Are you considering being a neonatal nurse?
Here are some things to know
- Most hospitals that have a maternity services will have a neonatal unit
- Neonatal nurses care for babies who are born preterm or unwell and their families
- Adult nurses, paediatric nurses or midwives can be neonatal nurses
- There are different ways of getting into neonatal nursing – including apprenticeships & associate training
Not all neonatal units are the same, there are:
Neonatal Intensive Care Units (NICUs) care for babies needing all levels of care, intensive, high dependency and special care.
- Ventilation (including HFOV)
- Care of infants born <28+0 weeks and <800g
- Care and stabilisation of babies requiring surgery
- Therapeutic Hypothermia
- All areas of SCBU & HD
Local Neonatal Units (LNUs) care for babies needing high dependency and special care or requiring short periods of intensive care.
- Short term ITU including ventilation and stabilisation of babies requiring transfer to NICU
- Care of infants born >26+6/27+6 depending on the unit
- Non-invasive ventilation (CPAP, high flow)
- All areas of SCBU and HDU
Special Care Baby Units (SCBUs) care for babies needing special care or short periods of high dependency transferring babies that require intensive care.
- Stabilisation of unexpected deliveries requiring ITU/HDU care and transfer to an LNU or NICU
- Care of babies >31+6 and >1000g
- Care of babies requiring NG/NJ feeds
- Care of babies requiring nasal cannula oxygen
- Care of babies requiring IV fluids
- Care of babies requiring special observations
These centres provide highly specialised care and treatment for preterm and full-term babies. Babies can be born with a variety of congenital abnormalities. Babies can be born within these hospitals or will need to be transferred in from regional neonatal units.
There are 26 tertiary paediatric surgical centres in the UK and Ireland. Only a few of these centres will support infant cardiac and liver surgery. These settings are called quaternary centres, and they are considered super-specialist centres.
Be a neonatal nurse in a surgical centre and you will gain exposure to:
- Babies born with an antenatally diagnosed condition needing surgery after birth
- The surgical neonate can have all the issues associated with prematurity.
- Full term or premature infants that are found to have a congenital abnormality requiring surgery
- Full term or premature infants that needs to be assessed by surgeons and have specialist investigations to rule out or confirm a surgical cause for their health concerns.
- Supporting parents in caring for their baby and helping with communication across a wide multidisciplinary team including pre and post operative care
- Providing ongoing care for the infant and training for parents eg. Stoma care, bowel washouts, tracheostomy care, gastrostomy care, Jejunal feeding, NG feeding.
- Care for the premature infant that needs surgery for severe NEC or ROP surgery.
- Supporting the complex discharge planning and liaising with transport teams, local hospitals, paediatric care and community multidisciplinary teams to provide ongoing support and follow up after discharge.
- Undertake the transfer of critically unwell babies, working closely with other members of the transport team
- Undertake palliative care transfers for babies and families where this is part of their wishes
- Undertake nurse-delivered transfers independently, with remote support from the medical tier
- Supporting parents during stressful transitions between hospitals
- Supporting referring staff who are involved with the stabilisation of babies prior to transfer
- Teaching and supporting members of the transport team
- Working on audit and service development/QI projects within the transport service
- Checking transport equipment to make sure it is ready for use
- Maintaining familiarity with all transport equipment to ensure continued expertise
- Planning and prioritising transfers
- babies who were born prematurely
- being discharged home at a low weight
- going home on low flow oxygen
- supporting early discharge home part tube feeding to establish full oral feeds at home
- offering home phototherapy support to prevent readmission to hospital
- palliative or end of life care at home
- Babies requiring feeding support
- Jaundiced babies on phototherapy and requiring frequent blood tests
- Stable babies born between 34 weeks to 35+6 weeks gestation
- Significant neonatal abstinence syndrome
- Babies requiring medication
Neonatal nurses have countless career opportunities such as:
- Infant Feeding, Developmental Care, Infection Prevention & Control, Bereavement/Palliative Care, Safeguarding, Governance, Community Outreach, Transport, Educator
- Research, Leadership, Management. Network Roles
- Clinical Nurse Specialist, Enhanced and Advanced Practice, up to and including Nurse Consultant
See our Interactive Career Framework for Neonatal Nursing to see the breadth of career opportunities open to you within neonatal services.
There are currently neonatal nurse vacancies across the country click below for more information
For more information about how to get into neonatal nursing in your area, please contact your local neonatal operational delivery network (ODN)
Become a member of the NNA today
Come and join a growing community of neonatal nurses and feel supported, heard and valued!

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.