As Scotland moves forward with the Remobilisation of services in line with the Route Map, the principles from Re-mobilise, Recover, Re-design: the framework for NHS Scotland should be applied to maternity and neonatal services so that services at each stage are:
Safe: Creating the safest environment and conditions for maternity services to best meet the needs of the population while putting the safety and wellbeing of the maternity and neonatal workforce on a par with the rest of the population.
Quality: As services are remobilised the highest standards of care will be maintained that prioritises shared decision making with women and families. Safe sustainable high quality maternity care rooted in individual and staff wellbeing.
Close to home: Services close to people's homes. While the pandemic has valued technology this is within the context of personal connection that listens to what matters to women and their families. Going forward there is a need to minimise unnecessary travel by providing care within the community and closer to home. We will evaluate and develop the role of virtual consultations within a person centred approach, ensuring that the most vulnerable women and families are not missing out.
Prevention: We will increase our work on prevention focusing on the public health role of maternity and neonatal services in improving the future health of population.
Equality: This pandemic has exposed and exacerbated deep rooted health and social inequalities. Maternity and neonatal services will act to mitigate against these by ensuring that services are provided in way that is proportionate to need. Services will focus on how to support those who are most vulnerable (clinically and socially).
Sustainability: Maternity and Neonatal Services need to ensure financial sustainability, while reducing inequalities and improve health and wellbeing.