Miscarriage Care and Facilities in Scotland: Scoping Report NHS Greater Glasgow and Clyde

This report details the findings of a scoping exercise to better understand miscarriage care in Scotland within this Health Board. The individual Health Board reports and the national report seek to aid policy makers and Health Boards in making decisions about improvements to Miscarriage Care


Staff guidance, skills and training

Written clinical guidance

All sites in NHS Greater Glasgow and Clyde reported that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage. All sites agreed or strongly agreed that all necessary staff that require access to this clinical guidance have access to it and that this guidance is followed for women experiencing miscarriage. However, Queen Elizabeth University Hospital neither agreed or disagreed that this guidance is followed for women experiencing miscarriage, while all other sites agreed or strongly agreed (Table 22).

Table 22: Clinical guidance in NHS Greater Glasgow and Clyde
Royal Alexandra Hospital (RAH) Inverclyde Royal Hospital Queen Elizabeth University Hospital Campus Vale of Leven District General Hospital Princess Royal Maternity Hospital
Is there written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations within this site Yes, at all gestations Yes, at all gestations Yes, at all gestations Yes, at all gestations Yes, at all gestations
All staff that need to have access to the clinical guidance on miscarriage care have access to it Agree Strongly agree Strongly agree Strongly agree Strongly agree
The clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage Agree Strongly agree Neither agree or disagree Agree Strongly agree

The recommendations from the Lancet on skills and training for miscarriage care are shown in Table 23 below.

In NHS Greater Glasgow and Clyde, there are staff with additional specialist training to deal with all baby losses including miscarriage at Queen Elizabeth University Hospital only. Royal Alexandra Hospital plan to implement this in the next two years while Inverclyde Royal Hospital and Vale of Leven District General Hospital can access this within the health board but not on site. Additional services provided are shown in Table 23 below.

Table 23: Staff skills and training in NHS Greater Glasgow and Clyde
Royal Alexandra Hospital (RAH) Inverclyde Royal Hospital Queen Elizabeth University Hospital Campus Vale of Leven District General Hospital Princess Royal Maternity Hospital
There are staff with additional specialist training to deal with all baby losses from early pregnancy to stillbirth Not currently provided - plan to implement in the next 2 years Can refer/access locally - not on this site (within HB area) Provided on site Can refer/access locally - not on this site (within HB area) EPAS staff do not deal with still birth. no specialised role or training given in this post
There are midwives/nurses with additional specialist training to provide comprehensive miscarriage care Not currently provided - plan to implement in the next 2 years Can refer/access locally - not on this site (within HB area) Provided on site Can refer/access locally - not on this site (within HB area) Not currently provided - no plans to implement
There are midwives/nurses with additional specialist training for recurrent miscarriage care Not currently provided - plan to implement in the next 2 years Can refer/access locally - not on this site (within HB area) Provided on site Can refer/access locally - not on this site (within HB area) Not currently provided - no plans to implement
Specialised medical staff are trained specifically for recurrent miscarriage care Provided on site Provided on site Provided on site Provided on site Not currently provided - no plans to implement
Doctors are trained to provide comprehensive miscarriage care Provided on site Provided on site Provided on site Provided on site Other - There are specific consultants who take on this role

Contact

Email: socialresearch@gov.scot

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