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Quality and Improvement Group

This page contains all the various documents and papers of the Group, including; agendas and minutes of meetings, reports, presentations, etc. As well as links to external national documents of interest to the Group.

Terms of Reference (due for review March 2020)

Mortality Review Sub Group

Terms of Reference

Neonatal Mortality Data Collection Template (Updated 21-01-14)

Obstetric Mortality Data Collection Template

SUI Data Collection Form

Meetings of the Group are held bi-monthly.  Details of the date, time and venue of the next meeting can be found on the event page.  If you would like to receive notification of network events by e-mail, you can register to be a member of the Staffordshire, Shropshire and Black Country Newborn Network by clicking on the JOIN THIS NETWORK button at the bottom of our home page.

Maternity and Neonatal Safety Champions Newsletter

Perinatal Mortality Review Tool

Tuesday 7 May 2019

Neonatal Critical Care HRGs 2016 & NCCMDS Codes

Draft Notes

Agenda

Notes of the 10 December 2018, see below.

Draft Network Activity and Workload Report for Quarter 3 2018/19 January-March

Review of MBRRACE-UK 2016 Perinatal 

Groups Report to Board Template

AHP SWMN ODN Provision and Proposed GAP Analysis for SSBCN ODN

Monday 10 December 2018

Notes

Agenda

Notes of the 17 September 2018, see below.

LocSSIP:

Walsall

New Cross

UHNM

Term Admissions Documents:

SaTH Response, Hypoglycaemia, Respiratory and Template.

Walsall

Draft Network Activity and Workload Report for Quarter 2 2018/19

Network Capacity and Demand Reports: 2016/17 and 2017/18

Mortality Shared Lessons Quarter 1 Jan-March 2018 and Quarter 2 April-June 2018

WM OPEL Policy Final Document

Neonatal and Maternity Services within the WM Briefing Paper

Audit Update

Badger Champions Group Notes of the 6 November 2018

Units Participation in National Research Studies:

SaTH, WMH, SWBH, RWH, DGFT and UHNM

Maternity and Neonatal Health Safety Collaborative Report

Monday 17 September 2018

Quarter 1 2018/19 Network Activity and Quality Report FINAL

Mortality Shared Lessons Quarter 1 Jan-March 2018

Draft Notes

Agenda

Notes of the 16 May 2018, see below.

Telford- LocSIP Summary Document, Procedure Form and Procedure Checklist .  Please can all other units provide their documents for sharing across the Network.

Draft Network Activity and Quality Report for Quarter 1 2018/19

Mortality Review Shared Lessons Quarter 4 Oct-Dec 2017

Draft Process for External Reviewers in SSBC

NIPE Quality Improvement Guidance

Joint Audit and Clinical Effectiveness Lead Update

Draft Proposal Network Audit on Initiating Breastfeeding

Consultation (open) BAPM Guidance on Cot Capacity and the use of Nurse Staffing Standards and Response Form

Consultation (closed) BAPM Optimal Arrangements for Local Neonatal Units and Special Care Units in the UK: A Framework for Practice

Wednesday 16 May 2018

PRAM Terms of Reference

Draft Notes

Agenda

Notes of the 2 February 2018, see below.

Network Activity and Quality Report for Quarter 4 2017/18

Mortality Review Shared Lessons Quarter 2 2017 18

Vancomycin Audit Proposal and Proforma

Reducing Term Admissions Care Bundle

Magnesium Sulphate use in the SSBC Neonatal ODN

PRAM Update

Wheat Pilot Trial Invitation, Summary, Presentation and Protocol

Friday 2 February 2018

SaTH Asepsis Care Bundle

SaTH ROP Checklist

SaTH NNU Implementation of LocSSIP

Neonatal HRGs 2016

Draft Notes

Agenda

Notes of the 12 September 2017, see below.

Network Activity and Workload Report for Quarter 3

Mortality Review Shared Lessons Quarter 1 2017 18

QIL Work Programme Update - Increasing Postmortem Consent

National Maternal and Neonatal Health and Safety Collaborative

National Maternity and Perinatal Audit Website

Network Report on Low Birthweight for Gestational Age 

Early Onset of Neonatal Sepsis

Tuesday 12 September 2017

Maternity and Neonatal Health Safety Collaborative

Draft Notes

Agenda

Notes of the 13 June 2017, see below.

Network Report for Quarter 1

Mortality Shared Lesson Quarter 4

Pre-Intubation Regional Audit Update

NNAP Network Summary Report

Unplanned Extubations Report

Tuesday 13 June 2017

Draft Notes

Notes of Extraordinary Sub Groups Meeting

Agenda

Notes of the 14 March 2017, see below.

Network Activity and Workload Report for Quarter 4

West Midlands Term Admissions Quarter 4

Tuesday 14 March 2017

Draft Notes

Umbilical Catheter Shared Learning

Mortality Review Shared Learning Quarter 1 and Quarter 2

Updated QIL Work Programme

NHS Improvement Reducing Harm Leading to Avoidable Admission of Full Term Babies into Neonatal Units

Agenda

Notes of the 13 December 2016, see below.

Draft Terms of Reference, see above.

Network Activity and Workload Quarter 3 Benchmark Report

WM Neonatal Service Review Recommendations Report

Term Admissions SDIP Quarter 3 Submissions Wolverhampton and Telford

NHS Improvement Patient Safety Alert: Resources to support safer care for full-term babies

Parent Passport "Our Neonatal Journey"

Audit Competition Programme

East of England Thermoregulation Guideline

Tuesday 13 December 2016

Notes of the Extraordinary Data Meeting 28-09-16 

Draft Terms of Reference

Draft Notes

Agenda

Notes of the 13 September 2016, see below.

Review of Terms of Reference and Objectives

Network Activity and Workload Benchmark Report for Quarter 2 2016/17

NNAP Annual Report and 'Your Baby's Care' Update

Network Care Poster Final Draft

Term Admissions Example (attached to e-mail)

ATAIN Update

Baby OSCAR Trial Protocol and Trial Overview

Tuesday 13 September 2016

East of England Perinatal Network's NEC Care Bundle

Notes (agreed 13-12-16)

Agenda

Notes of the 7 June 2016, see below.

Draft Board Executive Summary Report Quarter 1 2016/17

NNAP - Two Year Follow Up Performed

Network Activity and Workload Report for Quarter 1 2016/17

Network Data Collection and Reporting Document Update

Mortality Review Shared Learning June 2016

Network Parent Information Leaflet

Network Audit of Unplanned Extubations Proposal, Proforma and Unit Details

ATAIN (Avoiding Term Admissions in Neonatal Units) Update

Modelling Neonatal Care Pathways: Study Update

NETS - Developmeing a Core Outcome for Gastroschisis

Providing Care for Babies who Need Respiratory Support

Term of Reference and Objectives for Review, see top of page.

 Tuesday 7 June 2016

Colin Morgan's National Toolkit for Standardising PN and Spreadsheet

SSBCNMN Activity Report Q4 2015_6 including Funnel Plots

The NNAP is continually trying to improve the way in which it presents the results of its yearly analysis of neonatal care to a wide and varied audience. The NNAP project team would therefore be very grateful for any feedback on the content and format of the 2014 Annual Report.  We would also appreciate the feedback from nursing staff and parent/caers on the usefullness of the booklet "Your Baby's Care". 

We will consider all feedback that we receive when developing this year's versions of the reports, both of which will be launched at the end of September 2016.  The survey should only take 5 minutes to complete.  Please click on the link to the NNAP Feedback Survey.

Draft Notes

Agenda

Notes of the 8 March 2016, see below.

Network Data Collection and Reporting Document Update April 2016

SSBCNMN Activity Report Q4 2015_6

MBBRACE-UK Perinatal Mortality Report 2014

Further to an issue being notified by one of the network leads with respect to the maps and table in Appendix 3.1, we have revised figures 26-31 and table 28 (pages 135-143 in the report). Both the full report and appendix 3.1 are available to download via the MBRRACE-UK web page.

NICU/LNU Daily Communication Policy Final Draft

RCPCH Fixed Concentration Infusions Letter and Proposal

Draft Network Parent Information Leaflet

NNAP Report 2014 Data

ROP Data Review

Audit on UnPlanned Extubation in Neonates

Tuesday 8 March 2016

Notes

Agenda

Notes of the 28 May 2015, see below.

Activity and Workload Report Quarter 2

New Activity and Quality Report Quarters 1 and 2

Standards Assessment Annual Review

WM Strategic Review of Newborn Babies Who May Need Surgery Report

Annual Audit Competition Programme

NNAP/NDAU Collaborators Meeting 18-04-16

Thursday 28 May 2015

NeoNEWS Evaluation Report

NNAP Network Report 2013

Draft Notes

Agenda

Notes of the 23 February 2015, below.

IV Fluid Constitution Standardisation Across the Network E-mail

Transitional Care Badger Survey Report 2013

Badger Neonatal User Group Minutes of the 27 April 2014

NNAP Consultation Document

NNAP 2016 and 2015 Annual Report Development

Update on the NNAP Reporting Process

NICU/LNU Daily Communication

Updated Neonatal Care Pathways Document

WM Neonatal Services Review E-mail

Monday 23 February 2015

Mortality Review Quarter 2 Shared Lessons Learnt

See Neonatal Safety Thermometer Documents below under the 25-11-14

National Transitional Care Document

Network Communication Policy

Draft Notes

Agenda

Notes of the 25 November 2014, below.

Draft Daily Communication Proposal

Quarter 3 2014/15 Benchmark Suite of Reports

Tuesday 25 November 2014

Mortality Review Quarter 1 Shared Lessons Learnt

Notes

Agenda

Notes of the 11 August 2014, below.

Neonatal Safety Thermometer E-mail

Neonatal Safety Thermometer Design Principles

Neonatal Safety Thermometer Data Collection Form

Aluminium Burden in Milk Update

Survey on Practices Relating to Low Lying UVC's

New PDA Pathway

Patient Safety Newsletter

Request to Support Excess Treatment Costs Associated with Clinical Trials

Monday 11 August 2014

Domperidone Revised Dosing for Use in Babies and Children

Badger Admission Survey 2013

Draft Notes

Agenda

Notes of the 14 May 2014, below.

Audit of Term Admissions

Mortality Review Quarter 4 Shared Lessons Learnt

NDAU Mortality Report

Sharing Lessons from SUI Briefing Paper

Use of Domperidone

Draft Network Repatriation Policy

Wednesday 14 May 2014

Notes (agreed 11-08-14)

IUT Exceptions 2013/14

MBRRACE E-mail Update

MBRRACE Case Transfer Updated Guidance

Term Admissions Audit Presentation

Mortality Review Summary Shared Lesson for Quarter 3 2013/14

Agenda

Minutes of the 26 February 2014, below.

Early Preterm Births Proposal to NDAU

Catheter Related Infections

NNAP Data Completeness

NTS Incidents for 2013/14

Topic Proposals for the MBRRACE-UK Perinatal Confidential Enquiry Programme

Wednesday 26 February 2014

Draft Notes

Mortality Review Summary Shared Lesson for Quarter 2 2013/14

Agenda

Minutes of the 23 September 2013, below.

Network Wide Evaluation Funding

Antenatal Steroids

National Dashboard Data Query

Terms of Reference, see above.

Objectives Review, see above.

NNAP Network Report 2012

WM Neonatal Unit Admission Criteria for Audit of Term Admissions

Keele Research Study Proposal , Information Sheet and Invitation to Participate

NTS Incidents

Invitation to Join CHAIN

Wednesday 4 December 2013 - CANCELLED

Agenda

Monday 23 September 2013

Notes (agreed 26-02-14)

Phased Business Plan NTS KIDS

Neonatal Survey 2014 Information Leaflet

Picker Institute Neonatal Survey Timetable

Parent Passport

Agenda

Minutes of the 20 June 2013, below.

Keele Research Study Proposal and Article

DOVE Study Poster and Parent Information Leaflet

Mortality Sub Group Report

NTS Incidents

Thursday 20 June 2013

Notes (agreed 23-09-13)

Mortality Review Group Summary Report

Collated IUT Exception Report Financial Year 2012/13

NeoNEWS Audit Proposal

Agenda

Mortality Review Sub Group Summary Report for Quarter 3 2012

Tuesday 12 March 2013

Draft Notes (agreed 20-06-13)

Key Points from the NNAP/NDAU Collaborators Meeting

Infection Control Recommendations Following Pseudomonas Outbreak in Belfast

Draft Amended Terms of Reference

Final Objectives and Progress Review 2012/13

Agenda

Please see below for notes of the previous meeting.

NNAP/NDAU Online Portal for Units to Check Data

Mortality Review Sub Group Summary Report for Quarter 2 July - September 2012

No SUI's for Stafford and Wolverhampton SUI's to be tabled at the meeting

Optimisation of data capture of antenatal steroid administration on Badger

Thursday 6 December 2012

Draft Notes

BAPM SCI Proforma

The East of England Neonatal Networks have developed and implemented a care bundle aimed at reducing NEC. Further information can be obtained by following this link to the newsletters.

Agenda

Please see below for notes of the previous meeting.

Report of the Mortality Review Sub Group 29-11-12

NNAP Network Results 2011

Tuesday 18 September 2012

Notes (agreed 06-12-12)

NNAP Network Units Dashboard

Network Audit Term Admissions Draft Proforma

Agenda

BAPM SUI Ref: 2012/007

BAPM SUI Proforma

DRAFT Shortened Network Parent Questionnaire

Tuesday 15 June 2012

Agenda

Notes (agreed 18-09-12)

Updated Mortality Review Template

Draft Notes of the 10 April 2012, see below.

SSBC Draft Activity and Quality Data Collecting and Reporting Document

Mortality Review Sub Group Terms of Reference and Notes of the First Meeting circulated separately.

Tuesday 10 April 2012

Agenda

Notes (agreed on the 15-06-12)

Draft Review of Objectives 2011/12

Updated Network Mortality Data Collection Template

Commissioning Report for Month 10 2011/12

Draft Notes of the Guidelines Group 26-01-12

Network Mortality Data for Quarter 3 Oct-Dec 2011 to be circulated at the meeting

Network Activity and Workload Matrix

IUT Exception Reports

Postnatal Exception Reports

Monday 16 January 2012

Agenda

Notes (agreed on the 10-04-12)

Network Mortality Data Collection Template

Network Leads Time Out Report of the 21 November 2011

Maternity Stakeholder and Perinatal Education Event on the 8 February 2012

Network Activity and Workload Matrix

IUT and Postnatal Exception Reports

WM QI Stakeholder Event Draft Report of the 11 November 2011

Thursday 20 October 2011

Agenda

Notes (agreed 16-01-12)

Draft Notes of the Guidelines Group 20-09-11

Network Activity and Workload Matrix

NICU Ex-Utero Transfer Request Form

NICU Ex-Utero Transfer Update

NEC Study Letter

NEC Study Summary

NEC Study E-mail Request for Comments/Feedback

NNAP - Quality Improvement Process

Neonatal Nurse Staffing and Delivery of Care in the Network Article

Thursday 14 July 2011

Agenda

Notes (agreed 20-10-11)

Draft Notes of the Guidelines Group 14-06-11

Draft Notes of IUT Group 12-05-11

Network Mortalisty and SCI Review Update: Letter, Flow Chart and Pilot Form

Draft Acitivity and Outcomes Monitoring Matrix April and May 2011

Tuesday 24 May 2011

Agenda

Notes (agreed 14-07-11)

Guidelines Group Notes 08-03-11

Draft Audit Competition Flyer 22 September 2011

IUT Research Group Notes 07-04-11

Draft Network Mortality Review Data Collection Sheet

E-mail RE: Development of a Regional Standardised Reporting and Reviewing System for Perintal Deaths

FINAL Draft Care Pathway Document

NICU Ex-Utero Transfer Request Form

BAPM Serious Clinical Events Letter

BAPM Learning from Serious Clinical Events Document

Prevention of Over Infusion of IV Fluids and Medicines in Neonates Briefing

Prevention of Over Infusion of IV Fluids and Medicines in Neonates Rapid Response Report

Prevention of Over Infusion of IV Fluids and Medicines in Neonates Supporting Information

Thursday 17 March 2011

Notes (agreed on the 24-05-11)

Picker Institute Update on Wave 3 of the National Survey of Parents' Experience of Neonatal Care

Pain Management Audit Results

Thursday 13 January 2011

Notes (agreed on the 17-03-11)

Nursing Time Spent Audit Results