NHS England has published an updated neonatal critical care service specification.
Published on the NHS England website on 11th March 2024, the specification includes details of service aims and outcomes, models, and pathways. Additionally, standards are included for additional services such as transfers, neonatal end of life care, neonatal outreach and follow-up services.
The update is particularly relevant to Neonatal ODNs (including Clinical Leads, Lead Nurses and Managers/Directors), Neonatal Critical Care CRG and regional commissioners for NCC seeking clarity on model service provision.
Nurse staffing ratios are highlighted within the document, referencing contributions from the NNA, and information about quality roles. The specification states that “each NNU must implement or work towards an agreed plan with commissioners for nurse staffing levels” based on these ratios. This plan must also include details of medical staff and AHP ratios.
Categories of Neonatal Critical Care specified within the documents include:
- Neonatal Intensive Care
- Neonatal High Dependency Care
- Neonatal Special Care/Special Care with External Carer (Transitional Care)
- Neonatology Supported Care
The document also defines the care provision expected from each category of neonatal unit, including Special Care Units (SCUs), Local Neonatal Units (LNUs), Neonatal Intensive Care Units (NICUs) and Neonatal Surgical Intensive Care Units. Acceptance criteria for Neonatal Critical Care are also included.
Additional areas of focus include Professional Competence, Education and Training, as well as Standards for Family Experience, Communication and Facilities, and Transfer specifications.
The updated specification is available to view on the NHSE website.