Quality statement 3: Skilled and multidisciplinary staff

Quality statement

Specialist neonatal services have a sufficient, skilled and competent multidisciplinary workforce.

Quality measure

Structure:

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.

What the quality statement means for each audience

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.

Definitions

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.

Data source

Structure: Local data collection.

Process: Local data collection.