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.
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.
Engagement is supported via email, bi-annual meetings and social media platforms.
Meet our Chair
Our Chair for the National Neonatal Surgical Interest Group is Fiona Metcalfe.
Fiona Melcalfe
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!
NNSIG group leads
Rhiannon Jones
LEAD FOR EDUCATION
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.
Our Objectives
- 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
Best Practice Standards
Gastroschisis
Click on the link below to download the NNSIG Best Practice Standards: Gastroschisis document:
Gastroschisis: Best Practice Standards
Nutrition & Feeding Framework
Click on the link below to download the NNSIG Nutrition & Feeding Framework for Practice
Join this group
As a member of the NNA you can join this Special interest group and access recorded events in the Members Area.