The Sensible One has put two folders on the table. One asks how Scotland should improve maternity care. The other asks what happened to families who say the system failed them. They are related folders. They are not the same folder.

At First Minister’s Questions on Tuesday, Labour MSP Jackie Baillie said NHS Greater Glasgow and Clyde recorded 736 serious adverse events in maternity and neonatal services between 2019 and 2025, with 406 involving a death. Those figures were presented in Parliament. They do not mean that 406 deaths were caused by poor care, or that 406 were avoidable. That distinction matters precisely because the numbers are so grave.

Baillie raised the case of Julie Keegan and Angus McLean, whose three-day-old son Mason died at Glasgow’s Queen Elizabeth University Hospital in 2023 after errors in his care. The couple joined more than 100 parents and supporters in Glasgow on Sunday to demand a public inquiry. Campaigners argue that local serious adverse event reviews have not supplied the accountability or common picture they need.

John Swinney’s answer was explicit: “I do not support a public inquiry.” He said Professor Christine McCourt’s independent review, alongside inspections by Healthcare Improvement Scotland, would provide an open and transparent assessment and recommendations for action.

The McCourt review began on 5 October and is due to report in July 2027. It will examine the whole maternity system, hear from families and staff, consider rural and island services, look at unequal outcomes and take account of unannounced inspections of all 18 acute maternity units. Its published principles say it is forward-looking and concerned with current and future need.

That is a substantial piece of work. It is also the reason the argument has sharpened rather than disappeared. A forward-looking service review can identify safer staffing, governance and care. Families are asking for a process that also establishes what happened in past cases, who knew what and whether failures repeated across hospitals. Improvement and accountability may occupy neighbouring desks, but one cannot simply answer the other’s telephone.

The Government has therefore made a choice about mechanism. It is pursuing a national review designed to recommend change, not the public inquiry requested by campaigners. Ministers can reasonably argue that Scotland needs improvement quickly. Families can reasonably reply that the future becomes difficult to trust when the past remains unresolved. Both propositions fit in the room, however inconvenient that is for the furniture.

The next formal milestone is Professor McCourt’s report in July. There is no public inquiry scheduled. Until then, the central question is not whether maternity services should learn. Everyone says they should. It is whether the process chosen can both improve tomorrow and give bereaved families credible answers about yesterday. At present, the Scottish Government says yes to the first task and no to the inquiry families believe is needed for the second.