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.

I’m Lora Alexander, one of the Quality Improvement coaches in a busy Level 3 NICU. QI is all about understanding problems, thinking of solutions, implementing ideas and analysing the results.
My name is Adedoyin Yissau, also known as Dee. I am the Education and Workforce Lead for the London Operational Delivery Network. I came into post as a Network Educator in 2019 and have since developed nursing education region wide, with the current focus on developing a nursing career pathway for London.
Neonatal Network Nurse Educator
My name is Dr. Julia Petty, and I am a nurse lecturer specialising in children’s nursing with a particular interest in neonatal care. My nursing career in paediatric and neonatal clinical nursing practice began after a BSc Hons degree in Psychology at Warwick University, when I moved to Great Ormond Street Hospital, London. Here, I trained in children’s and adult nursing before working there for many years in children’s and neonatal surgical care. I then gained my neonatal nursing qualification at St George’s NHS Trust London and worked at the Whittington NHS Trust NICU before moving back to Great Ormond Street for a senior education role on NICU where I worked until 2001. I then worked as Senior Lecturer at City University, London for 12 years leading the neonatal nursing education portfolio. I studied for a MSc, a PGCE and MA in academic practice during this time, In 2013, I moved to the University of Hertfordshire where my role is Associate Professor (learning and teaching) and Senior lecturer child nursing. I teach on the BSc Hons nursing and master’s degree programmes including leadership of modules, face-to-face/online teaching, assessing and supervision of students at all levels up to doctorate level. I am also research active and have completed a Doctorate in Education. As a nurse, educator and post-doctorate researcher, my interests focus on parents’ premature birth experiences, supporting parents in the transition home from NICU, exploring communication needs of neonates and their carers and studying the educational value of digital storytelling. This combination and variety of roles enriches my working life and brings together my experience as a child / neonatal nurse, educator and researcher. My role and related activities enable me to engage in both education and research while supporting students on their nursing career and education pathway, which is a privilege to be part of.
Hello my name is Claire Richards and I’m the Lead Nurse for the Wales Maternity and Neonatal Strategic Network. This covers nursing leadership but also Neonatal transport. I also have a clinical honorary contract in one Health Board.
Hello, my name is Kim Edwards, and I am a Neonatal Nurse. I am currently the Lead Nurse and Workforce, Education Lead for the Thames Valley and Wessex Neonatal Operational Delivery Network (ODN)
Hello, my name is Jean and I am a registered children’s nurse with 27 years experience. I qualified with a DipHE after struggling academically due to dyslexia. Over my career I have worked mainly in PICU, NICU and children’s cardiac critical care. I am dual qualified in speciality (QIS) for both Neonatal and Paediatrics. The QIS program is a post graduate modular course completed at level 6/7. To be considered QIS you must successfully complete 4 separate modules, each have an academic and practical component. Only on completion of the QIS course can you apply for a band 6 role. In addition to the above qualifications it is expected you would have several years proven experience in speciality at Band 6 and 7 prior to applying for a Matron’s role.
My name is Lisa Baker, I’m a Ward Manager on a Level 2 Special Care Baby Unit in South Wales and I’ve been in this role since 2020.
Hello, my name is Wesell, and I am currently a trainee Advanced Neonatal Nurse Practitioner (ANNP) at Great Western Hospital, which is a Local Neonatal Unit (LNU). Prior to this, I gained substantial experience in a tertiary neonatal unit where I completed my QIS course at master’s level. This course, alongside my role as a senior nurse, provided me with the expertise required to develop my career further in neonatal care.
My name is Hannah Wells, and I am a Neonatal Surgical Clinical Nurse Specialist (CNS).
Hi, I am Amanda and work as the Neonatal Infant Feeding Coordinator for a NICU and a SCBU within one service. While the role is not standardised, many neonatal units now have dedicated posts.
Hello, my name is Daniela Machado, and I am proud to be a Developmental Care Specialist/Lead Nurse and a sister/charge nurse, working across two different trusts. I am originally from Porto, Portugal, and have spent 14 years building my nursing career in the UK. My role involves applying and advancing neuroprotective/developmental care practices for our preterm and neonatal patients/families.
Hello! I am Renjita Raju , a Neonatal Junior Sister working in London. After completing my BSc nursing degree in India, I moved to UK, and completed NMC OSCE to get registered and QIS course to become specialised in neonatal care. I recently qualified as an NLS instructor with the support from NNA scholarship programme. My role involves caring for premature and critically ill newborns, ensuring their safety and health with a highly collaborative multidisciplinary team. I also teach in NLS courses as an instructor following my passion in neonatal resuscitation. I love witnessing infants grow stronger each day and supporting their families through this journey. I’m grateful for the opportunity to provide meaningful compassionate care to the tiniest, most vulnerable patients.