Moray Maternity Services Review: report

Footnotes

1. The Programme Management and Service Design Hub teams of Programme Management Services, within the Strategy, Performance and Service Transformation Strategic Business Unit of NHS National Services Scotland (NSS)

2. See Appendix A for the Brief including Terms of Reference for the Review as commissioned by the Scottish Government

3. See Appendix B for a list of the Review Group Members

4. The Scotland Deanery's primary responsibility is the education and training of doctors in Scotland. It is also responsible for the appraisal and re-validation of all doctors in Scotland as well as a number of cross-cutting and multi-professional programmes, including patient safety, quality improvement of patient care and the development of Scotland's remote and rural workforce. Its overarching aim is to deliver first-class medical education and training for Scotland to ensure safe, effective care for patients, both now and in the future.

5. The full Commission Brief is available for reference in Appendix A

6. This report was originally commissioned in March 2021 by Jeane Freeman who held the position at that time of Cabinet Secretary for Health and Sport; her replacement Humza Yousaf is the current Cabinet Secretary for Health and Social Care

7. One of the Review Group members, Karen King, commenced work with NHS Highland in September 2021

8. See Appendix B for further details on the Review Group membership

9. See Appendix C for further details of the stakeholder engagement / evidence gathering sessions

10. See Appendix D which details the approach taken to synthesise evidence as per the Scottish Approach to Service Design

11. This is referred to within Best Start as an "Obstetric Unit"

12. A fuller description of the Review process is described in Appendix H.

13. Details of personas and key insights are detailed in Appendix E

14. Homogeneous: meaning 'of the same kind' or 'alike'

15. Accurate Figures provided by NHS Grampian

16. The figures in this table may not correlate exactly with the figures in the next two tables, due to the fact that one birth may appear in more than one line of the tables showing 'type of delivery' and some women may have a multiple birth, with a different type of delivery for each baby born at that time

17. Since 2018, 21 women have chosen to birth in Inverurie Community Maternity Unit and 11women have chosen to birth in Peterhead Community Hospital.

18. Data quality issue

19. Data quality issue

20. This figure includes failed inductions

21. Otherwise referred to as a "spontaneous cephalic" or "spontaneous vertex delivery" or SVD

22. This record was changed to a mandatory field in the system from 2019 onwards

23. The Digital Health and Care Institute (DHI) is one of eight Innovation Centres (IC) in Scotland. DHI's focus is in harnessing innovation to seek and solve key challenges for the health and care sector; transforming great ideas into real solutions. It is a collaboration between the University of Strathclyde and the Glasgow School of Art; and is part of the Scottish Funding Council's Innovation Centre Programme. It is part funded by Scottish Government. DHI support innovation between academia, the public and third sectors and businesses in the area of health and care.

24. Further detail on proposed actions to progress implementation of the new model is set out in Appendix I.

25. A Maternity Voices Partnership (MVP) is a NHS working group: a team of women and their families, commissioners and providers (midwives and doctors) working together to review and contribute to the development of local maternity care.

26. WTE stands for whole time equivalent