Quality statement 3: Skilled and multidisciplinary staff
Specialist neonatal services have a sufficient, skilled and competent multidisciplinary workforce.
a) Evidence of local arrangements to ensure specialist neonatal staff are compliant with competency levels as described by the DH toolkit (2009).
b) Evidence of local arrangements to provide a multidisciplinary service, trained and competent in the care of neonates, that has access to:
specialist neonatal or paediatric dietitians
specialist neonatal occupational therapists
specialist neonatal physiotherapists
specialist neonatal speech and language therapists
specialist neonatal pharmacists.
Process: Proportion of completed specialist neonatal care shifts with the correct nursing and medical staffing levels as specified in the DH toolkit (2009).
Numerator – the number of shifts with the correct nursing and medical staffing levels as specified in the DH toolkit (2009).
Denominator – the number of completed specialist neonatal care shifts.
Service providers ensure specialist neonatal services are staffed in accordance with the DH toolkit (2009), and that training and competencies are regularly reviewed.
Healthcare professionals ensure they are skilled and competent for their roles and responsibilities by accessing appropriate training.
Commissioners ensure that specialist neonatal services assess and monitor the staffing levels, composition and competency of their workforce. In addition, they ensure that appropriate education programmes are commissioned.
Parents of babies receiving specialist neonatal care can expect care to be given by an appropriate number of fully trained healthcare professionals.
Definition of a skilled and competent workforce can be found in DH toolkit (2009) Principle 2.
The process measure 'proportion of completed shifts with the correct nursing and medical staffing levels' was considered by the TEG as an appropriate measure of staffing. It is noted that this is not a mandatory data collection requirement and that collection of this data is at the discretion of local units.