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Our Work

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

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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