What criteria it uses to determine whether to commission an independent review of local maternity services.

Within the policies we set, NHS Boards have responsibility for the design and delivery of services to meet the needs of their local populations and deliver safe, high-quality care. NHS Boards may commission local reviews of services to support them in the design and delivery of safe, sustainable services which best meet the needs of their local populations and geographies.If Scottish Ministers have concerns about local services they would discuss these with the Board as they are responsible for local service delivery, following which Ministers may decide to commission an independent review. There are no set criteria for such decisions as it will depend on the circumstances of the issues under consideration and the most appropriate response.Healthcare Improvement Scotland (HIS) undertakes independent inspections of obstetric maternity units in Scotland through its Maternity Inspection programme. The inspection programme launched in January 2025 and details of the inspection methodology are made publicly available on the HIS website, along with inspection reports and NHS Board improvement plans. Crucially, HIS maintains independence in its scrutiny activity, including in its inspection programme. HIS takes decisions around inspection activity using a risk-based, proportionate and data- and intelligence-led approach.Links:https://www.healthcareimprovementscotland.scot/inspections-reviews-and-regulation/safe-delivery-of-care-in-maternity-units-inspection-programme/https://www.healthcareimprovementscotland.scot/inspections-reviews-and-regulation/inspections-of-nhs-hospitals-and-services/hospital-and-services-inspection-reports/