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<p>We are committed making sure every baby receives consistently high quality care,
24 hours a day, seven days a week.</p><p> </p><p>In November 2015, the Government
announced a national ambition to halve by 2030 the rates of stillbirths, neonatal
and maternal deaths and brain injuries occurring during or soon after birth.</p><p>
</p><p>To support the National Health Service in achieving this ambition we also announced:</p><p>―
a £2.24 million capital fund for equipment to improve safety;</p><p>― over £1 million
to roll out training programmes to make sure staff have the skills and confidence
they need to deliver world-leading safe care; and</p><p>― £500,000 to develop a new
system that can be used consistently across the NHS to enable staff to review and
learn from every stillbirth and neonatal death.</p><p> </p><p>The announcement also
committed to publishing an annual report to update the public, health professionals,
providers and commissioners on the progress we are making towards achieving the ambition.</p><p>
</p><p>The National Maternity Review, chaired by Baroness Cumberlege, will include
proposals for the future shape of modern, high quality and sustainable maternity services
across England. We anticipate that its report will have an important role in shaping
the system to achieve our ambition.</p><p> </p><p>For those babies who are born sick
or premature, NHS England commissions Neonatal Care from 165 neonatal units. These
units are organised and supported by 13 Operational Delivery Networks. The organisation
of networks has brought tangible benefits in the delivery of babies in the right place
to receive specialist care when it is needed.</p><p> </p><p>NHS England’s Neonatal
Critical Care Service Specification states that providers should ensure that expert
and experienced staff treat sufficient numbers of cases to maintain a safe high quality
service and move towards national standards.</p><p> </p><p>It is for local hospital
trusts and specialised commissioners to decide how best to use the guidance and the
National Institute for Health and Care Excellence quality standard for specialist
neonatal care to improve babies’ chances of survival and minimise mortality associated
with being born either premature or unwell. We know that that there is still more
to do to ensure these services are consistent across the country and that is why the
Neonatal Clinical Reference Group at NHS England has committed to review the findings
of the Bliss report, (published in October 2015 which can be found here http://www.bliss.org.uk/babyreport),
and will work with all of its key partners to make recommendations for further improvement.</p><p>
</p><p>Unless we invest in research we cannot understand how to best improve services
for mothers and their babies. Significant sums have been invested over recent years
in support of research looking at important questions regarding premature birth. The
National Institute for Health Research (NIHR) funds a range of research relating to
causes, risk factors and prevention of stillbirth and neonatal death. The NIHR Health
Technology Assessment is funding a £6.0 million trial of an intelligent system to
support decision making in the management of labour using the cardiotocogram - due
to report in 2017. The NIHR is also funding a £1.2 million study on preventing adverse
pregnancy outcome in women at increased risk of stillbirth by detecting placental
dysfunction– due to report in 2019.</p><p> </p><p>To help achieve the best outcomes,
women are also offered a comprehensive programme of scans, screening tests and development
examinations during pregnancy and following birth babies will receive the checks in
the NHS newborn and infant physical examination screening programme and the NHS newborn
blood spot screening programme .</p><p> </p><p> </p>
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