 Ieithio, gynorth, mae Llyr Gruffydd yn ei gwybrion i gael gwahanol a'u gweithio i ddysgu'r sgwrdd anghytfwrdd hcymhwgol jyrnau hyn oedd y prifyfliadau sgwrdd 1000 ar unrhyw o gweithio gweithio chi, mae'n byw yn bryd i'r fydd. Felly, mae'n dweud i'r gweithio sy'n ddweud hyn o'n ardal gyda'r lleol hyn, mae'n byd i'r sinold i'r cynnigol, ac mae'n byw'n ddyliol, cwestiwn sy'n gweithio bawb o'r pethau, ac dros y buiadau oedd yn amgylch Nothing? Rwy'n fide Nonetheless, mae hynny'n du o'r cwestiynau a'r unrhyw yw Gwyrdd Cymru, gan gilydd i'n gweithio iaethach. Rwy'n fide accusing mewn ac i ddyw y môr, mae'n ceisio ddim yn gwneud o'r pethau, ac mae'r bwysigrach ar y gweithg BiD, ac mae'n ddrygio i'n gweithio er mwynol i'r pethau. A oedd y dyn ni'n cael ei ddwybolaeth, oswalt chi'n 10 munud. I welcome the opportunity to update members on the Scottish Government's response to Ralph Roberts's review of maternity services in Murray. As a result, I am delighted to set out the next steps for the reintroduction of consultant-led maternity services at Dr Gray's hospital in Elgin. That will not be easy, but with effort and targeted investment, I believe that it can be delivered. I understand the urgency and the importance of the issue. It has been imperative for me to hear directly from those most affected, namely local people and the clinicians working in both Dr Gray's and Ragemore hospitals, and indeed of course the local elected members before making my decision. I know across this chamber that we all want maternity services across Scotland to be delivered safely and as close to home as practable. The Murray maternity independent review commissioned by my predecessor Jeane Freeman was carried forward with a thorough and consultative approach. I want to again record my thanks to Ralph Roberts and the review team for their excellent work. Those have not been decisions that I have taken lightly. I have taken time to consider the recommendations in discussion with a range of interested individuals and groups. I started that process in December when the review was first published and concluded last week with a visit to both Ragemore and Dr Gray's, where I met senior teams, clinicians, local people and elected members. I thank everyone for taking the time to provide their thoughtful contributions to the discussions and for welcoming the wide-ranging views that were presented to me. Ralph Roberts' team explored six potential models of service delivery from maternity services in Murray and made 37 recommendations for improvement to care. The report recommended that, in the short term, NHS Grampian and NHS Highland moved to a community maternity unit in Dr Gray's network, primarily with Ragemore for consultant-led care, but with women requiring tertiary maternity care or neonatal care going to Aberdeen. That was titled as model 4 in the aforementioned report. It went on to recommend that NHS Grampian undertake a review of the role of Dr Gray's hospital, potentially moving to a rural consultant-supported maternity unit in Dr Gray's. That was titled as model 5 in the report. Mr Roberts also made a number of recommendations in relation to short-term changes. They were around leadership, culture and workforce and, indeed, on recruitment. As I have talked to people over the last three months, I have heard the full range of very different opinions about the future for maternity services at Dr Gray's. There are differences in opinion on the way forward. What I intend on doing today is setting the destination of where we want to get to and, in doing so, I will be up front about the scale of the challenge ahead of us. I have concluded that we will progress with model 6, a full consultant-led maternity unit at Dr Gray's, with model 4 as part of the development towards that final destination. I hope that that will see 80 to 90 per cent of Murray births taking place at Dr Gray's on the realisation of a consultant-led model, similar to the numbers that were taking place prior to the changes that were made in 2018. I said at the beginning of the statement that delivery of a consultant-led service will not be easy and it will require significant investment both in infrastructure but also in workforce. It will involve us collectively having to find solutions to really complex systemic problems that have challenged the Grampian region for many years, such as recruitment and retention. The priority for women of Murray is that they have access as soon as possible to the widest range of maternity services that can safely and realistically be delivered as close to home as possible. Let me be clear. I expect work on model 6 to begin immediately. The first step in that journey is working through the detailed timeline of what is required by when. That will be done with independent oversight and clinical input. As I have said, model 4 will be a critical component on the journey towards realising model 6, a consultant-led maternity unit. Model 4 includes enhanced specialist anti-natal and post-natal care and Dr Gray's to vastly reduce the need for women from Murray to travel to access those services. The additional infrastructure and resource that will be invested to achieve this goal will act as a bridge to the delivery of a Dr Gray's consultant-led service and accompany a wider plan for regeneration of services beyond maternity services at Dr Gray's. As Ralph Roberts's report recognises, it is essential that a consultant-led service is taken forward within the context of a revitalised vision for Dr Gray's. That extends beyond maternity services to include increasing services at Dr Gray's for the whole population of Murray. NHS Grampian has already outlined plans to the board for development of a strategic vision and future plan for Dr Gray's, developed in collaboration with local communities and to re-establish the public faith in the sustainable future of Dr Gray's. However, we know that that will not happen overnight. I know that local people understandably want those services back as quickly as possible. We are committed to investing in the staff and delivering the required infrastructure to put those services in place in a secure and stable footing as quickly as possible. Now that I have stated clearly our intention to restore a consultant-led maternity unit at Dr Gray's, it is imperative that we develop deliverable timescales for the interim service provision at Rhaigmore and, of course, the full service at Dr Gray's. Having listened to clinicians, I understand the importance of making changes in a phased manner to ensure safety for the women of Murray and the women of the Highlands. I also recognise that facilities in Rhaigmore and Dr Gray's will need significantly improved to support this move. That is why, as a starting point, I will make £5 million available to invest in Dr Gray's to support moving forward with the changes in Murray. In addition, it is clear that clinicians in Rhaigmore have concerns about the current facilities in which they are operating. With that in mind, we have made an initial provision for a further £5 million for redevelopment of Rhaigmore within our capital plan. That will allow plans to be brought forward to redevelop the maternity unit in Rhaigmore to provide an improved environment for the women of the Highlands and the interim for the women of Murray who choose to have their baby there. Once planning is further developed, we will also look at what additional funding may be required. I again repeat my commitment to providing the necessary resources to support the change. This is an immediate commitment of £10 million from this Government to enhance maternity services in Dr Gray's and Rhaigmore. The interim networked service will be developed with service users and will include delivery of the maximum possible amount of consultant-supported anti-natal and post-natal services at Dr Gray's, reducing the need for women to travel to Aberdeen or Rhaigmore to an absolute minimum and also delivering continuity of care for women in Murray. Having the clarity of a safe model 4 will enable us to focus on maximising the number of women who choose to deliver in Dr Gray's by building trust, confidence and, of course, understanding of choice. That has the potential to significantly increase the number of women who can give birth at Dr Gray's. Those women who need obstetric lead care will have the choice of Rhaigmore or Aberdeen for their care until such time as consultant-led services have returned to Dr Gray's. The chair, chief exec and executive team at NHS Grampian have sought to assure me of their focus and unstinting commitment as a board to the delivery of the model. I know that there are concerns, and I heard this very clearly from campaign groups in Murray, that once model 4 is in place, there will be no desire for further change. I heard this from not just local campaigners, but I also heard this from elected members in Murray 2. Let me be clear. Model 6, a consultant-led maternity unit at Dr Gray's, is what we will deliver. No one has been left in any doubt about my decision. Implementing model 4 will be a key component to achieving a consultant-led service, not an alternative to it. In addition, providing choice for Murray women will also significantly improve the birthing environment for Highland women. NHS Grampian and NHS Highland have already started to pave the way for change, and with a clear destination, we can start work immediately on the progression of planning and developing implementation plans. A process of accelerated planning will begin now, and we will conclude in the summer in relation to model 4 changes, and we will aim to have a clear timetable for the restoration of a full consultant-led unit as soon as possible thereafter. The plans will provide a timetable with milestones for delivery of both model 4 and model 6. Ralph Roberts made a number of other recommendations within the Murray maternity review on leadership, on workforce, on recruitment and on culture, and I accept all those recommendations. In his report and action, we will begin to take those forward, including in particular work to improve remote and rural staffing to support delivery of the staffing requirements for both model 4 and model 6 as they emerge, and commitment to providing the necessary funding to support delivery of those models. There will be an external assurance process built around that, which will include expert clinical input. I know how important that is, in particular to local community groups and in detail elective representatives. I have spoken to them in conclusion, planning officer having made this decision. We will waste no time at all and work to progress with implementation, which will begin immediately, and we will urgently drive forward our work to restore consultant-led maternity services to Dr Gray. I will be happy to keep Parliament updated when I have further details on milestones and timescales. Thank you very much, cabinet secretary. The cabinet secretary will now take questions on the issues raised in his statement. I intend to allow around about 20 minutes after which we will move on to the next item of business. Helpful, as ever, if members who wish to ask a question would press the request to seek buttons or place an R in the chat function. I call firstly Douglas Ross. Thank you very much, Deputy Presiding Officer. Can I start by recognising the outstanding contribution made by Keep Mum and the Murray and Bamp Maternity Voices Partnership, who have campaigned tooth and nail for the last four years to see the restoration of a consultant-led maternity unit at Dr Gray's? That is how long this has been going on for. Since 2018, we have been without that vital service in Murray. The last time I addressed this issue with the cabinet secretary in this chamber, he accepted that it was unacceptable. My fear today is that we are still a long way off from the restoration of that service. That has a huge impact, Deputy Presiding Officer, because Jill Skeen from the charity Lantnam, which is a maternal mental health support group from the north-east of Scotland, said this in the P&J today. Speaking of Elgin, I do not actually know if I have met a mum who is not suffering as a result of being very worried about childbirth or as a direct result of a traumatic birth from that area. They have said that Elgin is the worst area for mental health issues pertaining to childbirth and pregnancy anywhere they work. That is so obvious, because since Ray Roberts and his team produced their report, we had a statement in this chamber. Up to today, we have had more and more traumatic stories from Murray mums. Many of them have been very well articulated by the Keep Mum group, but one, Alexandra Naylor, stands out above all the rest. She spoke of her horror and her terror at having to give birth in a labai on the 96th. She was being transferred from Elgin to Aberdeen in Labour and could not even get there. That is the situation that we are dealing with right now. As I also alluded to with the cabinet secretary when he came to Murray last week, that is not just a one-way journey. You have to come back again. If I can just for a moment, Deputy Presiding Officer, speak about my personal experience. I have spoken in the chamber before about how Crystal had to go through to Aberdeen to give birth, and that was traumatic. That is something that I do not want any other mum or family to go through. However, we had to come back again. Our son was born at 1.45 a.m. and we were released from Aberdeen at 9 a.m. Less than eight hours old, we are taking an infant child back to Murray. He had to sit in the car for two hours. I have not spoken about this, but shortly after he was born, James spent almost a week under the excellent care at the Royal Sick Kids Hospital in Aberdeen, because he had breathing issues and chest problems. Ever since then, I have had to wonder, is it because of that journey that he was forced to make as such an infant child? Did that have a contribution to his problems a few weeks later? Every time I saw him in hospital, being fed with a tube down his nose and getting oxygen pumped into him, so helpless, I had to wonder, could that have been avoided if he was able to be born in Elgin and just be 10 or 15 minutes away from home? Those are the issues. It is not just the worry about childbirth, it is the worry then about coming back to Murray. The health secretary has confirmed today, and I welcome this, that model 6 is his preferred option. Of course, he confirmed that almost a year ago. He stood on a manifesto commitment to restore a consultant-led maternity unit at Dr Gray's. It was a commitment that I introduced to the Scottish Conservatives manifesto, and I was delighted to see in the SNP manifesto. We are where we were this time last year, but model 6, that restoration of a consultant-led maternity unit, must be the focus and the priority, because he is right. There is a genuine fear that model 4, with more Murray women going to Inverness, will become the norm, and that cannot be acceptable. So, how does he reassure people in Murray that that will not happen? Also, I have raised in the chamber before clinicians from Redmore who raised serious safety concerns. They said, and I quote, that findings of the Ralph Roberts report, and model 4 in particular, were unworkable and unsafe. Have they now been reassured by the Cabinet Secretary and have they changed their position? Will NHS Grampian fully support what the Government is proposing today? How does he answer the serious concerns again relayed in the independent review from Ralph Roberts that there has been a lack of investment in Dr Gray's for years? NHS Grampian has neglected our hospital for years, and there are serious concerns that they are not fully behind those plans. As Ralph Roberts said, Dr Gray's has not had the investment in similar hospitals elsewhere in Scotland, and that has to be addressed. I would be very interested to know what the Cabinet Secretary's response is to that. What will the investment at Dr Gray's be, and when will that take place? When will the full consultant-led maternity unit be up and running? We have no timescales, no milestones, and we need a date. What is happening right now for women and families who have to endure a blue light transfer to Aberdeen or Inverness and the staff that have to go with them? Finally, the Cabinet Secretary said that his aim is for 80 to 90 per cent of births at Dr Gray's. We all support that, but we need to know when. Will it even be during this Parliament? Can we get a date—a month, a year—when that will be done so that we can hold this Government to account, hold the health board to account, and pledge the restoration till of the services that people in Murray so desperately need? I thank Douglas Ross for his questions, and I also join him in praising Keat Mum, Murray Voice's partnership and all the other local campaigners. I can also praise the cross-party campaign—I think that it has been an excellent cross-party campaign and genuinely cross party—as far as I can see. His questions on pace and concern that model 4 will become the norm and there will be little work done on model 6 is a fear that I understand and community groups also share. That is why it is so important for me and I suspect that it is important for the campaigners and elected members that we have an independent assurance process alongside any work that is done. I heard very clearly about the distrust that local campaigners have towards the health board. They also no doubt distrust, to some extent, what we are saying here in the Government. I want to give them an absolute assurance that I am committed to model 6 and to return to consultant-led maternity services, but to give them additional assurance that we will have that independent oversight. That will include independent clinical oversight as well. In terms of his own story, I thank Douglas Ross for sharing his own personal circumstances once again. First of all, I hope that his son James fully recovers. Obviously, I do not have the clinical knowledge to say whether or not the journey back contributed to his breathing difficulties. I will say that, regardless of that, what I can say is that the journey back, when a child is hours old, is not something that I would want for my child. I suspect not what somebody would want for their newborn either. I cannot imagine, even from a parent's perspective, how tired she would be after supporting your partner through birth and how tired she would be the woman who has given birth. Therefore, that journey would be a difficult one. We want to minimise that absolutely. He says that model 6 is something that we are committed to. Model 5 is also a rural consultant-led model 6 that goes a bit further. That is why I have made the decision to go with model 6. I think that it matches the aspiration of the community. That will be the focus. I can give him an absolute guarantee that it will be the focus. He asked a couple more questions, and they were around Rhaigmoor clinicians. I met Rhaigmoor clinicians, as he knows. They did express difficulty, concern and anxiety about the current facilities. They have also written to me, and members know that, because they have made those letters public. What I will say is that I hope that they have got some assurance from the fact that I have put investment on the table for an improvement in their facilities. NHS Grampian does fully support the direction of travel. I have spoken to NHS Grampian. They understand my expectation around model 6, but I again fully understand that the independent oversight will be exceptionally important to community groups and elected members. On the timescale, which is the last question, the reason why I cannot give you a date right now is because, frankly, if we did that now, we would be plucking it out of the air. Now that I have set the destination, what we can do is work backwards. What does it take to get us to model 6, to get Dr Gray's full consultant-led maternity service? What investment is required? What staffing is required? What needs to be done in terms of some of the systemic challenges that Grampian has faced over the years? However, I can promise him two things. One, I will keep him and the Parliament updated on those timescales. We will be open and transparent about them. The last thing that will end on this is that we will not shirk away from our responsibilities in terms of the investment that is required for model 6. 2. Rhoda Grant I join with Douglas Ross and Payne tribute to Keith Mum and Murray Voices campaigners in Murray for consultant-led maternity services. I welcome the promise to reinstate consultant-led maternity services at Dr Gray's and the very much needed investment at Dr Gray's and Regmore, but I cannot welcome the short-term option. The cabinet secretary tells us that he is listening to what those involved are telling him, but he is obviously not hearing what they say. Clinicians from NHS Highland wrote to him in February saying that the board did acknowledge on this occasion that staffing and the built environment requirements for model 4 cannot be met in the timescale proposed in the report, i.e., two years. That is of profound significance as it confirms that model 4 is not an option for the short term. In addition, our lead pediatrician gave his opinion that our neonatal facility is at capacity and that any increase in birthrate at Regmore before major upgrading to staffing and facilities will put babies at risk. They were on to make the point clearly that neither was this a feasible option because they were unable to currently fill staffing vacancies and existing staffing were facing burnout. Many of those points were also made to him by the chief executive and community campaigners in Murray at meetings that I also attended. Will he therefore reconsider option 4? It is simply not safe. Will he outline what he is going to do in the short term to keep mums and Murray safe? As far as I am aware, Nather Order grant is a clinician, so she is right to put forward the views of clinicians in Regmore. Just before the meeting that I had with Rhoda Grant and Murray last week, I was having a meeting with clinicians from Dr Gray's. Almost all the clinicians in that room supported model 4. We have a difference in clinical input. I accept that clinicians in Regmore have a concern. I am hoping that what they will be reassured by is the £5 million that I am committing immediately. I am putting on the table. That is also why a timetable is exceptionally important. I said in my statement that I would return in the summer to give a detailed timeline of model 4 of what milestones will be achieved by when. Of course, I continue to reiterate that that will have clinical input from the clinicians at Regmore, of course, and clinicians from Dr Gray's, but also independent clinical input. Absolutely, timetables and timescales are important. I hope that our investment that I am putting on the table for Regmore and, of course, the investment for Dr Gray's. I hope that those will give clinicians assurance. I will continue the conversation with clinicians from Regmore, as I did last week. As the cabinet secretary has set out today, safety is the absolute priority in ensuring enhanced services in Murray. Can the cabinet secretary outline how NHS Grampian will support staff training and development across the multidisciplinary team? I can be brief and say that this was part of my discussion with the chair and chief executive of NHS Grampian. This is one of those issues that we have to grapple with when it comes to model 6, but also in the interim and the bridge model 4 solution 2. We know that there have been changes since 2018, and there is a question and concern about making sure that staff are appropriately trained, having not done a certain procedure since 2018. That is all part of the consideration, but I have had an absolute commitment from NHS Grampian that that training element will be core to developing model 6 and model 4 in the future. Given that the Scottish Government hope a version of model 4 will be delivered in two years, and as Douglas Ross rightly highlighted, there is no indication yet of how long model 6 will take to deliver, it is likely that there will be a considerable ongoing reliance on transferring maternity patients to hospitals out with Murray for the next few years. The cabinet secretary did not answer Douglas Ross' question on blue light transfers for Murray and the ambulance service was not mentioned once in his statement. Can the cabinet secretary advise me what impact the ongoing need for patient transport relating to maternity services will have on our already under pressure ambulance service and what discussions he has had with the service on any additional support that they will need to undertake this role longer term? That is a really good point, and forgive me that I tried to take a note of many of the questions that Douglas Ross asked me as possible. There have been conversations with the Scottish Ambulance Service around that point. They are under extreme pressure, of course, that is why we are investing in additional recruitment. Of course, the Scottish Ambulance Service, and it is yesterday that they have had a record year of recruitment over the last financial year. Scottish Ambulance Service will be critical to part of the solution. Of course, we hope that, when we implement the full model 6, there will be much lesser reliance on the Scottish Ambulance Service, but 80 to 90 per cent of births, we hope, when model 6 is up and running, will be in place. Even once model 6 is there in place, there will still need the involvement potentially of the Scottish Ambulance Service, so it will be critical in terms of the discussions that take place in relation to restoring consultant-led maternity services. The increased investment in services at Dr Gray's and Raghmore is very welcome. Can the cabinet secretary outline the improvements in Raghmore that the new investment is expected to deliver? Can he offer any reassurance to those within Raghmore who may be concerned about capacity issues during the interim option 1? I visited Raghmore myself, and anybody who has been to Raghmore maternity ward will see very clearly the constraints under which they are operating. Obviously, I had time to speak to some of the consultants and nurses and the midwives who were in the unit at that moment in time. The money that we have put forward is part of the redevelopment of that infrastructure. Clearly, there is a need to improve that capital infrastructure, which we are also looking to improve staffing or increase staffing, because we know that there are staffing challenges. It is not just recruitment—I should say that what we are doing is working with NHS Highland, and that will be the same for a Grampian, no doubt, but it is not just about recruitment, it is about retention, and that is going to be really important moving forward. I know that there are concerns currently about the infrastructure at Raghmore. I hope that the investment that we have put in the table will help to give some element of hope and reassurance to people that we are taking this, not just seriously, but putting our money where our mouth is. We know that there are significant pressures already placed on the existing workforce in rural health boards, such as the NHS Grampian, and it is, as you say, struggling with staff recruitment and staff retention. Could the cabinet secretary therefore tell the chamber what plans he has to remedy existing staffing difficulties, and indeed why Parliament should trust that this Government has the plans in place to ensure that its actions on workforce-related recommendations will have an effective and lasting impact and deliver for both the services and those that rely on those services? People can trust us on staffing because, under this Government, we have record staff in our NHS with 28,700 more whole-time equivalents and a 22 per cent increase since 2006. We can trust that we will grow the workforce, but it is not just about growing the workforce, as I said a moment ago. Retention is hugely important, and that is why we will be working with Grampian, but not just with the health board. There must always have to be a multi-agency approach to retention, and that is why we will work with the local authority on accommodation, for example, and on schooling for families who wish to move to Moray. I spoke to a couple of consultants who had moved their family to Moray. I am going to ask them why they have always looked at what was the reason for coming to Moray. The lifestyle came up as almost the number one issue for them all. I think that we should capitalise on that, but we have to ensure that the appropriate support is also there for people who uproot themselves from other parts of the country to Moray. It is an attractive place to work, and there is great opportunity there. Now that I have announced Model 6, I think that there is a really attractive vision for the future of Dr Gray's, which they can be a part of. It is very welcome that the voices of families and service users in Moray have been listened about in the process. The cabinet secretary has set out how continued stakeholder engagement will be delivered as the service is developed going forward. I commit absolutely to the investment that is needed. I commit to keeping Parliament updated. We will invest in the staffing and infrastructure. Of course, it is important that we are talking about Dr Gray's, but I am keeping a conversation with Grampian whatever is needed to be done at Aberdeen, although the facilities there are excellent. I should also say that this is a cross-portfolio approach, although I am leading on this understandably so. You can imagine that I am speaking to the likes of the transport secretary and others around improvements that can be made for those who have to travel to make that journey easier. I will return to the earlier point of order, given the number of members who still wish to ask a question and mind it to accept a motion without notice under rule 8.14.3, to extend by up to 30 minutes the business. I would ask Douglas Ross to move such a motion. Is the chamber agreed? That appears to be agreed. I now call that the extends business by up to 30 minutes. There will be consequential implications for the rest of the business, including decision time, but at this point I call Alex Cole-Hamilton to be followed by Karen Adam. The issues at the heart of the review are not unique to Murray. Expectant mothers in Caithness currently face a 100-mile trip to Ragemore to give birth. Sometimes they make that journey in the snow and in the dark. If he will commit here and now to a similar independent review of Caithness maternity services, and if he won't, can he explain to those expectant mothers in Caithness why they cannot expect the same level of service as mothers in Murray? He knows that the best start north review was commissioned jointly by NHS Grampian, NHS Highland, NHS Orkney, NHS Shetland to look at the challenges facing maternity services across the north of Scotland. The review is being carried out in consultation with local people to develop the best possible sustainable model for maternity services in the future. The review of course includes services that are delivered from Caithness. Changes to Ragemore and investment that comes with that will improve the services for all women in NHS Highland to travel to Ragemore to give birth, as well as accommodating women from Murray. I have agreed publicly last time that I travelled to Murray, but when I was asked about that, I will meet with the campaign groups in Caithness and understand their concerns about the current situation, but hopefully to give them a reassurance about the fact that the issue around Caithness is being considered and as part of the current review under way. Adam, who joins us remotely to be followed by Ariane Burgess. We know that a number of factors contribute to making it more difficult to recruit staff to work in rural areas, and the cabinet secretary outlined if there will be fresh approaches to recruitment and contract, such as hub and spoke models, with larger hospitals to ensure that specialisms can be delivered in Dr Grace. That has to be absolutely part of the solution. We know that, of course, we have to make posts attractive. That might include, for example, working in different sites. That is absolutely correct. It might also be mixing a clinical role with an academic role. Whatever we can do to make those posts more attractive, we will absolutely look to do and explore. Ariane Burgess, to be followed by Sue Webber. Can I join with colleagues across the chamber in recognising the hard work from community groups like KeepMum that have kept Murray maternity services on the agenda? I welcome the announcement that the Scottish Government will progress model 6, which will see a return to full consultant-led maternity unit at Dr Grace and its commitment to recruiting more specialist staff to deliver this. How will the cabinet secretary engage with stakeholder groups to monitor progress on this project? I will continue to engage with all stakeholders, from clinicians to elected representatives to the local community. In fact, I am due to speak to KeepMum in the campaign groups straight after this, although it might be slightly delayed, given the extension to business. I will continue to engage with local community groups and be absolutely involved in the process. I hope that the transparency that we are providing will give elected members plus local community groups the reassurance around what they can expect by what time. Sue Webber, to be followed by Gillian Martin. The cabinet secretary mentioned that model 4 was a bridge to model 6, but this in itself could take up to two years to establish. As the cabinet secretary will know, and as we have heard already today, getting to model 4 will require substantial investment in both recruitment and the existing workforce. Given the existing and long-standing issues with recruitment and retention in the health boards, what immediate steps will the cabinet secretary take to ensure that the workforce is in place in time? Importantly, can the cabinet secretary confirm that the two years for the establishment of model 4 is the very limit of time and not to target? That is precisely why we want to bring forward a timetable in an open, transparent way. I would not expect it to take longer than two years to answer Sue Webber's question directly, but, of course, I want that work timetable to be done. That is why it is so important that that is done and I update the Parliament on that. It is so important that we get that clinical input, because all of us—I do not think that there is a difference between what all of us want. We want to see sounds like all of us who have spoken want a return to a consultant-led service in Murray. We all want it as quickly as possible. I have got to be guided by the clinical view about doing that safely, because I certainly am not intending to be the health secretary that makes the decision that puts women at risk. I completely accept the point that there is risk in the current model, which I can hear people saying. We want to improve the situation as best we can. Of course, making employment sustainable is absolutely a part of that. I hope that the investment that I have put on the table and the Government are bringing forward is, again, an indication of our commitment. It is the initial investment, I suspect. There will be further investment in the years to come, but it is an initial commitment to restoring consultant-led maternity services at Dr Gray's. Taking the motion without notice, a number of colleagues have pressed their buttons. I will take a couple of them, but I am not going to mind it to take all those that have pressed their buttons since then, as we need to move on to further business. I call Gillian Martin to be followed by Miles Briggs. I also want to ask about recruitment challenges. Scottish Health Service has seen a reduction in the number of qualified staff from Europe applying for positions in Scotland's NHS since Brexit, impacting rural services like Dr Gray's. Can the cabinet secretary outline what discussions the Scottish Government has had with the UK Government to enable us to put in place migration policies that are better suited to the needs of our maternity services and the women who use them, particularly in rural Scotland? We have had conversations, as we can imagine, with the UK Government right across portfolios on the impact of Brexit on the workforce, and that is on various different workforces. I think that what I am really keen to do is to ensure that, from an NHS Scotland perspective, how do we take a co-ordinated approach to international recruitment? That will include, of course, EU recruitment. For example, when I visited NHS Fife recently at the Victoria hospital, I met nurse recruits from India, from the Philippines, from the UAE, and what we need to do is take a co-ordinated approach, because Scotland is an exceptionally attractive place to work, and Highlands and Grampian are exceptionally attractive places to work. What we have to do is ensure that the support for all the people who come here, that wraparound support, is there for them. I think that doing that, targeting particular countries, including those in the European Union, we should do that. I am not expecting additional help, I have to say, from the UK Government in that, but I will continue to push them in this regard. Two very brief supplementaries. First, Miles Briggs, and then clear up. The cabinet secretary outlined £5 million, which will be made available to an NHS Grampian, to support moving forward changes in Murray. Can he outline what this funding will be used for? As has been outlined throughout the statement, there are significant challenges being faced by families being transferred to Aberdeen. What additional support will be provided to those families, especially with regard to accommodation, when they are in the Granite City? The £5 million will be there to support the restoration of the service. That is clear. We will again come forward with further detail in an open, transparent manner about how that money is being sent. I will look at his request for additional support. I do not think that it is an unreasonable one, having heard from a number of parents that have had to make that journey, so where we can provide additional support for accommodation or for any other purpose, I am open minded to that. Yesterday, we had a very important committee to be on perinatal mental health. In the intervening period, although the changes have been implemented, what reassurance can the Cabinet Secretary give that the perinatal and postnatal mental health of mothers will be protected and that they will get the support that they need in this intervening time? I spoke to NHS Grampian and NHS Highland about that very issue, about perinatal and postnatal mental health. There is a key consideration, particularly as we move towards model 6, but that interim optional model 4 is to provide as much of that postnatal perinatal support as we possibly can, and that includes mental health support too.