
一项针对母婴护理服务的重要审查工作负责人向悲痛的父母们保证,他们的声音将在这项工作中得到倾听。
The head of a major review of maternity services has reassured bereaved parents their voices will be heard as part of her work.
此前,这些家庭曾担忧,苏格兰这项面向未来的全国性服务审查不会考虑他们因国家医疗服务体系(NHS)的失职而感到被忽视的感受。
Families had expressed concern the forward-looking national review of services in Scotland would not take into account how they felt failed by the NHS.
但克里斯汀·麦考特教授在接受BBC苏格兰频道采访时指出,与各类人群进行对话对于“汲取正确的经验教训以推动改进”至关重要。
But Prof Christine McCourt told BBC Scotland talking to a range of people would be valuable in "drawing the right lessons for improvement".
苏格兰政府表示,这项审查工作本周正式启动,预计将于明年夏天提交报告,并将考察“女性在各个护理层级、其家庭以及工作人员的真实经历”。
The Scottish government said the review, which got under way this week and is due to report back next summer, would consider the "direct experiences of women, families and staff at every level of care".
一年前,在BBC《披露》栏目对苏格兰各地母婴护理服务缺陷的深入调查之后,政府官员下令启动此次审查。
The review was ordered by ministers a year ago following a BBC Disclosure investigation highlighting failings in maternity care across Scotland.
在该纪录片中,洛里·奎特分享了他2020年失去妻子贾奎·亨特的经历。
In the film, Lori Quate shared his experience of losing his wife Jacqui Hunter in 2020.
贾奎在邓迪的奈因韦尔医院分娩时去世,当时他们的女儿奥利维亚尚未出生便已夭折。
Jacqui died at Ninewells hospital in Dundee while giving birth to their stillborn daughter, Olivia.
此前,医生曾给她过量使用了一种用于诱发分娩的药物,而NHS的审查发现,这或许正是导致她死亡的一个因素。
She had been given an overdose of a drug to bring on labour, and an NHS review found that it could have been a factor in her death.

在该纪录片播出一个月后,苏格兰政府宣布启动一项独立的全国性母婴护理服务审查。纪录片中,多个家庭、NHS员工及专家纷纷呼吁采取紧急行动以提升护理安全。
The Scottish government announced an independent national review of maternity care a month after the documentary heard calls from families, NHS staff and experts for urgent action to improve safety.
随着审查工作本周的启动,洛里表示,目前尚不清楚哪些内容会被纳入最终结论。
As the review got under way this week, Lori said it was not clear what would feed into its findings.
他说:“最大的担忧是,‘面向未来’这一表述似乎意味着,那些经历过这种失职文化折磨的家庭,只能有限地参与其中。”
"The biggest concern was that the phrase 'forward-looking' seems to necessitate a limited involvement of families who have been through the mill of this culture of failings," he said.
“如果他们不愿倾听这些家庭的经历,又怎能真正面向未来呢?”他还补充道:“我理解,如果目标是改变整个体系,就不可能逐一考察每一个具体案例。”
"How are they going to face forwards if they're not willing to hear from the families?" "I understand you can't go looking at every single individual case if it's about changing the system," he added.
“但像杰基和奥利维亚这样的案例,几乎堪称整个体系中普遍存在的系统性腐败与缺陷的典型。”麦考特是伦敦大学城市圣乔治学院母婴健康教授,她正在主持此次审查工作。她表示,听取持负面和正面观点的父母的意见都很重要。
"But a case like Jacqui and Olivia's is almost exemplary of the systemic rot and failings that prevail throughout the entire system." McCourt, a professor of maternal and child health at City St George's at the University of London, is chairing the review. She said it was important to hear from parents with both negative and positive views.

她说:“调查个案并非我们的职责范围。但通过了解人们的经历,尤其是与各种背景的人进行实际交流,我们完全有可能从中汲取经验教训。”
"It's not part of our remit to investigate individual cases," she said. "But there's a great potential to learn from people's experience, especially if you actually talk to a range of people.
“我们可以从中提炼出普遍经验中的规律:最初是什么导致了不良结果?之后又发生了什么?”
"You can draw out the patterns in the general lessons. What led to a poor outcome in the first place, and then what happened afterwards?
“父母是否得到了坦诚且有用的解释?他们是否获得了支持?”此次审查还将基于产科单位安全巡查中浮现出的主题,包括倾听家庭意见、全面调查严重事件以及从错误中吸取教训。麦考特表示,她不会回避指出系统中的压力问题,例如人员短缺。
"Are parents getting honest, useful explanations? Are they getting support?" The review will also build on themes that have emerged from safety inspections of maternity units, including the need to listen to families, investigate serious incidents fully and learn from mistakes. McCourt said she wouldn't shy away from identifying pressures in the system such as staffing shortages.
她说:“我们完全独立,因此能够毫无顾忌地表达需要表达的观点。如果医护人员过度焦虑,同时又缺乏合理的人员结构和足够的人数,就不可能运营一个高效的医疗服务体系。”尽管她表示会参考英格兰及英国其他地区此前调查得出的经验教训,但麦考特指出,苏格兰面临着不同的挑战。
"We're completely independent, so we have that capacity to feel totally free to say what we need to say," she said "You can't run an effective health service with staff who are excessively anxious, as well as not having the right mix of staff and the right numbers of staff." While she said she would take into account lessons learned by previous inquiries in England and other parts of the UK, McCourt said Scotland had different challenges.
“苏格兰的人口分布要分散得多。因此,如何满足农村地区的需求——那里路途遥远,人口密度较低——这与英格兰大部分地区的情况截然不同。”
"You've got a much more dispersed population in Scotland. So thinking about how to cater for the more rural areas where you've got long distances, and you've got a smaller population concentration, that's quite different from most of England.
因此,苏格兰将会有一些非常独特的情况,此外,其医疗系统也实行了权力下放。本周早些时候,苏格兰政府在宣布启动此次审查工作时表示,将研究诸如黑人和亚洲女性较高的孕产妇死亡率等不平等问题。
"So there are going to be things that are quite distinct about Scotland, as well as the fact that you do have devolution in the health system." Announcing the beginning of the review earlier this week, the Scottish government said it would look at inequalities such as the higher rates of maternal death among Black and Asian women.

此次审查还将“特别关注”凯斯内斯、埃尔金和威格特恩郡的孕产服务,因为这些地区长期以来一直开展改善当地服务的活动。
The review will also have a "specific focus" on maternity services in Caithness, Elgin and Wigtownshire, where there are longstanding campaigns to improve local services.
克莱尔·弗莱明第三个孩子安德鲁在邓弗里斯出生,那里距离她位于斯特兰雷尔郊外的家约有70英里。自2018年当地的孕产中心关闭后,即使只是进行短暂的产前检查,她也要长途跋涉前往那里。她并不指望此次审查能完全恢复斯特兰雷尔24小时的孕产服务。
Claire Fleming's third child Andrew was born in Dumfries, 70 miles from her home just outside Stranraer, after the local maternity unit closed in 2018 She travelled that distance even for short antenatal appointments. She does not expect the review to lead to the full reinstatement of a 24-hour maternity service in Stranraer.
“我理解在招聘助产士和工作人员方面存在限制和问题,所以我并没有提出那样的要求。但我认为真正重要的是,这里最基本的需求必须得到满足,而目前这些需求并未得到满足,”她说。“因此,当他们了解威格特恩郡这里的情况后,必须采取行动。”
"I understand there are constraints and problems in recruiting midwives and staff, so I'm not asking for that. But what I do think is really important is that the absolute basics are covered here, and they're not getting done just now," she said. "So when they find out what is going on down here in Wigtownshire, they need to act on it.
“我已经进行了超过五年的倡导活动,也见过每一位议员和首席部长。我与他们都谈过,但情况没有任何改变。因此,我祈祷这次审查能带来一些改变。”卫生部长安吉拉·康斯坦斯表示,此次独立审查将与苏格兰所有急性孕产中心的持续检查并行进行。
"I have been campaigning for more than five years, and I have met every MP and the first minister. I've spoken to them all and nothing's changing, so I am praying this is the thing that changes something." Health Secretary Angela Constance said the independent review would sit alongside ongoing inspections of every acute maternity unit in Scotland.

“虽然绝大多数母亲都得到了良好的护理,但我也听到了一些家庭表示失望,”她说。
"While the vast majority of mothers receive good care, I have heard from families who were let down," she said.
“他们的经历必须成为改进工作的依据。”麦考特表示,她希望听取苏格兰不同地区民众的意见。
"Their experiences must shape improvement." McCourt said she wanted to hear from people in different areas across Scotland.
“我们需要考虑到各地服务的不同组合,并思考如何最好地确保人们能够获得良好的服务,同时感到服务是安全的。”任何想与我们沟通的人,我们都热烈欢迎。
"We need to take account of the different mix of services and how best to make sure that people have good access, that people feel that they have safe access as well. "Anybody that wants to talk to us, that's very welcome."
希望为此次审查做出贡献的患者和工作人员可在此处查看详细信息。
Patients and staff who want to contribute to the review can find the details here