About NNSIG
The National Neonatal Surgical Interest Group (NNSIG) is a special interest group of the Neonatal Nurses Association. It was originally formed in 2003 by a group of neonatal surgical nurses and continues to share and promote best practice in neonatal surgical care.
NNSIG is an innovative and dynamic group of nurses and AHPs, dedicated to the delivery of high-quality care for infants with congenital conditions requiring specialist neonatal surgical management. NNSIG is the only group affiliated with national groups (BAPS & BAPM) that has a clear focus specifically on the surgical neonate, the services and their families.
Our objectives
There are now 24 units represented from across England & Scotland, Wales, and Northern Ireland, with representation from NICUs, PICU, neonatal surgical units, DGHs and paediatric surgical wards, plus regional ODNs. We aim to increase our membership across the country as collaboration is a key priority in accomplishing shared outcomes.
Through evaluation and critique of available evidence, comparison and sharing of current practices, the NNSIG aim to facilitate provision of the best neonatal surgical care, nationally. We work towards ensuring families are central to care planning.
Additional objectives include:
- Optimising neonatal surgical care
- Raise the profile of the needs of the surgical neonate
- Develop best practice standards
- Support specialist education for professionals caring for the surgical neonate
- Collaboration with the wider MDT and national organisations
- Support QI work and service development
- Support local, regional, or national research studies that relate to the surgical neonate
Meet our chair
Our Chair for the National Neonatal Surgical Interest Group is Fiona Metcalfe.
Fiona Metcalfe
I am the chairperson for the National neonatal surgical interest group (NNSIG) since 2019. My regular job is as lead nurse for neonatal surgery, in Leeds Children’s hospital. I work across the north of the Yorkshire and Humber neonatal ODN. I have worked in neonates for over 25 years with the last 16 years specifically in neonatal surgery. I support the NNSIG to forge close links with NNA, BAPS and BAPM and other organisations and charities.
I am passionate about neonatal surgery. I am very fortunate to have progressed my career in neonatal nursing within this speciality, from adult and paediatric nurse to specialist nurse (CNS) and lead nurse. I strive to raise awareness around the needs of the surgical neonates their families, services, promote best practice and care to achieve optimum outcomes and help bridge the gaps in specialist education opportunities. I love to collaborate with the MDT, families and charities to influence positive change for our services and quality of our care provision. Together we can make change!
Meet our group leads
Rhiannon Jones
LEAD FOR EDUCATION & NEONATAL SURGERY SCHOLARSHIP WINNER
Rhiannon Jones
I am Rhiannon Jones, the Educational Lead for the NNSIG. I have over 15 years of experience as a neonatal surgical nurse in several level 3 neonatal surgical centres. I am currently an Advanced Clinical Nurse Practitioner on the Neonatal Unit at Great Ormond Street Hospital for Children in London.
I am the representative for the NNSIG with the British Association of Perinatal Medicine and have been a member of several neonatal surgical working groups. I have published and presented data on the presenting neonate with bilious vomiting. I am passionate about improving the care and management we can give to our surgical neonates and their families through educating the MDT, ensuring we have up to date guidelines and research.
Hannah Wells
BRITISH ASSOCIATION OF PAEDEATRIC SURGEONS (BAPS) REPRESENTATIVE
Hannah Wells
My name is Hannah Wells, and I am a Neonatal Surgical Nurse Specialist. I work in Southampton as part of a team caring for babies with surgical conditions, supporting families from diagnosis to discharge whether that be home, local hospital or onto paediatric surgery. I have recently taken on the role as BAPS link. In December 2023 we ran a nurse’s day at the BAPS winter meeting, and we look forward to hosting further nursing events soon. I attend the BAPS executive meetings to link directly with the surgeons, embracing MDT working. BAPS and NNSIG work in collaboration to facilitate the best care for the surgical neonates utilising expertise from the MDT.
Moriam Mustapha
LINK DIETICIAN WITH THE NEONATAL DIETETIC INTEREST GROUP (NDIG)
Moriam Mustapha
Moriam has over 15 years of extensive clinical experience in paediatric and neonatal nutrition through the NHS and abroad. She is passionate about neonatal and infant nutrition, and hopes to work towards equitable and standardised nutritional care across the London network.
Moriam is an active member of the Neonatal Dietitians Interest Group - NDiG (subgroup of the British Dietetics Association – BDA). She is also an executive committee member of the British Association of Perinatal Medicine - BAPM, and the Allied Health & Public Affairs committees of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition - ESPGHAN.
Neonatal Surgery Scholarship
This scholarship is supported by Fiona Metcalfe, Chair of NNSIG and aims to support optimization of care for the surgical neonate.
Hannah Wells
NEONATAL SURGERY
SCHOLARSHIP WINNER 2024
Hannah Wells
Neonatal Surgery Scholarship
The plan is to design and launch the ‘Neonatal Surgical Network’ across the hospitals in Thames Valley and Wessex. This surgical programme aims to encourage and solidify influential networking opportunities, hoping to increase communication throughout the network, which is invaluable to improve patient care and the experience for the families. The sessions will be inclusive and open to all, from students to members of the wider multi-disciplinary team. They will include theory, practical and simulation elements to enhance their surgical knowledge. There will be dedicated monthly Microsoft Teams sessions to answer questions, quarterly themed online teaching sessions and planned face to face teaching, developed for each individual unit’s acuity level. This is an exciting opportunity to develop and launch the Neonatal Surgical Network and increase the profile of Neonatal surgery, with the support of the NNA and NNSIG.
Best Practice Standards
NNSIG Best Practice Standards: Oesophageal Atresia and Tracheo-oesophageal Fistula
NNSIG Best Practice Standards: Gastroschisis
Nutrition & Feeding: Framework for Practice
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Join this group
As a member of the NNA, you can join NNSIG or any of our other Special Interest Groups (SIGs) by contacting us via the button below.
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To read our principles of engagement for members engaging with our SIGs, please click here.

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.