"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
The Betsi Board, local paediatricians, and the Community Health Council(CHC), all agreed that to conform with BAPM
standards, North Wales should join a Managed Network for Neonatal Carewith nine other hospitals from the Chester and Merseyside Area, to provide Neonatal Intensive Care for dangerously sick and very premature babiesat Arrowe Park.
Only at the lowest level of care needed (special care) was the BAPM
guideline ratio of one nurse to every four babies being met.
"We adhere to the BAPM
guidance for nursing and midwifery staffing levels; intensive care has one nurse per baby, high dependency has one nurse per two babies and special care has one nurse per four babies."
He added: "If the overcrowding is a situation that becomes the norm, there should be discussions about increasing the staffing levels to maintain the BAPM
The National Institute for Clinical Excellence(NICE), and the British Association of Perinatal Medicine(BAPM
) reported in 2010, on standards for hospitals providing neonatal intensive care, giving guidelines for staffing and care which cannot be met by the Betsi Board.
Clare Payne, the senior sister on the unit, said that one-to-one nursing care in intensive care, in line with the British Association of Perinatal Medicine (BAPM
) guidelines, was not feasible because of the lack of staff and resources.
The main body that sets these standards is the British Association of Perinatal Medicine (BAPM
), part of the Royal College of Paediatrics and Child Health.
One of the authors and President of the BAPM
, Professor Andrew Wilkinson, said that although the study was based on mothers who gave birth in 1999, ``there is no indication that the situation has got any better.'' He said, ``This study demonstrates a hazardous and unacceptable standard of care of high-risk mothers and their babies.''
(British Association of Perinatal Medicine) DID NOT say it is impossible to provide neonatal intensive care services in North Wales.
The WHC was developed in response to a concern from a member of the public - Emma Jones that current professional guidance from the British Association of Perinatal Medicine (BAPM
) does not state what the NHS should do to care for babies born alive before 24 weeks.
His personal opinion must be compared with evidence from the, National Clinical Forum, Auditor General, Assembly Childrens Committee, National Institute of Clinical Excellence(NICE) and the British Association of Perinatal Medicine(BAPM
) who all agree the current service is undeliverable and unsustainableand therefore unsafe.