Improving miscarriage care

Scotland leads the way with new patient charter

Scotland is set to become the first country in the UK to publish a miscarriage patient charter, giving women clear information about the care and support they can expect from the NHS.

The charter, commissioned by the Scottish Government and developed in partnership with baby loss charities Tommy’s, Held In Our Hearts and the Miscarriage Association, sets out the rights and entitlements women should receive during and following a miscarriage.

It builds on the Scottish Government’s Delivery Framework for Miscarriage Care, which is changing the way in which NHS Boards support women — ensuring they are supported after a first miscarriage, rather than after three.

Women across Scotland should be able to access private spaces in hospitals, progesterone treatment where clinically appropriate, and compassionate, culturally competent bereavement support with additional improved information available online and in printed patient leaflets in 18 languages including BSL and audio formats.

Public Health and Women’s Health Minister Jenni Minto said: “Miscarriage is devastating, and for too long women have not had the care and support they deserve.

“That is changing. Scotland will become the first country in the UK to publish a miscarriage patient charter, meaning women know exactly how they will be supported by health services following their loss.

“This charter is a landmark moment — it tells women clearly what they should expect from their NHS, and it holds services to account for delivering it. Scotland is leading the way, and I am proud of the progress NHS Boards, and our charity partners have made together.”

Kath Abrahams, Chief Executive of Tommy’s, said: “The care and support offered to women after a miscarriage in the UK has for too long been inconsistent and inadequate.

“We welcome the commitment to change that for women in Scotland, and we’re delighted to have worked with the Scottish Government to create its charter for miscarriage care.

“We will continue to push for similar improvements across the UK and for the roll-out of Tommy’s Graded Model of Miscarriage Care, which promises women support and care from their first miscarriage rather than only after their third.”

 A Patient Charter for Miscarriage Care In Scotland

Improving miscarriage care

£1.5 million to support delivery of compassionate, high-quality care

Women can expect improved miscarriage care Public Health and Women’s Health Minister Jenni Minto has pledged, after unveiling a new framework, backed by £1.5 million funding.

The framework sets out a range of actions for Scotland’s NHS boards to implement, including ensuring that women going through miscarriage have a separate, private space. It will introduce a graded model of miscarriage care across the country. This means all women can receive tailored support and services, and won’t have to wait until a third miscarriage. This will include access to progesterone prescriptions – where clinically appropriate – both for threatened and recurrent miscarriage.

These changes will be supported by £1.5 million Scottish Government funding and aim to ensure that early pregnancy care is equitable so that no women are disadvantaged, regardless of where they access and receive care.

The Minister for Public Health and Women’s Health said: “The loss of a baby, no matter at what stage of pregnancy, has a profound and lasting impact on women and their families.

“To all who have experienced such a tragedy, I offer my deepest sympathy. The Scottish Government recognises this impact and is clear that women and families who have experienced pregnancy or baby loss must be provided with the right information, care and support, tailored to their individual circumstances.

“I am very grateful to everyone in Scotland’s NHS who works to provide miscarriage care and support.

“I know there is already a lot of good work underway within NHS Boards to improve miscarriage care services. The 2025-26 Budget, if approved by Parliament, will provide £1.5 million to support NHS Boards to improve delivery of sensitive and compassionate miscarriage care.”

Kath Abrahams, Chief Executive of pregnancy charity Tommy’s commented: “We are delighted to see the Delivery Framework for Miscarriage Care in Scotland launching today.

“The Framework is a real milestone on the path to excellent care for women and families in Scotland and Tommy’s has been pleased to work closely with our colleagues in Scottish Government as they have developed the Framework, which aims to ensure the right support and care for parents after every tragic loss.

“With compassionate care at its heart, we are looking forward to continuing to support our Scottish colleagues as they oversee the rollout.”

The Miscarriage Association’s Chief Executive Vicki Robinson said: “We are extremely pleased to see the publication of this important Framework for Miscarriage Care in Scotland, which represents a significant step forward in ensuring that those experiencing miscarriage receive the compassionate, high-quality care they deserve during such a heart-breaking time.

“This framework is a vital step in providing evidence-based care and offering women additional support in early pregnancy. We are proud to have contributed to its development and look forward to seeing it bring positive change. This is a crucial milestone in ensuring that miscarriage care is accessible, equitable, and compassionate across Scotland.”