{"id":5491,"date":"2019-07-09T11:29:50","date_gmt":"2019-07-09T10:29:50","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=5491"},"modified":"2021-07-05T15:45:55","modified_gmt":"2021-07-05T14:45:55","slug":"respiratory-workload-and-medical-staffing-in-uk-local-neonatal-units-lnus-and-special-care-units-scus-time-for-a-rethink-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2019\/07\/09\/respiratory-workload-and-medical-staffing-in-uk-local-neonatal-units-lnus-and-special-care-units-scus-time-for-a-rethink-2019\/","title":{"rendered":"Respiratory workload and medical staffing in uk local neonatal units (LNUS) and special care units (SCUS)-time for a rethink (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Tyler W.; Fox G.F.; Fenton A.C.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nArchives of Disease in Childhood; May 2019; vol. 104<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nIntroduction: The majority of UK neonatal care occurs in SCUs and LNUs with a smaller volume of highly\u00a0complex care delivered by NICUs. Whilst the significant shortfall in nursing numbers nationally has been\u00a0highlighted, medical staffing has received little attention. Aim To determine levels of medical staffing in UK\u00a0LNUs\/ SCUs, days of respiratory support provided and admissions weighing &lt;1.5 kg. Methods Questionnaire\u00a0sent to every LNU and SCU requesting details of medical tier staffing. ODNs provided the number of<br \/>\nrespiratory care days (RCD \u2013 invasive and non-invasive mechanical respiratory support) delivered 2013-15 and\u00a0numbers of admissions weighing &lt;1.5 kg. Results 78 (86.7%) LNUs and 38 (95%) SCUs responded. 11\/ 90 LNUs delivered &lt;365 RCDs annually. Of these 9 admitted &lt;25 infants weighing &lt;1.5 kg. 6\/40 SCUs delivered &gt;365 RCDs annually. Significant numbers of LNUs and SCUs employed nontraining grade medical staff and ANNPs to cover rotas; neonatal CST holders or equivalent support many units (Tables 1 &amp; 2). The 8\/11 low-activity LNUs who responded provided partially separate Tier 1 staffing from paediatrics, consistent with SCU staffing recommendations only. Half of the high activity LNUs and all high activity SCUs did not achieve staffing standards for NICUs or LNUs respectively. Conclusions A wide range of activity is undertaken by UK LNUs and SCUs, with moderate overlap of workload between unit types. These data should inform potential unit redesignation as part of the current national reviews. Current medical and ANNP staffing is a major barrier to implementing change. (Table Presented).<\/p>\n<p><a href=\"https:\/\/adc.bmj.com\/content\/104\/Suppl_2\/A81.2\" target=\"_blank\" rel=\"noopener noreferrer\">Link to full-text<\/a>\u00a0[NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Tyler W.; Fox G.F.; Fenton A.C. Citation: Archives of Disease in Childhood; May 2019; vol. 104 Abstract: Introduction: The majority of UK neonatal care occurs in SCUs and LNUs with a smaller volume of<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2019\/07\/09\/respiratory-workload-and-medical-staffing-in-uk-local-neonatal-units-lnus-and-special-care-units-scus-time-for-a-rethink-2019\/\">Read more <span class=\"screen-reader-text\">Respiratory workload and medical staffing in uk local neonatal units (LNUS) and special care units (SCUS)-time for a rethink (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,227,653,863],"class_list":["post-5491","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-neonates","tag-neonatology","tag-staffing"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5491","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=5491"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5491\/revisions"}],"predecessor-version":[{"id":5502,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5491\/revisions\/5502"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=5491"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=5491"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=5491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}