Miscarriage Care and Facilities in Scotland: Scoping Report NHS Highland

Staff guidance, skills and training

Written clinical guidance

In NHS Highland, Raigmore Hospital, Belford Hospital, Caithness Hospital, Nairn town and County Hospitals and Dr MacKinnon Hospital said that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations. Sites in Argyll and Bute said that they have access to consultant unit guidelines. There is strong agreement across most sites that all necessary staff that require access to this clinical guidance have access to it, however, Caithness Hospital neither agree nor disagree with this. When asked whether they agree or disagree that the clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage, Raigmore Hospital, Dr MacKinnon Memorial Hospital, and Belford Hospital agreed while the remaining sites neither agreed nor disagreed.

Raigmore Hospital, Dr MacKinnon Memorial Hospital, Nairn Town and County Hospital, Caithness General Hospital and Belford Hospital reported that they currently do not have staff with additional specialist training to deal with all baby losses including miscarriage and stillbirth. However, Raigmore Hospital reported that they do plan to implement this in the next two years while Dr Mackinnon Memorial Hospital do not plan to implement this. Additional services are listed in Table 21 below.