1. North West Neonatal Operational Delivery Network
Julie McCabe, Network Director
“Working together to provide the highest standard of care for babies and families”

2. What is a Clinical Network?
Networks are about:
Breaking down boundaries
Cross organisational working
Focusing on the needs of the patient & cover the whole patient journey
Improving outcomes
Reducing unwarranted variation

3. Greater Manchester, Lancashire and south Cumbria
North East, north Cumbria, and the Hambleton & Richmondshire districts of North Yorks
Greater Manchester, Lancashire and south Cumbria
Cheshire & Mersey
West Midlands
East Midlands
South West
Thames Valley
East of England
Wessex
Yorkshire & The Humber
South East Coast
London
Geography
22 Neonatal units
+ IOM & North Wales
3 locality Neonatal Networks
NWNODN Neonatal Transport Service
83,000 Births
465 Cots
8,623 Admissions
Second largest ODN
One core support team

4. Neonatal Transport Group
NWODN Board
Cheshire and Mersey Neonatal Steering Group
Greater Manchester Neonatal Steering Group
Lancashire and South Cumbria
Steering Group
CEG
SIG
SIG
CEG
SIG
SIG
CEG
SIG
ODN Data Group
Neonatal Transport Group
NWNODN Governance Framework

5. 2016/17 C&M Annual Activity Capacity Demand and Cot Requirement Report
Key Findings
Neonatal activity has decreased
Live births within has decreased
Neonatal acuity has increased
11% of babies born are admitted to neonatal units
83% of Intensive care is delivered in NICU’s
There is insufficient capacity within the NWNODN due to ongoing chronic workforce deficit
There are sufficient physical equipped cots within the NWNODN to meet Demand
Term admissions have increased
There is significant variation in the number of term babies admitted to neonatal units across the NWNODN
Decrease in the number of transfers out of networks
Activity from neighbouring ODN’s has Increased
Document is tabled for information

6. Review of Medical and ANNP Workforce in the Cheshire & Merseyside Neonatal Network
Self Assessment
Unit
Designation
Tier 1 compliant?
Tier 2 compliant?
Tier 3 compliant? 1
LNU
No (partial) No
Yes 2 3 4 5 6 7
NICU 8 1 2 3 4 5 6 7 8
Daytime
Compliant at tier 1 No
Yes
Compliant at tier 2
Compliant at tier 3
Night-time
Telephone survey

7. 2016/17 Annual Activity Capacity Demand and Cot Requirement Report
NWNODN - Increase required to WTE in Budget recommended by CRG NNC to achieve BAPM

8. Neonatal Mortality EMBRRACE 2017 Births Code
Cheshire and Merseyside Neonatal Network
28,573 ●
Lancashire and South Cumbria Neonatal Network
16,986
Greater Manchester Neonatal Network
37,215
● up to 10% higher than the average for the comparator group
● more than 10% higher than the average for the comparator group

9. Neonatal ODN contribution to FYFV
Better Health
Improving Outcomes
Family integrated care
Reducing the number of babies separated from their mothers
Optimising Place of delivery
Network approach to the reduction in neonatal mortality
Workforce development
Better care
Improving Quality
Cardiac pathway
Integrated palliative care
Surgical pathway
Single surgical service
Neonatal outreach CQUIN
Network education and training
Workforce development
Better value
Right care, right place, right professional
Activity Capacity Demand review
Central capacity cot/bed management system
Network procurement
New Pricing and contracting models
Workforce planning

10. Present Shortfall in staffing Aging workforce
Strengths
Weaknesses
Well trained committed workforce
Family centered Care
Positive Feedback from parents
Universal data system (badgernet)
National data collection
World class diagnostics
Excellent training programmes
World leaders in neonatal neuroscience research
Shortfall in staffing
Aging workforce
No standard approach to evaluate outcomes (2 year follow up)
Data quality issues
Variation in care
Reduction in funding

11. Future Opportunities Threats
Adequate funding for staff to meet standards
Reduction in trainee numbers
Staff retention
Resistance to reconfiguration
Cuts to staff training budgets
Parental Involvement in service Improvements/service design
Standardised Data collection
Standardisation of Tariff
Regional procurement
Service redesign to meet standards