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Maternity Services Review -
Information for staff, public and other interested parties


NHS Grampian has carried out a review of maternity services to ensure they deliver the best possible care now and in the future. Maternity services are facing a number of challenges and the review aimed to help services rise to these.
The review aimed to ensure care continues to be safer, more effective, sustainable and closer to home whenever possible; supporting families to enjoy a normal pregnancy and birth in pleasant surroundings, free from medical intervention whenever possible, but with access to high quality specialist support when needed.

Consultation on Proposed Changes to the Maternity Service in Grampian  

NHS Grampian carried out a formal consultation on proposals for the maternity service in Grampian.  
An Option Appraisal was carried out in 2011 as one part of the wider review of the NHS Grampian maternity service. The Option Appraisal group involved women, clinicians and managers, working together to consider different ways the maternity service could be provided.
The Board of NHS Grampian discussed the Option Appraisal results and agreed to conduct a formal consultation on the proposals. The consultation ended in March 2012. The consultation paper (full and summary version) explains the original proposals. 


Consultation Documents

Consultation Outcome

The Link opens in new windowconsultation results and subsequent finalised proposals (pdf) were discussed at the NHS Grampian Board Meeting on Tuesday 12 June 2012.

The Board of NHS Grampian agreed to submit the final proposals for maternity services in Grampian to the Scottish Government for Ministerial consideration.


Scottish Government Response

NHS Grampian received a response letter from the Cabinet Secretary for Health, Wellbeing and Cities Strategy giving approval for NHS Grampian to move forward with the implementation of the finalised proposals.  The letter is available to read Link opens in new windowat this link (pdf).

Finalised proposals

The final proposals provide a Grampian-wide model, with one maternity service, one budget and one management structure.
The main elements of the final proposals are:
  • Two Consultant Units in Aberdeen and Elgin
  • Integrated community maternity teams across Grampian
  • A Community Maternity Unit in Aberdeen, Inverurie and Peterhead
  • A home birth service across Grampian
  • Scanning and screening services and community based consultant clinics
  • Longer term aim to relocate Aberdeen Maternity Hospital on the Foresterhill site.
The proposals aim to provide a service that is safer and more sustainable and which will better meet the needs of all women and families across Grampian as well as women from Orkney, Shetland, Highland and Tayside who need specialist care at Aberdeen Maternity Hospital. 
The proposals also aim to ensure resources (staff, budget and buildings) are used more fairly, effectively and efficiently.

Next Steps

The maternity service is commited to work with staff, women & families and other key stakeholders to ensure they are fully engaged during the implementation of the proposals.  An update on progress is available Link opens in new windowat this link (pdf).