Implementing the Recommendations of the Neonatal Critical Care Transformation Review

Implementing the Recommendations of the Neonatal Critical Care Transformation Review
NHS England 13 December 2019

• An outline of the action plan to implement the recommendations of the Neonatal Critical Care Transformation Review.
• The three key commitments are focused on: 
• 1. Developing neonatal capacity: redesigning and expanding neonatal critical care services to further enhance safety, effectiveness and the experience of families, to improve neonatal capacity and triage within expert maternity and neonatal centres. 
• 2. Further developing the expert neonatal workforce required: extra neonatal nurses and expanded roles for some allied health professionals to support clinical care. 
• 3. Enhancing the experience of families through care coordinators and investment in improved parental accommodation.

Pan-London Guideline for In Utero Transfer

Pan-London Guideline for In Utero Transfer
NHS London Clinical Senate 7 November 2018

• This guideline provides information on key areas of the in utero pathway and will help inform both the content and structure of local guidelines. The goal of the guideline is to better inform clinicians, support their decision-making process and reduce inappropriate variation in practice.

Key issues of neonatal service configuration in England: the NeoNet multimethods study

A framework to address key issues of neonatal service configuration in England: the NeoNet multimethods study
Health Serv Deliv Res 2018;6(35), October 2018

• Geographic analysis and computer models were used to investigate a range of alternative scenarios for neonatal care, looking at the impact of greater and lower levels of centralisation. The models suggest that having fewer units, especially for intensive care, could potentially improve infant survival rates. Costs and resource implications (e.g. the number of nurses required), as well as the impact on parental travel time, were also investigated using these models.

Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes

Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial
Lancet Child and Adolescent Health 7 February 2018 DOI: https://doi.org/10.1016/S2352-4642(18)30039-7

• The Family Integrated Care (FICare) programme is a pragmatic approaches to enable parents to become primary caregivers in the neonatal intensive care unit (NICU). In this multicentre RCT across 26 tertiary NICUs in Canada, Australia, and New Zealand parents were present for at least 6 h a day, attend educational sessions, and actively care for their infant. 
• FICare was found to significantly improve infant weight gain, decrease parent stress and anxiety, and increase high-frequency exclusive breastmilk feeding at discharge. 
• There were no significant differences between groups in the rates of the secondary outcomes of mortality, major morbidity, duration of oxygen therapy, and duration of hospital stay.