The Neonatal Nurses Association welcomes the publication of the recent Scottish inspection report into maternity and neonatal services, and fully endorse its focus on safety, quality, and family-centred care. The findings reflect the realities experienced across neonatal services throughout the UK and highlight several areas where progress is evident and should be commended.
We are particularly encouraged by the report’s recognition of ‘transitional care’, which plays a vital role in reducing unnecessary separation between parents and their babies, and in easing demand on neonatal units while maintaining safety. The emphasis on early identification of women requiring escalation, oversight of suspected preterm labour, and alignment with ‘The Best Start’ neonatal vision illustrates a continued commitment to strengthening perinatal pathways for infants who may require neonatal support.
The report rightly highlights ongoing pressures facing neonatal services, including ‘capacity constraints’, ‘staffing challenges’, and the impact of delayed medical review for women at risk of preterm birth. These pressures have direct implications for neonatal units, particularly those- such as NHS Lothian- who serve as regional centres for infants with complex and intensive care needs. The closure of neonatal beds due to capacity, and the subsequent requirement to divert or transfer women, underscores the fragility of neonatal cot availability and the importance of sustained investment.
The NNA strongly supports the call for improved ‘communication, escalation processes, and governance structures’, particularly around safe diversion, documentation, and the management of clinical risk. We also welcome the drive to improve bereavement care, equity of access, and training compliance, all of which directly affect the holistic well-being of families and staff within neonatal pathways.
However, the report also highlights the continued and urgent need to ensure that ‘neonatal care remains a national priority’ within government strategy, workforce planning, and service design. Neonatal nurses are acutely aware of the cumulative pressures of rising prematurity rates, increasing complexity of neonatal conditions, and the expanding scope of family-integrated care. These challenges cannot be addressed without a clearly resourced and nationally aligned commitment to:
○ Expanding neonatal nursing and medical staffing capacity
○ Supporting advanced neonatal practice roles across Scotland and the wider UK
○ Ensuring sustainable cot numbers and capacity
○ Strengthening transitional care models with consistent neonatal oversight
○ Prioritising perinatal mental health support for parents, including those experiencing trauma and loss
○ Investing in education, protected training time, and retention of the neonatal workforce
Neonatal services must remain central to Government goals and objectives, not only within Scotland but across all four nations. Babies requiring neonatal care are among the most vulnerable patients within the healthcare system; their outcomes depend on timely intervention, highly skilled staff, robust safety structures, and unwavering family support.
We stand ready to work collaboratively with government, NHS boards, professional bodies, and parent organisations to ensure that the recommendations from this report translate into meaningful and sustainable improvements for every baby, every family, and every neonatal professional.

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.