May 2008 Issue 4
to the May 2008 edition of the Yorkshire
Neonatal Network Newsletter
A word from Michelle Milner, Network Manager
As you are aware, the Yorkshire Neonatal Network has had a vacancy for a Network Manager for
over 18 months. Lisa Marriott covered this post during 2007 in her role as Specialist Obstetrics and
Paediatric Services (SOAPS) Commissioning Manager. Lisa left her post in January to join the
Specialist Commissioning Group and I was asked to cover all the children's and obstetric networks set
up under SOAPS, pending a review of all networks in the region. As an experienced paediatric nurse I
have taken this opportunity to broaden my experience of network management and have started to gain
a greater understanding of the complexity of each network. Within the Yorkshire Neonatal Network, as I
am obviously not an expert neonatal nurse, we have recruited Denise Evans to act up as Lead Nurse for
the Network during this transition period.
The Yorkshire Neonatal Network has a number of high priorities for 2008/9. We have been working
towards the classification and designation of all units in line with BAPM 2001 standards. Bryan and I
have recently completed visits to each Trust to assess the current neonatal configuration, future services
and Network priorities. Many thanks to everyone who spent time meeting with us.
The work programme and developments for the next 12 months follow on from these meetings. We
are now looking to undertake a comprehensive capacity and demand analysis to determine the numbers
of beds at each level of care and have asked Denise to lead on a workforce analysis which will help
inform us on the future workforce requirements. We are also hoping to examine a data management
system which will help us to collect and assess information on numbers of babies requiring neonatal
services in the future. All this, together with the transport project, gives us a very busy work programme
for the year ahead.
This is our first newsletter for quite a while so hopefully it helps bring you up to date with the work of
the Yorkshire Neonatal Network. If you have any queries or want to contact me my email address is
Help Shape the future of Neonatal Care
The North East Benchmarking Group has devolved into 2 separate groups as attendance became an issue over the
last two years. Our new group is called the Yorkshire Neonatal Network Essence of Care Benchmarking Group.
We have tried to improve resource/time management because units find it difficult to release nurses to attend
benchmarking meetings. At the AGM it was decided to attempt electronic dissemination; we can, however, only
develop a robust framework if benchmarking representatives and ward managers read the correspondence and
return comments in a timely fashion
Gwynn has changed the wording on the new Care Environment EOC Benchmark to be adapted for the Neonatal
Environment; this was made available for the full group meeting May 13th for team members to comment on and
take back to discuss with practitioners on their units. ………continued on page 2
• The YNN Parental Perceptions Survey
has now been fed back to all units
PROCEDURAL PAIN PROJECT individually and a paper written
offering a brief resume of the action
Following a presentation to the Network a plans within each unit to address any
couple of years ago work is gathering pace outstanding issues (available to share).
fast to finalise a guide for the
management of procedural pain in the
newborn. There is plenty of evidence that
• The YNN parental perceptions brief
shows the detrimental short and long term dissemination on the Improving Care
effects of pain in the neonatal period and Day, with up take of units changing
that shows safe, simple, effective (and practices and also investigating issues
cheap) ways of alleviating pain. A core further through family research.
group are putting together this evidence,
and the work done in the Network, to build • Accepted for further dissemination of
a framework for procedural pain project through the Perinatal Medicine
Conference in June of 2008 at
This will give a guideline for individual Harrogate via poster presentation
units to tailor to their own needs. This
work will be presented at the Network • Planning to disseminate the YNN
Study Day on 26th June. If anyone wants to work via journal publication this year
contact the group about the presentation
please contact me - • Initial planning phase of parental focus
group forums targeting topics i.e.
Liz McKechnie transport issues and discharge prep in
tandem with Claire Harness, support
group and outreach health professional.
New Matron at Bradford Gwynn Bissell
The new Matron at Bradford Royal Infirmary is Sarah
Szpara; she commenced her role on 28th April. Sarah Congratulations to Bryan and Gwynn for
will be known to various members of the nursing and having been accepted to present a poster
medical team in all the 12 units within Yorkshire. on the work undertaken by the
I'm sure everyone will join me in wishing Sarah success Yorkshire Neonatal Parental Survey at
within this role and we look forward to her helping take the forthcoming Joint International
Bradford unit forward in these interesting times. Perinatal Conference in Harrogate in
Denise Evans June.
Help Shape the future of Neonatal Care - continued from page 1
Essence of Care Benchmarks which are complete:
• Privacy and Dignity (our Bereavement Benchmark is included in this one)
• Record Keeping • Communication • Health Promotion
Food and Nutrition is nearly finished and will include Hypoglycaemia , Breast Feeding and Total Parental Nutrition.
The Care Environment will include Developmental Care, Transport and Infection Control.
If you have a unit lead or particular interest in any of these subjects PLEASE get involved OR just get involved
anyway. IF YOU ARE UNAWARE OF THESE BENCHMARKS - WHY ???
Essence of Care Benchmarking is driven by the Department of Health and we all need to get involved. The
Network Nurse Education Team will be providing hard copies of these Benchmarks for all 12 units.
Network Nurse Education Team
These are the forthcoming events across the YNN. They are aimed to be of a multidisciplinary content and offer
excellent opportunities to Network wide colleagues. Please remember to book your places for the seminar events.
For further interest we have also included some privately run national perinatal events for this year, all of which
look to be very exciting! ICE Team
YORKSHIRE NEONATAL NETWORK
EVENTS PROGRAMME 2008
26 June 2008 Harrogate Procedural pain, Intubation/education, Attitudes to
District Hospital, pain, Thermoregulation- Audit feed back
Learning Suite Neonatal Transport Update
9 October 2008 Dewsbury & NAS, HIE, Parental Participation Focus Group
District Hospitals, feedback
19 March 2009 Thackray Medical Improving Care Day - ICE Team
4 June 2008 Dewsbury Tissue Donation or NAS Child Protection Issues
24 September 2008 Dewsbury Tissue Donation or NAS Child Protection Issues
5 November 2008 Dewsbury Celebrating Best Practice
Benchmarking/Essence of Care
13 May 2008 Batley Essence of Care - All Group
8 July 2008 Batley Essence of Care - Sub Group
2 October 2008 Dewsbury EOC Day Feedback Group Day
9 December 2008 Batley EOC Future Planning Work - All Group
Neonatal Nurses Forum
21 May 2008 Batley
3 September 2008 Batley
20 November 2008 Batley
National Neonatal/Infant Surgical Benchmarking Study Day
14 May 2008, Cedar Court Hotel, Denby Dale Rd, Wakefield
Joint Perinatal Medicine Conference 2nd - 4th June 2008 - Harrogate
Yorkshire & North Trent Trouble-up-North Conference - 25/26 November 2008
For further information on any of these events please contact Gwynn Bissell, Denise Evans or
The neonatal transport service is made up of a consultant,
a lead nurse and a team of supernumerary nurses available
24 hours per day (2 from 8am-10pm and 1 from 10pm-
8am). Medical cover is taken from the 2 units in Leeds
New and ongoing developments
when available for acute transfers
Team members are actively involved in
Activity - 2006-2007
quality monitoring of the service by user
and parent satisfaction questionnaires,
Since commencing service in 2002 the transport team has
temperature audit and health and safety
continued to move many babies within the network
work. New documentation has proved
boundaries and beyond. The combined annual report for
very successful and combined with
2006 & 2007 gives a clear picture of the team’s activity
regular clinical governance reviews help
over this period.
maintain the quality of the service.
Acute Non acute Acute Non acute
The link nurse group has a
Medical 53% 50% 57% 57% representative from each of the network
Surgical 31% 45% 25% 40% hospitals and is carrying out an audit
Cardiac 16% 5% 18% 3% project on the use of the network
Total 149 386 127 340 developed nursing transfer letter. This
Transfers commences on 1st May and will last for 3
months. The results will be disseminated
Activity - 2008 to all units once collated.
Since January 2008 the service has developed and Neonatal transport update meeting
increased and now the team moves all non acute patients
between any of the network hospitals as well as moving This is to be held on Thursday 26th June
non ventilated cardiac babies to LGI whenever possible. and will be an opportunity for audits to
This has already seen an increase in activity in the first 4 be presented, update on the service and
months of 2008 of 40% compared with 2007 figures. discussions on transport issues current
This breaks down into:- Details will follow to each neonatal unit
YNN to YNN YNN to/from Non network
(Non Leeds) Leeds Teaching hospital to/from Claire Harness & Cath Harrison
Transfers Hospitals YNN hospital
Jan 38% 62% 22% To contact the Transport Team email:
Feb 30% 70% 9% email@example.com
Mar 33% 67% 38% firstname.lastname@example.org
email@example.com - Rachel Smith
Apr 17% 83% 16%
at Hull Wins Regional
The neonatal unit in Hull have been working in conjunction with their medical physics
department to design a neocrib, which can multitask as a transport incubator, operating table
and resuscitaire all in one.
The Surgical cot is used to stabilise, transport and operate on, without moving or handling the
baby in and out of transport incubators. Theatre turn-around times have improved
dramatically, babies are more stable due to decreased handling and parents see their baby
more quickly post-operatively.
A staff survey revealed that neonatal and theatre staff alike approved of the cot, surgeons
appreciated the integral lighting and height adjustment and porters thought it was easier to
manoeuvre than the traditional incubator. It has been used over 100 times since its inception
18 months ago.
Furthermore, if a sick infant is delivered at home or en route to the hospital the cot can
become the initial resuscitation platform in the hospital foyer, and incubator, to transport the
ventilated baby to the NICU for ongoing care.
The team went to Sheffield City Hall on April 3rd and won the Regional Innovative Health and
Social Care Technology Award 2008. They are hoping to be short-listed for the National
awards in London in July…so watch this space!
The Hull Team pictured with their
trophy and certificate are (left to
Dave Cunningham and Alan High,
Medical Physics Department; Sanja
Besarovic, Paediatric Surgeon;
Amedo Craven, Paediatric Nurse
Manager, Val Lawrance, ANNP
Neonatal Unit and Margaret
Edwards, Chief Executive for
Yorkshire & the Humber NHS
The 2007 Celebrating Best Practice Day was a resounding success, with the highest
attendance yet! The day dazzled delegates with innovative and thought provoking topics,
whilst facilitating opportunities to network and celebrate practice through poster
The topics were inclusive of Liz Crathern’s Mission Direct work out in Uganda-Africa, which
offered thought provoking perspectives on developing the country’s neonatal care. So much
so that Denise Evans, one of ICE team members, has been inspired to go out to Africa with
Liz in October; where she is hoping to offer her years of neonatal experience to neonatal
students and health professionals alike, and at the same time learn about the many
challenges that care offers African Neonatal Services and their families. I am sure she will
update us in November for our 2008 CBP event!
The first Network project was delivered by Denise Evans on the outcomes of the NAS
treatment, which was received with interest and opened discussions about treatment and
future united policies across the YNN. The dissemination of the second project, which
outlined the parental perceptions of neonatal care across the YNN, offered delegates
opportunities to understand the complexities of service user involvement. It also highlighted
the need to challenge practice to ensure parents of the future had more positive
The work presented by Neonatal Care Modular students from across the YNN was
exemplary. Thank you for sharing this work. Dawn Leonard’s compelling analysis of toys in
incubators not only held the audience’s attention, but she also managed to persuade
everyone to change their practice as well!
An interesting and user friendly feeding policy initiative was shared by Kath Green. This was
well received and there was agreement to disseminate back to units. Annie Dixon gave an
interesting and very logical presentation of the pending BOOST Study. This enabled non-
study units to understand the implications of receiving BOOST babies back into their DGH
The PENN group who coordinate the annual CBP day wish to thank everyone who attended
the day, and look forward once again to sharing practices on November 5th 2008 at
Network Nurse Education Team
How do I contact the ICE TROUBLE UP NORTH 25/26 Nov 2008
Team? Waterton Park Hotel, Wakefield
Innovations Award - request for submissions
Tel: 0113 3925120
The last network conference was a huge success and was
very well attended by delegates not only from within
Yorkshire but from across the country; the speakers were
Val Christian excellent. We expect this next one will be even better.
Each year we offer an Innovations Scholarship sponsored by
Denise Evans Chiesi, for £1000. This is open to anyone to enter who can
Tel - 01274 364 920
demonstrate innovative research, audit or service solutions
Mob - 07940 540715
that impact upon neonatal care. For those of you who don’t
remember Sam Hilley, she was a Chiesi rep who worked with
us for many years and became a dear friend as well as
colleague. We wanted Sam to be remembered after she
Kathryn Green tragically died the day before the first conference in a car
accident. She had invested a lot of her own time and energy
in creating this conference and many other educational
Liz McKechnie events for the network.
Please plan now to submit your application for 2008, you
never know you may be the lucky winner!
Tel: 0113 2066982
Trouble up North Organization Team
Tel: 01274 382668 Neonatal Life Support Courses
Neonatal Life Support (NLS) courses are aimed at
training all those who might be called upon to
resuscitate a newborn infant in the minutes after birth.
The courses are accredited by the Resuscitation Council
(UK) and successful candidates are certified for 4 years.
The courses are intense but extremely good fun and will
definitely leave you feeling more confident about
NLS Courses are available locally in Bradford,
Calderdale, Hull and Leeds. Please contact your unit
manager if you would like to attend.
The dates for 2008 are available on
www.yorkshireneonet.org.uk www.yorkshireneonet.org.uk under Education Courses.
If you have any news you would like to share with colleagues please email to