A new era for Neonatal Transitional are in Wales
By Lisa Baker, member of the NNA Cymru committee
The recent release of the All Wales Neonatal Transitional Care (NTC) Service Specification marks a significant milestone for neonatal services across the country. Rooted in the principles set out by the British Association of Perinatal Medicine’s Framework for Neonatal Transitional Care (2017), this document has been thoughtfully adapted by an All-Wales Perinatal Team to meet the specific needs of Welsh families. Importantly, it reflects a collaborative effort, with active involvement from Neonatal Nurses Association (NNA) members throughout its development.
At its heart, the specification aims to standardise the delivery of Transitional Care (TC) across all neonatal units in Wales—ensuring that families, regardless of location, receive consistent and equitable care experiences.
The benefits of TC are well recognised. By enabling mothers (assumed to be the primary carers) and their babies to stay together while still receiving enhanced care—above the level typically provided to routine newborns—TC supports both physical and emotional well-being. It reduces the need for neonatal unit admissions and strengthens the continuum of care, especially for small or late preterm babies. TC also facilitates a smoother transition to home for families who have experienced extended hospital stays, often far from their local communities.
Crucially, the specification makes clear that Transitional Care is not a physical place—it is a service. This gives hospitals the flexibility to design and deliver TC in a way that aligns with their individual settings, while still meeting the overarching standards.
However, while the specification outlines a unified, All-Wales approach, the responsibility for funding and resources lies with individual health boards. This poses inevitable challenges and may result in some variation in implementation. Significant investment, both financial and cultural, will be essential to fully realise the benefits of TC in the short and long term.
Despite these hurdles, this is an exciting time for perinatal care in Wales. Units with established TC models are well-placed to share their insights and support the broader rollout across the country—a “stronger together” approach that puts families first.
As the specification itself so powerfully states:
“Every newborn baby should be with their mother if at all possible; implementation of NTC within all UK maternity services has the potential to make this happen. The question should not be whether mother and baby can be cared for together, but rather why should they be separated.” — Neonatal Transitional Care Service Specification, 2025
This vision challenges us all to reimagine the future of neonatal care—one where separation is no longer the default, but the exception.