Phase Two of the Maternity and Neonatal Safety Support Programme in Wales (MatNeo SSP Cymru Report) is now underway. We’ve put together a summary of phase one to explore how it could impact neonatal care in Wales.
What is the Maternity and Neonatal Safety Support Programme in Wales?
At the request of the Welsh Government, the MatNeo SSP Cymru Report has been created with the help of the the maternity and neonatal community in Wales to identify opportunities to improve care and governance.
The Discovery Phase of the report was conducted between December 2022 and February 2023, and was put together by a team of maternity and neonatal safety support programme leads and champions. All the leads and champions involved are embedded in each health board across Wales and the Welsh Ambulance Service Trust, so they are heavily invested in and passionate about the outcomes of the project.
This initial phase was dedicated to conducting a detailed analysis of the current landscape of maternity and neonatal services in Wales. Areas of focus included work culture, leadership and learning, as well as workforce and clinical outcome measures for mothers and babies.
The Discovery Phase has taken an integrated approach to maternity and neonatal care, alongside pre-hospital care, as it seeks to pave the way for the future of care delivery across Wales. Improvement Cymru worked alongside the maternity and neonatal community throughout this phase.
Discovery Phase Findings
The Discovery Phase MatNeo SSP Cymru report has demonstrated numerous examples of good practice in maternity and neonatal services around Wales, many of which could be replicated or scaled to improve care for families around the country. With the provision of safe and equitable care at the heart of this project, the discovery that many services across Wales are already investing in successful improvement projects was welcome.
According to the findings of the discovery report, there are a number of health and wellbeing challenges for families in Wales that cannot be directly addressed by the NHS, such as obesity, smoking and low-income areas. However, the report has highlighted the possible actions that can be taken by the maternity and neonatal community to optimise outcomes for affected families. These actions will be addressed as part of the second phase.
The report also highlighted workforce challenges that are likely to require a combination of increased investment and creative solutions to tackle. Alongside recruitment, the report concluded that staff wellbeing, support and retention are all crucial factors in ensuring the workforce are appropriately positioned to deliver the optimum care to families across Wales.
Some of the more neonatal-specific priorities identified by the report include the incorporation of neonatology in multidisciplinary training, the full implementation of The National Bereavement Care Pathway, and joint coordination of ‘cot to community’ maternity and neonatal services.
According to the report summary, the challenges and opportunities discovered in this initial phase will require a combined approach from local, regional and national services, bolstered by a sustained and co-ordinated approach to making improvements and strong collaborative leadership.
Moving Forward
The report has confirmed that the purpose of the Discovery Phase was to highlight priorities and inform improvement activity as plans for Phase Two take shape.
Professor John Boulton, National Director of NHS Quality Improvement and Patient Safety, Public Health Wales NHS Trust, said: “This improvement Discovery Phase report and the MatNeo Safety Support Programme (MatNeoSSP) is a significant step forward for maternity and neonatal care in Wales, clearly outlining the path to improve the quality of care for mothers and babies throughout the journey of new life here in Wales.” The report concluded that plans for the second phase of the programme are already in development with the help of partner organisations across Wales. At present, the MatNeo SSP Cymru team is in the process of confirming how best to move forward with the priorities highlighted within the programme to ensure they can capitalise on the success of the initial phase.

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.