The lack of availability of nursing/midwifery staff, due to the number of vacancies and sickness/absence levels, resulted in staffing on some shifts that did not always comply with the BAPM.
And the BAPM have previously emphasised the strong links between overcrowding on wards and infection levels.
In their most recent report, the BAPM
warn in stark terms that cutting corners on staff numbers leads to baby deaths.
The AMs, BMA and RCN refuse to accept that present neonatal services are undeliverable and unsustainableand that their opinion is irrelevant compared with guidelines and standards set by NICE and BAPM
We are advised by BAPM
that it is highly unlikely that we could recruit adequate numbers of these doctors as there are not enough of them in the UK and most wish to work in larger neonatal units where more babies are treated.
recommend that to achieve these standards, hospitals must work together as Managed Clinical Networks.
MICHAEL Joyce (letters Feb 5) is correct that neonatal services in North Wales currently do not have sufficient neonatologists to meet BAPM
That view was shared by independent experts: "The outside experts (the BAPM
and Royal Colleges) who have no axe to grind about our services, and understand national trends well, came to the conclusion we did not have any realistic prospect of achieving or sustaining a quality service without entering into a partnership in a wider network (with Merseyside and Cheshire).
DAILY SAYS 8 " As a result it would be a "jump" for the board to reach the BAPM
(national standards) on the number of consultants needed to safely staff the unit.
The ratio (of nursing staff) we have in our hospitals (one-on-one) is in line with the BAPM
(British Association of Perinatal Medicine) guidelines and I'd be very concerned if the staffing levels in Arrowe Park meant that there was only one nurse dealing with two seriously ill babies at any one time.