Newborn blood spot screening standards

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Document Type

Standards

Summary

The national pregnancy and newborn screening programme has a number of individual screening elements. We are developing standards for newborn blood spot screening.

All newborn babies are offered a blood spot screening test between 96-120 hours (4-5 days). The test is done by taking a blood sample from the baby’s heel. The sample is checked to find out whether the baby is unaffected, a health carrier or has the screened for condition.

These standards relate to newborn blood spot screening for:

  • cystic fibrosis
  • sickle cell disease
  • congenital hypothyroidism
  • six inherited metabolic disorders. These are phenylketonuria, medium-chain acyl-CoA dehydrogenase deficiency, maple syrup urine disease, isovaleric acidaemia, glutaric aciduria type 1 and homocystinuria.

Consultation survey

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These standards are a review of the 2019 Newborn Blood Spot Screening standards.

The consultation on the draft standards closes on 12 August 2025.

What we are consulting on

There are 5 standards within the draft which cover:

  • information provision and informed decision making
  • offer of the newborn blood spot screening
  • newborn blood spot screening and results
  • laboratory processes and results reporting
  • specialist support and care planning following a positive result

Further information on the background to the standards development can be found within the draft standards consultation document.

Consultation feedback

A summary of the responses to the consultation will be made available on request. You can request them from the project team at his.standardsandindicators@nhs.scot

The updated pregnancy screening standards for chromosomal and health conditions were published in 2024. The remaining pregnancy and newborn screening standards will be reviewed at a later date and remain current. These are

  • Haemoglobinopathies in pregnancy
  • Infectious diseases in pregnancy
  • Newborn hearing screening