Summary

  • MSPs take evidence on legislation that will lift the time bar preventing child abuse victims taking civil action against the individuals or institutions that abused them

  • The Scottish government delivers a ministerial statement on the National Review of Maternity and Neonatal Services

  • The Scottish government gives another ministerial statement on support for business and the economy

  • MSPs vote to set separate Scottish income tax rates and bands for the first time, as set by Finance Secretary Derek Mackay.

  • The member’s debate comes from Tory MSP Annie Wells who celebrates LGBT History Month Scotland 2017

  1. Minister says she will keep the parliament informed on this issuepublished at 14:34 Greenwich Mean Time 21 February 2017

    Ms Campbell says ScotSTAR will be involved in the requirements for greater transportation.

    The minister say she will keep the parliament informed on this issue.

    She says the move to three enhanced neonatal units is for the longer term after the move to five.

  2. Transport issues raised by Green MSPpublished at 14:33 Greenwich Mean Time 21 February 2017

    Greens MSP Alison Johnstone
    Image caption,

    Greens MSP Alison Johnstone

    Greens MSP Alison Johnstone asks if the minister can advise if fewer units will mean more transport between them.

    Ms Johstone asks if ScotSTAR have been involved and whether transport resources can handle the changes. 

  3. Background: SNP government defeated after Holyrood health debatepublished at 14:31 Greenwich Mean Time 21 February 2017

    A rally of MSPs and local health campaigners was held outside parliamentImage source, bbc
    Image caption,

    A rally of MSPs and local health campaigners was held outside parliament

    Opposition parties defeated the Scottish government in a Holyrood debate on local health services last September.

    Scottish Labour put forward a motion urging the government to step in over a series of proposals to close or downgrade NHS services.

    Health Secretary Shona Robison insisted that no final decisions had been made about any of the services mentioned.

    But the Tories, Greens and Lib Dems united behind Labour, with the SNP abstaining in the final vote.

    The motion only calls on the government to step in over the plans, so does not bind the minority administration to any action.

    The SNP narrowly avoided a defeat over tax reform a week ago only after Labour leader Kezia Dugdale's vote did not register.

  4. Minister says Vale of Leven hospital would be closed under Labourpublished at 14:30 Greenwich Mean Time 21 February 2017

    Public Health Minister Aileen CampbellImage source, bbc
    Image caption,

    Public Health Minister Aileen Campbell

    Public Health Minister Aileen Campbell says there are no firm proposals on the future of the Vale of Leven services.

    Ms Campbell says she expects boards to take cognisance of this report.

    She says the Vale of Leven hospital is there because of the work of the government, as the uncomfortable truth was the Labour administration was going to close it.

  5. Vale of Leven maternity unit raisedpublished at 14:29 Greenwich Mean Time 21 February 2017

    Labour MSP Jackie Baillie

    Labour MSP Jackie Baillie asks if the minister will commit to retain the full maternity service at the Vale of Leven Hospital.

  6. Background: More on the 25,000 adverse incidents in maternity hospitalspublished at 14:27 Greenwich Mean Time 21 February 2017

    Across Scotland from the beginning of 2011 until the end of 2015 there were more than 285,000 births, including 1,247 stillbirths.

    Health boards detailed minor incidents including slips, trips, bumps and falls, but also more serious events including:

    • A pregnant woman involved in a "radiation incident";
    • A newborn baby died due to a spinal cord injury following a forceps delivery;
    • Five reports of staff behaving inappropriately or in a hostile manner;
    • Three occasions in 2013 at one hospital when medical equipment "failed" during an operation;
    • More than a dozen medication-related events at one health board including instances where the wrong medication was given, the wrong dosage was administered, and where the medication wasn't administered at all.
    Pregnant ladiesImage source, SPL

    In reality the total figure may be far higher than 25,000, because some health boards - including Greater Glasgow and Clyde - provided only the most serious events rather than all adverse events.   

  7. Postpublished at 14:27 Greenwich Mean Time 21 February 2017

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  8. Background: Maternity hospitals record 25,000 adverse incidentspublished at 14:27 Greenwich Mean Time 21 February 2017

    Media caption,

    Media captionA BBC investigation finds Scotland's maternity hospitals have recorded more than 25,000 adverse incidents since 2011

    Scotland's maternity hospitals recorded more than 25,000 adverse incidents since 2011, BBC Scotland discovered last November.

    The most serious cases included the deaths of 26 newborns and 79 stillbirths. Three mothers also died.

    Staff shortages, medicines given in error and treatment delays were also among the incidents logged.

    The Scottish government pointed out that in 2015 the country had recorded its lowest level of stillbirths.

    Health Secretary Shona Robison also said that there were fewer neonatal deaths and fewer maternal deaths.

    The minister's comments came following a BBC Scotland Freedom of Information (FOI) request into the number of "adverse events" taking place in maternity units.  

  9. 'Scotland is taking a leading way forward for women across the country'published at 14:25 Greenwich Mean Time 21 February 2017

    Public Health Minister Aileen CampbellImage source, bbc
    Image caption,

    Public Health Minister Aileen Campbell

    Public Health Minister Aileen Campbell says Mr Sarwar fails to recognise that there is a good record of maternity services in Scotland.

    Ms Campbell says: "Scotland is taking a leading way forward for women across the country."

    She says she wants to keep women alongside their babies.

    The minister says specialising neonatal servies from five to three is to transform the care given and improve the outcome for babies.

    She says it is important that every mother gets the very best care and every baby gets the best start in life.

  10. When will government publish an additional workforce plan?published at 14:22 Greenwich Mean Time 21 February 2017

    Anas Sarwar

    Labour MSP Anas Sarwar says it is important to look at the report alongside the Bliss Scotland report which found neonatal units are understaffed.

    Mr Sarwar asks when the government will publish an additional workforce plan and when additional staff will be brought it.

    He asks what units will lose intensive care cots as part of recommendations.

    The Labour MSP asks if the minister will recognise that closures to maternity untils at Vale of Leven and others are ill advised.

  11. Minister says there will always to be 15 neonatal units across the countrypublished at 14:19 Greenwich Mean Time 21 February 2017

    Public Health Minister Aileen CampbellImage source, bbc
    Image caption,

    Public Health Minister Aileen Campbell

    Public Health Minister Aileen Campbell says in terms of neonatal provision there will always continue to be 15 across the country.

    Ms Campbell says careful planning will be required for the progression and it is important specialist care is delivered to the small number of babies that need it.

    She says as the service develops she will keep parliament informed.

    The minister says she will continue to work with staff  in delivering the recommendations.

    She says of course women should have choice in rural areas.

  12. Intensive care units and staffing not mentioned says Tory MSPpublished at 14:17 Greenwich Mean Time 21 February 2017

    Tory MSP Donald Cameron

    Tory MSP Donald Cameron says there are issues the statement has not addressed.

    Mr Cameron says intensive care units and staffing have not been mentioned.

    The Tory MSP says the report states all women should have an appropriate choice of place of birth.

    He asks if the government will support rural areas to deliver recommendations. 

  13. Background: Maternity services in Scotland 'beginning to buckle'published at 14:15 Greenwich Mean Time 21 February 2017

    MidwivesImage source, PA

    Maternity services in Scotland are "beginning to buckle", according to a new report by the Royal College of Midwives.

    The report said more complex births, older mothers and an ageing workforce were adding to the pressures.

    It also showed that more than a fifth of pregnant women in Scotland were obese.

    The Scottish government said it had consistently increased midwife numbers over the past few years.

  14. Review was firmly grounded in the views of staffpublished at 14:15 Greenwich Mean Time 21 February 2017

    MS Campbell says: "This review was firmly grounded in the views of staff, and the review report describes some of the challenges that they face.  

    "These have also been reflected in recent reports by Bliss and the RCM."

    The minister says:

    • The Royal College of Midwives described the report as having ‘the potential to revolutionise maternity care, and to delivery safer and better services for women, babies and their families’.
    • Bliss Scotland described it as ‘an ambitious and progressive vision for family-centred care and good news for the future of Scottish neonatal services’
  15. All 15 neonatal units will remain and continue to care for babies in their areapublished at 14:13 Greenwich Mean Time 21 February 2017

    Hands clasped holding a newborn baby's feet

    The minister says the model of neonatal care described in the report aims to reduce the number of babies who need to spend time in neonatal units, by keeping mothers and babies together in postnatal wards with in-reach support from neonatal staff.  

    Ms Campbell says all 15 neonatal units will remain and continue to care for babies in their area. 

  16. 'I want to underline how important it is that families stay together'published at 14:12 Greenwich Mean Time 21 February 2017

    Mother with childImage source, Thinkstock

    The minister highlights the recommendations to keep mother and baby together, to involve parents more in the delivery of care, and to provide accommodation and a national approach to expenses for families with babies in neonatal care. 

    Ms Campbell says: " I want to underline how important it is that families stay together. "

  17. Jane Grant has agreed to Chair the implementation of the review recommendationspublished at 14:10 Greenwich Mean Time 21 February 2017

    Aileen Campbell

    Ms Campbell announces that Jane Grant has agreed to Chair the implementation of the review recommendations.     

    She says: "All of the  76 recommendations will take time to implement, but are important."

  18. Review recommendationspublished at 14:09 Greenwich Mean Time 21 February 2017

    The expert group's recommendations include:

    • Pregnant women to be given a primary midwife offering care before, during and after the birth. Most midwives will work in the community and have a caseload of about 35 women
    • All NHS boards should offer women a full range of choice of where the birth will take place
    • Maternity and neonatal services should be redesigned to ensure mothers and babies stay together
    • Caesarean sections, currently accounting for about 31% of births, should only be offered for clinical reasons
    Caesarean sectionImage source, SCIENCE PHOTO LIBRARY
    Image caption,

    The review recommends Caesarean sections should only be offered for clinical reasons

    • The number of specialist neonatal intensive care units will be reduced to between three and five
    • All NHS boards should provide accommodation to women who have to travel long distances to access specialist services. All neonatal facilities should provide emergency overnight accommodation
    • A review of training and competencies required for staff working in remote and rural areas
  19. Primary midwife plan for pregnant womenpublished at 14:09 Greenwich Mean Time 21 February 2017

    Doctor and pregnant ladyImage source, SPL

    Pregnant women in Scotland should be allocated a primary midwife, providing care before, during and after the birth of their child, a review has found.

    The proposal is one of 76 recommendations from an expert group, external looking at maternity services.

    Caesarean sections should only be offered for clinical reasons, the review suggests.

    Between three and five neonatal intensive care units across Scotland would care for seriously ill babies.

    These would be supported by other special care units, the report said.

    The review, announced in 2015 and chaired by NHS Forth Valley chief executive Jane Grant, has been examining best practice and current services.

  20. Minister welcomes review reportpublished at 14:08 Greenwich Mean Time 21 February 2017

    Ms Campbell says: "I welcome a report that is so strongly anchored in the views of the hundreds of service users and staff across Scotland who contributed."