The Chief Scientist Office (CSO) of the Scottish Government Health and Social Care Directorate supports and promotes high quality research aimed at improving the quality and cost-effectiveness of services offered by NHSScotland and securing lasting improvements to the health of the people of Scotland.
CSO invests directly in research projects through its response mode funding system, which relies on high quality research applications being made by the research community with proposals funded on the basis of scientific excellence. This system covers research across a very broad range of areas of health and would include consideration of research proposals into stillbirth and neonatal death. Proposals to CSO funded fellowship schemes could also include research in these areas.
In addition, CSO contributes financially to National Institute for Health Research (NIHR) research programmes in order that researchers based in Scotland can lead applications to these health research programmes, and again applications to these programmes could include research proposals in these areas.
CSO Response Mode Grant Funding:
The CSO grant funding initiatives financial support for 31 research projects has been provided since June 2009 in areas of maternal, fetal and/or neonatal health. Funding of £2.9 million has so far been provided in relation to these projects.
The CSO has funded stillbirth research being led by the University of Edinburgh; AFFIRM (Can Promoting Awareness Fetal movements and Focussing Interventions Reduce Fetal Mortality), which is a stepped wedge cluster randomised trial. Sands, Tommy’s and SiMBA have also contributed to the study which is aimed at reducing stillbirth rates.
The Scottish Government has also given Sands £25,000 to be allocated to their UK-wide Research Fund for 2015/16.
National Institute for Health Research (NIHR) Research Programme Funding
The estimated 2015-2016 contribution to the NIHR Research programmes is £10.1 million.
There are currently eight projects led by Scottish institutions with a current total cost of £10.5 million.
Reproductive Health & Childbirth Specialty Group
The funding provided in 2015-2016 is £22,000.
(b) Clinical best practice in relation to multiple pregnancies
Evidence based advice on the care of women with multiple pregnancies is set out in the following: -
The National Institute for Health and Care Excellence clinical guidelines Multiple Pregnancies – The management of twin and triplet pregnancies in the antenatal period. In line with these guidelines, we would expect clinical care for women with twin and triplet pregnancies to be provided by a nominated multidisciplinary team consisting of a core team, including named specialist obstetricians, who have experience and knowledge of managing twin and triplet pregnancies; and
The Royal College of Obstetricians and Gynaecologists, Royal College of Midwives, Royal College of Anaesthetists and Royal College of Paediatrics and Child Health report on Childbirth: Minimum Standards for the Organisation and Delivery of Care in Labour (2007). This report sets out the essential minimum staffing standards required to support women in labour and provide safe care for them and their babies.