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Our Work

Thames Valley & Wessex Neonatal - Our Work

COVID-19 Professional Information

Coronavirus (COVID-19) Infection and Pregnancy; Royal College of Obstetricians & Gynaecologists, published Wednesday 18th March 2020

Please click here for the guide to running clinics remotely using AccuRx

Information on Suction: Closed-suction Suction SOP 2018Suction Competencies 2018 – Ordering of (Inline suction catheters) via NHS supply chain – The brand is Trach Care – Supplier Avanos Medical UK Limited. Reference codes used for OUH are – 195-5, 196-4, 197-5, 198-5.

Maternity Transformation Programme Bulletin no.7 9th April 2020

SONeT update Covid-19 SOP Infants with Suspected or confirmed Covid-19 infection v3 14th April 2020 and Covid-19 PPE Guidance

Supplier for a Video Laryngoscope.

BAPM neonatal guidance FAQ 8th April 2020

BANNFU Guidance and Presentation for telephone and video Clinics

PPE Testing and Isolation Dr. David Evans

Template for Coivd-19 Parent information letter BPD

Thames Valley & Wessex Neonatal - Our Work

Information for Parents and Carers; including COVID-19

The effects of COVID-19 are being felt all over the world, and the neonatal community is no exception. Bliss is keeping up yo date with the latest evidence and guidance in response to the Covid-19 outbreak, and we’ve already produced new information specifically for parents of babies born premature or sick.

Bliss, Statement Parental access and involvement during Coivd-19

NHSE/I have published two postnatal leaflets on 8th April 2020 please follow the links Illness on newborn babies and Coronavirus: Parent Information for newborn babies.

VCreate – Taking care of yourself during Covid-19, please watch this video ‘guide for parents with babies in neonatal units

Bliss  – Our vision is that every baby born premature or sick in the UK has the best chance of survival and quality of life.  https://www.bliss.org.uk/

best beginnings – Small Wonders are 12 bite-size films following families and their journey in neo-natal units. https://www.bestbeginnings.org.uk/small-wonders

Unicef – Valuing parents as partners in the care of their baby is at the core of the Baby Friendly Initiative neonatal standards  https://www.unicef.org.uk/babyfriendly/parents-as-partners-in-care/

Medicines for Children – Practical and reliable advice about giving medicine to your child. https://www.medicinesforchildren.org.uk/

Sands – Sands is the stillbirth and neonatal death charity. We work to reduce the number of babies dying and to improve care and support for anyone affected by the death of a baby https://www.sands.org.uk/

Contact for families with disabled children – For every shape and size of family, whatever they need and whatever their child’s disability, we’re here. https://contact.org.uk/

Healthier together – The Healthier Together programme relies upon patients and healthcare professionals working together to improve how local healthcare is delivered. https://what0-18.nhs.uk/

DadPad – Being a new dad can be a difficult thing to come to terms with. However, being the parent of a child in neonatal care potentially brings even more complex emotions and problems, as well as a wealth of complex information to digest. https://thedadpad.co.uk/neonatal/

Thames Valley & Wessex Neonatal - Our Work

TV&W Nurse Education

COVID-19 Information;

Please click here for the Education Pack and Workbook , supporting a mother to establish lactation, build a milk supply and go on to breastfeed her premature or sick baby.

Please click here for a useful tool for the Provision of Breast Milk

Induction to NICU for non NICU Staff during COVID outbreak

Please follow this link to the homepage of the Thames Valley and Wessex Neonatal Nursing Qualified in Specialty (QIS) Pilot Programme.

Please follow this link to the Neonatal Medicines Management

Thames Valley & Wessex Neonatal - Our Work

TW&W Neonatal Transfer Group

SONeT Neonatal Transport Service

SONeT (Southampton Oxford Neonatal Transport Service) provides specialist transport for neonatal patients resident in Thames Valley & Wessex to be transferred to the nearest appropriate hospital for the level of care that they require. The service is collaboration between Oxford University Hospitals and University Hospital Southampton.

There is close co-operation between the SONeT hub teams and the regional Paediatric Intensive Care retrieval service SORT ( Southampton Oxford Retrieval Team) to provide a comprehensive service for Thames Valley and Wessex.

SONeT Guidelines

 

Thames Valley & Wessex Neonatal - Our Work

TV&W Neonatal SIM

This section is designed to provide units with suggested simulation scenarios which have been checked for accuracy and ratified for use. They may be used and adapted to local needs if required. Some scenarios may require more adaptation than others depending on local processes and protocols.
Scenarios are also available on the STAR App.

 

  PIER website
Any feedback, please contact mailto:england.tv-w.neonatalnetwork@nhs.net

Simulation Scenarios

Simulation photos

MRSA Infection Prevention

Bile stained vomiting

Fetomaternal haemorrhage.

Preterm stabilisation

South East Neonatal - Our Work

Time = Brain

Time=Brain is a regional Neonatal Therapeutic Hypothermia project devised and led by Dr. Peter Reynolds and supported by South East Neonatal Network and the Maternity, Children & Young People’s Strategic Clinical Network.

The South East Neonatal Network (SENN) Time=Brain project aims to enhance the protection of babies’ brains when there is evidence of moderate or severe encephalopathy through optimising the use of therapeutic hypothermia (cooling).

There are four key aims to this project:

  1. To ensure that the decision to cool babies is consistently applied across the SEC region
  2. To achieve the target temperature range safely & promptly, avoiding under- or over- cooling
  3. To achieve the target temperature (33-34°C) within 6 hours of birth (or postnatal collapse event)
  4. To maintain the target temperature during handover and transport of babies

The key message for Time=Brain is that there is sufficient time to examine and document the baby’s neurology, diagnose the Grade of Encephalopathy and start servo-controlled cooling for moderate and severe grades, to reach the target temperature within 6 hours of birth according to NICE Guidelines.

NICHD Scoring for HIE

The NICHD chart (downloadable/printable below) should be used to guide clinicians as to when to commence cooling. This replaces the previously used Thompson/BadgerNet scoring. The criteria for babies being at particular risk of HIE has not changed. We continue to encourage clinicians to take time to evaluate the baby on the neonatal unit, with repeated clinical examinations, use of CFM where available, and discussion with a senior clinician at the local NICU, before initiation of cooling. Starting cooling on delivery suite is not recommended.

In line with current NICE guidance, we aim for babies to be at the target temperature of 33-34 degrees C. The use of servo-controlled cooling devices will normally achieve this within an hour of commencing cooling.

TimeBrain NICHD Chart

Thames Valley & Wessex Neonatal - Our Work

TV&W Guidelines and Policies

Nursing Guidelines

Behavioural Cues

Care of a PVL Guideline

Chest Drain Guideline

Consideration of Light Guideline

CVL Guideline

Discharge Planning Guideline

Immunisation Competency Framework

IV Cannulation Workbook

Light Guideline

Mouth Care Guideline

Nasal HFT

Noise Guideline

Non Nutritive Sucking Guideline

Non Nutritive Sucking – Parents Information Leaflet

Nursing Care of CPAP or Bi Phasic CPAP

Pain Assessment Guideline

Palliative Care Guideline

Phototherapy Guideline

Positioning and Handling on the Neonatal Unit

Positive Touch Guideline

Skin Integrity Guideline

Spiritual Care Guideline

Suction Competencies 2018

Suction Guideline

Suction SOP 2018

Taste & Smell Guideline

Taste & Smell Booklet – Parents Information

Therapeutic Cooling Guideline

Umbilical Cord Care Guideline

Wessex Perinatal Palliative Care Guideline

Wound Care Guideline

Clinical Guidelines

Targeting Oxygen Saturations Guideline

Therapeutic Cooling Guideline Medical

ROP Care Pathway Final Ratified V1.1 Aug 2018

TV PDA in Preterm Infants Guideline

TV Wessex Cardiac Care Pathway Final August 2018

TV Wessex Surgical Care Pathway Final Aug 18

TV Network Surfactant Guideline – Final Feb ’17 – v4 approved

TV Guideline for NAS – v2.1 FINAL Oct 2017

Wessex Bilious Vomiting Pathway – Malrotation guideline final Feb ’15 – reviewed Apr’17 v1.9 approved

Wessex Guideline for Nutritional Care of Infants – UHS May ’16 – v2 Final October 2017

Postnatal Guidelines

Wessex Postnatal Ward Guideline

Policies

Escalation Framework Policy

Exception Reporting Policy

Mortality Review template FINAL Dec 2016 Ratified Oct 17

Policy on Development of Policies

Repatriation of neonates from NICU-LNU to the local SCU

TOR ODN Death Overview Policy

TOR ODN Governance Policy

Transfer Policy for LNU SCU 2018 Final Version ratified Sept 2018Exception Reporting Policy -reviewed June 18 Final version

South East Neonatal - Our Work

Our Units

South East Neonatal Network covers Kent, Surrey & Sussex; there are 11 Acute Trusts and 13 units in the Network. Two acute Trusts straddle the borders with Thames Valley & Wessex Neonatal Network, we work collaboratively to ensure that patient flows are appropriate for the level of care required.

South East Neonatal Network consists of 4 Neonatal Intensive Care Units, 3 Local Neonatal Units and 6 Special Care Units. South East Coast Neonatal Transfer Service operates across the Network, undertaking both emergency retrievals and repatriation back to local units.

Hospital Contacts
Medway Maritime Hospital

Medway

Oliver Fisher Neonatal Unit

NICU

Lead Clinician: Dr Aung Soe
Ward Manager: Anna Francis
Darent Valley Hospital

Dartford

Special Care Baby Unit (Walnut Ward)

SCU

Lead Clinician: Dr Abdul Hasib
Ward Manager: Annette Pope/Kathy Wood
Queen Elizabeth the Queen Mother Hospital

Margate

Special Baby Care Unit

SCU

Lead Clinician: Dr Kalu Ogbureke
Ward Manager: Louise Ruiz
William Harvey Hospital

Ashford

Neonatal Intensive Care Unit

NICU

Lead Clinician: Dr Vimal Vasu
Ward Manager: Louise Ruiz
The Tunbridge Wells Hospital at Pembury

Neonatal Unit

LNU

Lead Clinician: Dr Hamudi Kisat
Ward Manager: Julia Moat & Lou Mair
Royal Sussex County Hospital,

Brighton

Trevor Mann Baby Unit

NICU

Lead Clinician: Dr Phil Amess
Ward Manager: Julia Simpson
Conquest Hospital,

St Leonards on Sea

Special Care Baby Unit

SCU

Lead Clinician: Dr Mani Kandasamy
Ward Manager: Wendy Thompsett
Princess Royal Hospital

Haywards Heath

Trevor Mann Baby Unit

SCU

As for Royal Sussex
St Peters Hospital,

Chertsey

Neonatal Unit

NICU

Lead Clinician: Dr Peter Martin
Ward Manager: Sara Robertson
East Surrey Hospital

Redhill

Neonatal Unit

LNU

Lead Clinician: Dr Abdul Khader
Ward Manager: Ingrid Marsden
Frimley Park Hospital

Frimley

Special Care Baby Unit

LNU

Lead Clinician: Dr Sanjay Jaiswal
Ward Manager: Jennifer Lomas
Royal Surrey County Hospital

Guildford

Neonatal Unit

SCU

Lead Clinician: Dr Michael Hardo
Ward Manager: Geizel Pulanco
Worthing Hospital

Worthing

Beeding Ward

SCU

Lead Clinician: Dr Katia Vamvakiti
Ward Manager Abi Seal

South East Neonatal - Our Work

South East Neonatal Transfer Service

The Kent, Surrey and Sussex Neonatal Transfer Services is comprised of three separate teams which operate to cover the entire region and offers a comprehensive planned and unplanned neonatal transfer service. This enables the movement of critically ill patients 24 hours a day, 7 days a week across the region and the elective transfer of less unwell infants.

Kent, Surrey & Sussex Neonatal Transfer Service is part of the London, Kent, Surrey and Sussex Neonatal Transport Service coordinated through the Emergency Bed Service. During the daytime two teams operate over the three regions between 08:00 – 20:00 for planned and unplanned transfers. From 20:00 – 08:00 one of the three teams offers the night cover for the region on a rotational basis.

Trevor Mann Baby Unit at Royal Sussex County Hospital
Oliver Fisher Special Care Baby Unit at Medway Maritime Hospital
Neonatal Unit at St. Peter’s Hospital

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Events Calendar

25
Event: Thames Valley Neonatal Clinical Forum – February 2020
Networks: Thames Valley & Wessex Neonatal
Location: Peter Hope JRH
Date: 25th February 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net  Find out more Find out more
26
Event: Thames Valley & Wessex Neonatal Regional Maternity and Neonatal Shared Learning Event – February 2020
Networks: Thames Valley & Wessex Neonatal
Location: Unipart Conference Centre, Unipart HOuse, Oxford, OX4 6LN
Date: 26th February 2020
Time: 09:00 - 13:30
Information: The event is free to attend, register your place via Eventbrite – https://www.eventbrite.co.uk/e/regional-maternity-neonatal-shared-learning-event-tickets-79741682519 Find out more
3
Event: 9th Thames Valley & Wessex neonatal ODN Multi-professional Clinical Day – March 2020
Networks: Thames Valley & Wessex Neonatal
Location: The Ark, Dinwoodie Drive, Basingstoke, RG24 9NN
Date: 3rd March 2020
Time: 08:30 - 16:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more
11
Event: Neonatal – Wessex Clinical Forum Meeting – March 2020
Networks: Thames Valley & Wessex Neonatal
Location: Oakley Road
Date: 11th March 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net  Find out more Find out more
20
Event: Thames Valley & Wessex Neonatal – NLS Course – Portsmouth – March 2020
Networks: Thames Valley & Wessex Neonatal
Location: Portsmouth
Date: 20th March 2020
Time: TBC
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more
27
Event: British Association of Neonatal Neurodevelopmental Follow Up (BANNFU) – March 2020
Networks: Thames Valley & Wessex Neonatal
Location: The UCH Education Centre, 1st Floor West, 250 Euston Road, London, NW1 2PG
Date: 27th March 2020
Time: 08:30 - 17:00
Information: Venue: The UCH Education Centre, 1st Floor West, 250 Euston Road, London, NW1 2PG SAVE THE DATE: Friday 27th March 2020 endorsed by BAPM British Association of Perinatal Medicine You are invited to the 1st National Conference on Neonatal Neurodevelopment Who should attend? Any professional involved in the care of babies in neonatal units and ... Find out more
20
Event: Neonatal Mental Health Awareness Week 2020
Networks: Thames Valley & Wessex Neonatal
Location: All Units
Date: 20th April 2020 - 25th April 2020
Time: TBC
Information: If you would like more information please click here. Find out more
23
Event: Thames Valley & Wessex Neonatal Lead Nurse and PE – April 2020
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 23rd April 2020
Time: 09:30 - 16:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
12
Event: Thames Valley & Wessex Neonatal Palliative Care – May 2020
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 12th May 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
10
Event: Thames Valley & Wessex Neonatal ODN Joint Clinical Forum, Governance and Mortility Meeting – June 2020
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 10th June 2020
Time: 09:00 - 17:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
28
Event: REaSoN Neonatal Meeting 2020
Networks: Thames Valley & Wessex Neonatal
Location: University of Warwick, Coventry
Date: 28th June 2020 - 30th June 2020
Time: TBC
Information: If you are interested or would like more information please click here Find out more
24
Event: Thames Valley & Wessex Neonatal – NLS Course – Portsmouth – July 2020
Networks: Thames Valley & Wessex Neonatal
Location: Portsmouth
Date: 24th July 2020
Time: TBC
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more
8
Event: Thames Valley & Wessex Neonatal palliative Care – September 2020
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 8th September 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
17
Event: Thames Valley & Wessex Neonatal Lead Nurse and PE Group – September 2020
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 17th September 2020
Time: 09:30 - 16:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
23
Event: Wessex Neonatal Clinical Forum – September 2020
Networks: Thames Valley & Wessex Neonatal
Location: Oakley Road
Date: 23rd September 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more
6
Event: Thames Valley Neonatal Clinical Forum – October 2020
Networks: Thames Valley & Wessex Neonatal
Location: To be Confirmed
Date: 6th October 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more Find out more
11
Event: Thames Valley & Wessex neonatal ODN Joint Clinical Forum, Governance and Morbidity Meeting – November 2020
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 11th November 2020
Time: 09:00 - 17:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more
16
Event: Thames Valley & Wessex Neonatal – NLS Course – Portsmouth – November 2020
Networks: Thames Valley & Wessex Neonatal
Location: Portsmouth
Date: 16th November 2020
Time: TBC
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more
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