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Bliss Staffing Study: Neonatal Economic, Staffing and Clinical Outcomes Project (NESCOP)
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University of Warwick
Academic Institute
Sam Watson
The Medical Research Council
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The UK Neonatal Staffing Study (UKNSS) identified variation in staffing and throughput as important variables in determining neonatal intensive care (NIC) outcomes in the mid-1990’s. As part of the EPICure 2 programme, a similar investigation of neonatal units (NNUs) structures and staffing was undertaken in 2006 but this was in the early phase of network implementation. Subsequent further strengthening of the network structure and publishing of commissioning guidance and quality standards in 2007 (Toolkit for Quality Neonatal Services, Department of Health) and 2009 (National Institute for health and Clinical Excellence (NICE) quality standards) have changed the neonatal landscape further. In the recent EPICure 2 study, survival was significantly related to the size and expertise of the hospital of birth (level 2 versus level 3 survival: aOR 0.75 ((0.59 – 0.95); higher versus lower throughput level 3 survival: 1.4 (0.96 – 2.03)). This leads to the conclusion that organisation and expertise may have significant effects on outcomes and that this may relate therefore to availability of resources. This group of studies aims to evaluate that hypothesis.
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