Birth - 6 weeks
Birth or soon after
Provision of appropriate care pathway.
Health Visiting
Specialist care required - extreme prematurity, HIE (transfer out for cooling)cardiac or other serious abnormality requiring specialist surgery.
Transfer to Specialist Units
Birth or soon after
Parental support
Health Visiting
Through-out episode within the NICU/specialist unit/at home appropriate support provided by RM, Neonatal Unit - acute liaison,HV.
Support for the family to make informed decisions and aid parental mental health.
On discharge home
Support of the family
Health Visiting
On-going support for the baby and family on discharge home with outreach support.
- CAF
- CIN
- TAF
This support can be provided by a variety of professionals but should be co-ordinated by the RM e.g.
- Neonatal nursing team
- Community Paediatric team
- Childrens Centres
- GP
On discharge home
Appropriate care and support of families
Health Visiting
Co-ordination of service.
Support for the family to make informed decisions and aid parental mental health.
Early Support Programme (piloted in Essex - need details of the service) - for children with identified complex needs.
- TAC or TAF
- CIN
- TAF
Birth - 8 weeks
Physical care of the child
Health Visiting
Perinatal Unwell Baby (physical) - Referral to Paediatrician - Requires enhanced services.
Birth - 6 weeks
Physical care of the child
Health Visiting
Regular appointments / home visits for Treatment, support, appropriate referral.
0 - 6 weeks
Additional Home/Hospital Visit (Child could be in hospital)
Health Visiting
Focus support according to identified need, which may include:
- Outreach support (NB: may be in special care baby unit, palliative care, complex care or out of area specialist care provision).
- Transitional care with other counties according to local arrangements
Develop an action plan and when appropriate discharge plan in partnership with parent/s and all other / potential services involved.
Liaison, information sharing, risk assessment, communicating with partner agencies and specialist services.
This may include:
- Liaison with other agencies in the provision of specialist equipment e.g. ventilation
- Development of specialist care packages
- Adaptation of housing due to needs of baby
Financial advice.
Training and on-going support for parents.
Schedule additional visits in partnership with other appropriate services.
Assess parental expectations and attachment.
Adjust advice according to chronological or developmental age of the baby.