Quality statement 2: Annual needs assessments

Quality statement

Networks, commissioners and providers of specialist neonatal care undertake an annual needs assessment and ensure each network has adequate capacity.

Quality measure

Structure: Evidence of an annual needs assessment including production of an annual report covering, as a minimum, specialist neonatal activity for the network's population, monitoring of quality metrics and how concerns are being addressed.

Process:

a) Proportion of mothers whose babies required specialist neonatal care and who were booked to deliver in the network who received all their perinatal care within the network area (standard 95% as per DH toolkit [2009]).

Numerator – the number of mothers receiving all their perinatal care within the network area.

Denominator – the number of mothers whose babies required specialist neonatal care and who were booked to deliver in the network area.

b) Proportion of babies who receive specialist neonatal care in the network who are from outside the network area.

Numerator – the number of babies from outside the network area.

Denominator – the number of babies receiving specialist neonatal care in the network.

c) Bed occupancy for each level of care (standard 80% as specified in DH toolkit [2009]).

What the quality statement means for each audience

Service providers cooperate with networks and commissioners to carry out an annual specialist neonatal care needs assessment. If service provision levels are found to be inadequate, they ensure action is taken in conjunction with commissioners.

Healthcare professionals assist with specialist neonatal care needs assessments by providing accurate and validated data.

Commissioners and networks ensure that, in conjunction with service providers, an annual specialist neonatal care needs assessment is undertaken. In addition, they clearly define expected levels of service provision.

Parents of babies receiving specialist neonatal care can expect that the needs of their baby will be met by services provided in their area.

Definitions

Quality metrics are defined further in the DH toolkit (2009) section 5.

Data source

Structure: Local and network data collection.

Process

a) Local and network data collection. Contained within the Royal College of Paediatrics and Child Health National Neonatal Audit Programme.

b) Royal College of Paediatrics and Child Health National Neonatal Audit Programme collects data on whether all babies who access neonatal services are treated following their own neonatal network clinical pathway.

c) Local and network data collection.