Newborn Services at our Oxford Road Campus is made up of 9 rooms providing different levels of care to your baby.
- Intensive Care (ICU) – rooms 5 and 6 – for babies that are born prematurely or sick, needing ventilation or other critical support.
- High Dependency (HDU) – rooms 1, 4, 7, 8, 9 – for babies that do not require ICU but still require complex care.
- Special Care (SC) – rooms 2 and 3 – for babies that are just establishing feeds, growing and developing after needing complex care.
Newborn Services at our Wythenshawe site is made up of 3 rooms.
- Intensive Care (ICU)
- High Dependency (HDU)
- Special Care (SC)
Who will look after my baby?
Within these rooms there are a skilled mix of professionals who will be looking after your baby:
Clinical Head of Division
She is responsible for clinical effectiveness arrangements within the directorate and oversees matters of clinical policy and practice, staffing, education and training. She works in partnership with the Divisional Director and Lead Nurse to provide joint accountability for the quality and performance of the directorate, development of the directorate strategy and business developments.
She provides professional and clinical leadership and works collaboratively with the lead nurses within the Greater Manchester area to support the delivery of excellent neonatal care wherever your baby is cared for.
- The Quality and Governance Matron – this role has responsibility for education, training, research, risk management, audit and quality. She is responsible for providing nurse leadership for the implementation of the Trust Quality Strategy, leading on risk management and the future development of clinical competencies and educational development.
- The Critical Care Matron – this role is the operational management of intensive care and high dependency care. She is a clinical expert and will ensure that appropriate nursing expertise is delivered to all neonates. She provides professional leadership to the Advanced Practitioners and oversees the development of enhanced and advanced practice.
- Continuing Care Matron – this role has responsibility for neonatal continuing care. This includes: low dependency care, transitional care (including advising on the care of neonates on the postnatal wards), community and outreach services, safeguarding and liaison with midwifery services internally and regionally. She provides a liaison role for families where birth is planned to take place in Saint Mary’s and in preparation for discharge or transfer. She is the education lead for the Newborn service and oversees infant feeding, FiCare, developmental care, bereavement, pathway co-ordinators, the family care team, education and training and implementation of the Quality Improvement Programme.
Other nursing staff including Senior Sisters/ Charge Nurse, Pathway Co-ordinator, Junior Sisters/ Charge Nurse, Staff Nurses and Nursery Nurses
Student Nurses and Midwives
A student nurse/midwife must follow the instructions of her clinical supervisor. Working at the Trust offers a chance for a student nurse/midwife to practice what she has learned in University.
Students apply their knowledge and skills in the care of infants and their families under the guidance of a mentor and/or preceptor. The student’s behaviour should reflect the values and behaviours of Manchester University NHS Foundation Trust at all times. Policies and guidelines for clinical placements must be adhered to and students must follow the values and behaviours of the Trust which includes: Together Care Matters, Everyone Matters, Working Together, Dignity and Care and Open and Honest.
The learning environment of the Newborn Services in which learners are placed is conducive to learning, in order to develop safe, competent, caring practitioners of the future.
The students’ experiences will provide them with valuable learning opportunities.
This service provides early assessment to babies at risk of developmental problems; respiratory care as needed and assessment of any musculoskeletal or genetic conditions while the babies are on the unit.
In many cases this consists of positioning advice and supporting parents and the IDT through the developmental care model and the concept of kangaroo care.
Once your baby has been discharged from hospital any on-going Physiotherapy care will be provided by your local service; which may be a home visit or taking your baby to a local child development centre as they get bigger.
The neonatal pharmacist works alongside doctors and the nurses on the unit to ensure that the medications prescribed to your baby are safe and effective. They can provide information to you and to your family about the medications that your baby is prescribed and help ensure that on discharge you are confident and able to administer these medicines.
On a daily basis a pharmacist will review your baby’s drug charts and order any PN (parenteral nutrition) that they require. Parenteral nutrition comprises many components and it is imperative that it is made to meet your baby’s requirements in a sterile pharmacy environment.
The pharmacist will also provide information to you and to the doctors looking after your baby about the safety of breastfeeding whilst taking any medications. Please feel free to stop the pharmacist on the ward if you have any medication related questions they can help with.
Speech and Language Therapist
She also provides teaching to all staff on the unit on feeding and swallowing, promoting oral readiness and the management of complex feeding and swallowing difficulties.
The unit also has a number of different teams that you may receive additional support from:
Infant Feeding Team
Our team members have a variety of experience ranging from Nursery Nurses to Enhanced Nurse Practitioners and all have a special interest in feeding. We work closely with the Speech & Language Therapist and Dietitian to support you and your baby’s stay on the NICU.
Expressing milk – Breast milk is highly beneficial for preterm and poorly babies. Your NICU nurse will support you to provide breast milk for your baby by showing you how to hand express in the first few days to gain colostrum (mum’s first milk). It is quite common for a mum’s milk supply to change during her baby’s time in hospital and our Feeding Team can offer extra tips and advice to support you.
Breastfeeding and bottle feeding – NICU nurses are trained to help support you and your little one’s feeding journey. The Feeding Team are on hand to offer extra advice and support to help you feel confident in feeding your baby.
Feeding drop in – In our parents’ sitting room every Wednesday, it’s a great chance to meet other parents, share experiences and top tips, plus get to speak with one of our Feeding Team for further support and advice.
Take a look at the leaflets under the Feeding Section on this website for useful information.
The MNORT consists of a highly specialised team of midwives, neonatal nurses and nursery nurses. All members of the team have experience in working in Neonatal Intensive Care Units (NICU) before transferring into the community. We are a citywide service.
The team accepts referrals from the neonatal units at Oxford Road Campus, Wythenshawe and North Manchester. We also receive referrals from the postnatal wards from the aforementioned hospitals. Babies from the postnatal wards are generally babies that are born mildly preterm with a gestation of 35 weeks or have a birth weight of 2.2kg or below.
The majority of babies we visit at home are preterm. A significant number of these preterm infants, although generally healthy, may still require oxygen support until there is significant lung growth and they can be weaned off the oxygen. Having an experienced community service allows for earlier discharge from hospital which benefits both baby and their parents.
ROP Screening Team
We will aim to offer a newborn hearing screen for your baby when they are ready to be discharged home. One of our dedicated hearing screeners will talk to you about what the screen involves and answer any questions you may have. Screening usually takes 20-30 minutes and you will be given the results straight away.
There are two screens which we perform on babies who have been on NICU for more than 48 hours. The first screen is called the automated otoacoustic emission (AOAE). A small soft-tipped earpiece is placed in your baby’s ear and gentle clicking sounds are played. The second screen is called the automated auditory brainstem response (AABR). The AABR screen involves placing 3 small sensors on your baby’s head and neck. Soft headphones are placed over your baby’s ears and gentle clicking sounds are played.
It’s not always possible to get clear responses from the screen. This doesn’t always mean your baby has a hearing loss but we would refer you to your local Audiology department for a diagnostic assessment.
If your baby is discharged before the screen is performed you will receive an appointment through the post to attend a community clinic.
For more information on the hearing screening programme please visit https://www.nhs.uk/conditions/pregnancy-and-baby/newborn-hearing-test/
Bereaved families from Newborn Services are invited to attend events hosted by the team throughout the year including St. Mary’s Hospital Baby Memorial Service and the Christmas Coffee event. These events offer families the opportunity to remember their baby, include their wider family and spend time with other bereaved families.
The team work closely with the Newborn Services Counsellors in areas of bereavement support. The Counsellors offer formal on-going counselling sessions alongside more informal emotional support at a time of crises. The counsellors are an invaluable resource to parents with a baby with a palliative diagnosis or when end of life care is planned and support the bereavement team events.
Volunteers and Peer Support
I am not a doctor or a nurse, but families can talk to me as I have the time to give them the nurses are very busy looking after the babies.
I have made bonds with parents as I see them weekly, some parents just want to offload. I can tell them that even in the bad times, there are good moments too’
Christine – one of our volunteers.