Media release: Maternity Inspection report Balfour Hospital, NHS Orkney
Healthcare Improvement Scotland today (Thursday 2 July) published a report relating to a Maternity Services Safe Delivery of Care inspection visit to Balfour Hospital, NHS Orkney. We carried out the unannounced inspection of maternity services at the hospital on 23-24 March 2026.
Speaking of the report, Donna Maclean, Chief Inspector, Healthcare Improvement Scotland, said:
“During our inspection we observed staff providing compassionate, responsive and person-centred care to women and their families.
“We observed good teamwork throughout the inspection and senior midwifery and obstetric leadership teams were visible and respectful.
“Staff described being supported by senior managers and felt able to raise concerns. Staff were actively engaged with their own learning and development, and plans were in place to ensure they all complete their mandatory training.
“During the inspection some areas of improvement were identified including the improved oversight and governance of the review of policies, guidelines and procedures. Further improvements are required to ensure timescales of adverse events are achieved.
“NHS Orkney must also ensure that clinical leaders have protected time to lead to fulfil their leadership roles.”
Chief Inspector, Healthcare Improvement Scotland
Speaking of our expansion of Safe Delivery of Care inspections into maternity services, Eddie Docherty, Director of Quality Assurance and Regulation, said:
“In response to Healthcare Improvement Scotland’s Neonatal Mortality Review in 2024, we made a commitment to expanding our Safe Delivery of Care inspection approach to include inpatient maternity services. The maternity inspections will provide women, and families with an assessment of the quality of care provided by their local maternity service and an independent review of any required improvements.
“The Healthcare Improvement Scotland Maternity Care Standards, published on 23 March 2026, set out national expectations for the delivery of safe, effective and person‑centred maternity care across all settings, including midwifery units, community and home settings, hospitals, primary care and prisons. All health boards have been formally advised that the Maternity Care Standards will be incorporated into maternity inspections from Monday, 21 September 2026 onwards.”
Director of Quality Assurance and Regulation, Healthcare Improvement Scotland
The maternity services inspection at Balfour Hospital resulted in 12 areas of good practice, two recommendations and nine requirements.
An improvement action plan has been developed by NHS Orkney to meet the requirements for maternity services.
The full Balfour Hospital maternity inspection report is available to view at: https://www.healthcareimprovementscotland.scot/publications/balfour-hospital-maternity-safe-delivery-of-care-inspection-july-2026/
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Notes to editor
This report is part of Healthcare Improvement Scotland’s programme of inspections and reviews.
Healthcare Improvement Scotland’s statutory role is to help improve the quality of health and care, provide information to the public about the quality of health and care services, monitor public involvement, and to evaluate and provide advice on the clinical and cost-effectiveness of medicines and health technologies.
