting. The group were asked to recommend three units and there was no consideration given to including a fourth unit.

The 5 reports from the Neonatal Early Implementers have been placed in the Scottish Parliament Information Centre (BIB number 64669).