2018

Neonatal Meeting

Speaker Bios and abstracts

Name: Dr Nicholas Embleton Job Title: Consultant Neonatal PaediatricianHospital: Newcastle Hospitals NHS Trust, UK Talk title: Breast milk fortification: relevance to the preterm infant and evidence for fortification

Biography Nicholas Embleton is Consultant Neonatal Paediatrician, and Honorary Reader, Newcastle University, and helps lead a broad portfolio of translational research (www.neonatalresearch.net) including NIHR collabo-rative trials and mechanistic microbiomic and metabolomic studies. He coordinates the Newcastle Preterm Birth Growth study tracking the growth and metabolic outcomes of children who were born preterm into late adolescence. He is a member of ESPGHAN Committee of Nutrition, and the multi-disciplinary Neonatal Nutrition Network (N3). He is also clinical lead for qualitative studies exploring reproductive and/or neona-tal loss (the Butterfly project). Further information on projects, publications, and links to guidelines in the area of twin loss are available. (www.neonatalbutterflyproject.org).

AbstractBreast milk evolved to meet the unique needs of newborn infants. There is over-whelming evidence that term infants who are breast-fed have better short-term outcomes, and recent data now show important long-term benefits in terms of reductions of death or serious morbidity such as hypertension, obesity and stroke. As well as these benefits in term infants over the life-course, there are now strong data to show the benefits of mothers’ own expressed breast-milk (MOM) for infants born preterm, especially in reducing the rates of serious morbidity such as necrotising enterocolitis, sepsis and lung disease. The mechanisms involved in achieving these benefits are multi-factorial and complex, but functional components in breast-milk have been identified that play key roles. These include whey proteins (e.g. lactoferrin), complex pro-teins and phospholipids (e.g. milk fat globule membrane) and carbohydrates (e.g. human milk oligosaccha-rides). Despite these key functional components, MOM may fail to meet macronutrient requirements for very preterm infants, and many NICUs will now use breast milk fortifiers.

Name: Dr Lynne Paterson Job title: Neonatal Nurse Consultant Hospital: James Cook University Hospital, Middlesbrough, UK Talk title: Challenges of research as a Clinical Neonatal Nurse Consultant

BiographyLynne Paterson has been in nursing for over 30 years; starting initially in adult intensive care and then

Speakers - Day 1: Monday 2nd July 2018

quickly moving to neonatal intensive care. Lynne has experience from both the UK and also overseas. She has held a number of posts including that of Advanced Neonatal Nurse Practitioner and Lecturer/Practition-er and has been in her present post in Middlesbrough since 2001. She is also the Lead Nurse for the North-ern Neonatal Operational Delivery Network. Lynne undertook her Doctoral programme at the University of Sheffield and investigated prescribing errors and near misses and since then has been involved in working in Research & Development’ within her Trust as well as attempting to continue to fly the flag for NMAHP research (Nursing, Midwifery and Allied Health Professionals).

Name: Sr Katie Oakes Job title: ANNP/Senior Sister Hospital: Plymouth Hospitals NHS Trust, UK

Name: Mr Lawrence Impey Job title: Consultant in Obstetrics and Fetal MedicineHospital: John Radcliffe Hospital, Oxford, UK Talk title: Growth scans and the prevention of still-birth

Mr Lawrence Impey has been a consultant in Obstetrics and Fetal Medicine at the John Radcliffe Hospital in Oxford since 2001. He is subspecialty trained in fetal and maternal medicine and is regional lead for fetal medicine. He is author of the 2 leading undergraduate text-books in Obstetrics and Gynaecology and is an amateur researcher.

Name: Dr Michael Farquhar Job title: Consultant in Children’s Sleep Medicine Hospital: Evelina London Children’s Hospital, UKTalk title: Rounded with a sleep: Why we need to talk about fatigue

BiographyMike Farquhar is a consultant in paediatric sleep medicine at Evelina London Chil-dren’s Hospital, where he has worked since 2012. He has a particular interest in raising awareness of the importance of sleep and sleep deprivation for healthcare workers, particularly in the context of providing care around the clock.

AbstractThe NHS functions 24 hours a day, 7 days a week to provide acute and essential care around the clock, often in high-pressured and stressful environments. We depend on our teams to give the same standards of care at 3am as they do in the daytime … the problem is we are not evolved to be awake at night, nor are we able to sustain performance for long periods of time without rest. To deliver care to our patients safely, effectively and efficiently, it is essential that we consider the impact of fatigue and sleep deprivation on NHS staff, and put in place measures to support them to function at their best, whatever the time of day or night.

Name: Professor Gautham Suresh Talk title: Section Head and Service Chief of Neonatology Hospital: Texas Children’s Hospital, USA Talk title: Taking your NICU from good to great – The path to global excellence

BiographyGautham Suresh, MD, DM, MS, FAAP, is Section Head and Service Chief of Neonatology at Texas Children’s Hospital, and Professor of Pediatrics at Baylor College of Medicine. He also is an Attending Neonatologist at Texas Children’s Hospital. He is chair of the American Academy of Pediatrics program, Education in Quality Improvement for Pediatric Practice (EQIPP). He is also an Associate Editor for the Neonatal Review Group of the Cochrane Collaboration. After his fellowship in neonatology at the University of Vermont, he served as a faculty member there and was a postgraduate fellow at the Vermont Oxford Network. He has worked closely with the Vermont Oxford Network for many years, as a faculty member of the Vermont Oxford Network’s quality improvement collaborative, the Neonatal Intensive Care Quality (NICQ) project, and as an advisory board member for NICQ. He has set up and directed several educational courses on patient safety, on evidence-based medicine and on communication in healthcare.

He is a graduate of the Masters Program at The Dartmouth Institute of Health Policy and Clinical Practice (previously called the Center for Evaluative Clinical Sciences) where his concentration was Continuous Qual-ity Improvement in Healthcare. He previously worked in Lebanon, New Hampshire, where he was faculty at The Dartmouth Institute, at Geisel School of Medicine at Dartmouth, and a neonatologist at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. At Dartmouth-Hitchcock he served as the Medical Director of the Neonatal Intensive Care Unit, Program Director for the Neonatal-Perinatal Medicine fellowship, Associate Program Director and coach for the Leadership Preventive Medicine Residency, and member of the Clinical Ethics Committee.

His interests include patient safety, healthcare quality improvement, evidence-based decision making, translation of research into practice, ethics, humanism in medicine, and organizational culture and leader-ship in healthcare. He is the author of several peer reviewed scientific publications, presentations and book chapters on quality improvement, patient safety and evidence-based medicine, including Cochrane system-atic reviews.

AbstractIn addition to implementing quality improvement projects on individual clinical or operational topics, leaders of a neonatal unit should strive to improve the unit in a holistic manner, using a structured frame-work such as ‘Good to Great’ (J. Collins). The key elements of such holistic improvement are – leadership; careful personnel selection; nurturing of joy in work; linking activities to the forces that drive organizations (revenue, regulation, reputation, risk, research, patient outcomes); acceptance of current deficiencies while simultaneously believing that improvement will occur; disciplined focus on the core mission and priorities; improving unit culture; managing change thoughtfully; and persistence as slow, small gains eventually lead to significant improvement. Such an approach can shift a unit from a vicious cycle of quality into a virtuous one that results in improved patient outcomes, greater professional satisfaction, and decreased healthcare costs.

1. Collins J. From Good to Great. Harper Collins, 20012. Watkins M. Picking the right transition strategy. Harvard Business Review, January 2009.3. Nelson EC, Batalden PB, Godfrey MM. Quality by Design, Jossey-Bass 2007. 4. Bolman LG, Deal TE. Reframing organizations. 4th edition, Jossey-Bass, 2008.5. Bodenheimer and Sinsky. Ann Fam Med 2014; 12: 573-576.6. Katakam L, Suresh G. Identifying a quality improvement project. J Perinatol 2017; 37:1161-1165.7. Kotter JP. Leading change. Harvard Business Review, March-April 1995.

Name: Dr Paul Cawley Job title: Sub-Specialty Grid Trainee in Neonatal Medicine Hospital: Southmead Hospital, Neonatal Intensive Care Unit, UK Talk title: An ABC of Specialist Early Newborn Care: Airway, Breathing, Cuddle

BiographyPaul is a Grid sub-specialty registrar in Neonatal Medicine working at Southmead Hospital, Neonatal Inten-sive Care Unit. He has an interest in perinatal and early newborn care. He previously worked in hospitals throughout the East of England Deanery, where he was heavily involved in the design and implementation of the regional ‘First Hour of Care’, and ‘Neonatal Saturation Targeting’, clinical care projects. He has also researched infant thermoregulation during high field MR brain imaging.

AbstractEfficient, effective and well-organised delivery room newborn care is crucial for good neonatal outcomes of very preterm babies. Traditionally, attention to assisted transition has included prompt stabilisation of an infant’s airway, breathing and circulation, followed by swift admission to the neonatal intensive care unit. However, for very preterm infants another vital lifeline is perhaps often overlooked from the delivery room repertoire: facilitating a very first cuddle of the newborn baby with its parents on its birthday. We explore how inclusion of this simple act could improve early newborn care and discuss its crucial role in uniting the family in the delivery room before the long hard road ahead in the NICU. We will hear first-hand invaluable insights from a mother of extremely preterm twin boys who experienced such delivery room family-centred care, and will hear her pertinent reflections on how we may put the families of very preterm infants at the forefront.

Name: Dr Paul ClarkeJob title: Consultant Neonatologist and Honorary Professor Hospital: Norfolk and Norwich University Hospitals NHS Foundation Trust, UK Talk titles: 1. Family-Centred Care Right from Birth: Facilitating the Delivery Room Cuddle,2. Which skin antiseptic should we use for central venous catheter insertion?

BiographyDr Clarke is consultant neonatologist at the Norfolk and Norwich University Hospital. A graduate of the Uni-versity of Manchester, he undertook his neonatal specialty training in the North West of England and spent a year as clinical fellow in Canberra, Australia. He is presently the lead for clinical research on the NICU in Norwich. He gained his doctoral thesis on the vitamin K status of preterm infants and has now published more than 90 research papers related to neonatal medicine. He is current grant holder for the NIHR-funded ARCTIC feasibility study comparing two antiseptics for percutaneous central venous catheter insertion.

AbstractEfficient, effective and well-organised delivery room newborn care is crucial for good neonatal outcomes of very preterm babies. Traditionally, attention to assisted transition has included prompt stabilisation of an infant’s airway, breathing and circulation, followed by swift admission to the neonatal intensive care unit.

However, for very preterm infants another vital lifeline is perhaps often overlooked from the delivery room repertoire: facilitating a very first cuddle of the newborn baby with its parents on its birthday. We explore how inclusion of this simple act could improve early newborn care and discuss its crucial role in uniting the family in the delivery room before the long hard road ahead in the NICU. We will hear first-hand invaluable insights from a mother of extremely preterm twin boys who experienced such delivery room family-centred care, and will hear her pertinent reflections on how we may put the families of very preterm infants at the forefront.

Name: Professor Dominic Wilkinson Job title: Professor of Medical Ethics Hospital: John Radcliffe Hospital, Oxford, UK Talk title: Agreeing to disagree? Ethics and treatment disputes in Neonatal Intensive Care

BiographyDominic Wilkinson is Director of Medical Ethics and Professor of Medical Ethics at the Oxford Uehiro Centre for Practical Ethics, University of Oxford. He is a consultant in newborn intensive care at the John Radcliffe Hospital, Oxford. He also holds a health practitioner research fellowship with the Wellcome Trust and is a senior research fellow at Jesus college Oxford.

Dominic has published more than 100 academic articles relating to ethical issues in intensive care for adults, children and newborn infants. He is the author of ‘Death or Disability? The ‘Carmentis Machine’ and decision-making for critically ill children’ (Oxford University Press 2013) and Ethics, Conflict and Medical treatment for children, from disagreement to dissensus (Elsevier, 2018). Twitter: @Neonatalethics

AbstractRecent cases of conflict around medical treatment for seriously ill infants and young children have raised a number of questions about the nature, consequences and ethics of disagreement in neonatal intensive care. How often do serious disagreements about treatment occur? Are they becoming more common? Why do disagreements occur? If there is disagreement between parents and health professionals about treatment for a child, what should the health care team do?

Wilkinson D, Savulescu J. Ethics, conflict and medical treatment for children: from disagreement to dissen-sus. Elsevier. 2018. (Forthcoming – September 2018. Pre-order at http://tiny.cc/dissensus )

Name: Professor William Tarnow-MordiJob title: Professor of Neonatal Medicine Hospital: University of Sydney, Australia Talk titles: 1) The Australian placental transfusion study. 2) The AL-PHA Collaboration: can we embed international mega-trialsin routine care?

BiographyProfessor Tarnow-Mordi is an academic neonatologist, who graduated with first class Honours in Cambridge and received neonatal training at The John Radcliffe Hospital, Oxford. He spent 13 years at Ninewells Hos-pital, University of Dundee as Senior Lecturer, then Reader, and moved to Sydney in 1999. Since moving to Australia he has held the inaugural Chair of Neonatology at Westmead Hospital and The Children’s Hospital at Westmead, University of Sydney, and has been Director of the Department of Neonatology at Westmead Hospital. He has an established reputation in clinical epidemiology and was the coordinator of the Interna-tional Neonatal Network and led the team which originated the CRIB Score. He has a longstanding clinical epidemiological research interest in outcome prediction and comparison of quality of care in high-risk premature infants. He has been a consistently strong advocate of large multicentre studies, which answer questions of fundamental importance in neonatal medicine.

Professor Tarnow-Mordi’s ORACLE trials (I and II), which were designed and conducted in collaboration with Professor Sir Richard Peto and Professors Sara Kenyon and David Taylor, and took place between July 1994 and May 2000. These involved obstetricians and paediatricians from 161 centres in UK, Australia and 12 other countries in recruiting over 11,000 women. He was chief investigator of the ECSURF Study, which un-dertook a detailed cost analysis of 57 UK neonatal intensive care units, and the UK Neonatal Staffing Study, which recruited a prospective cohort of over 13,000 infants from 54 centres. He has been the recipient of over ₤4 million from UK grant bodies, the largest single grant being from the Medical Research Council for the ORACLE trials for ₤2.4 million. Since his move to Australia he has received over $20 million in grants from NHMRC and has been CIA on the INIS, BOOST II, APTS LIFT and LEAP1 trials, and a CI on the WOMBAT Collaboration Enabling Grant, all funded by NHMRC. He has over 150 publications in peer reviewed jour-nals, e.g. the INIS trial of adjunctive IVIG therapy in 3,493 infants, (NEJM 2011;365: 1201-11) the BOOST II Australia trial in 1,135 infants (NEJM 2013;368:2094; NEJM2016; 374: 749-60) and TORPIDO1 in 292 infants (Pediatrics 2017 DOI: 10.1542/peds.2016-1452).

Speakers - Day 2: Tuesday 3rd July 2018

Name: Dr Peter ReynoldsJob title: Consultant NeonatologistHospital: St Peter’s Hospital, Chertsey, UK Talk title: The BAPM guidelines on Hypoglycaemia

Biography Peter Reynolds is a Consultant Neonatologist at St. Peter’s Hospital in Surrey. His interests are focussed on improving outcomes through adopting a less-invasive approach whenever possible, and to generate improvements in existing care to ensure optimal delivery. As joint Clinical Lead for the South East Coast region, he has improved the quality of cooling treatment across the region through implementation of the Time=Brain quality improvement programme. He has applied the non-invasive principles to a number of areas of neonatal care at St. Peter’s, including the stabilisation of the preterm infant with nasal High Flow and the early adoption (in the UK) of the LISA procedure for the administration of surfactant.

Name: Dr Kathy Beardsall Job title: University Lecturer and Honorary Consultant in NeonatologyHospital: Cambridge University Hospitals NHS, UK Talk title: Should we follow the BAPM guidelines on Hypoglycaemia?

BiographyDr Kathryn Beardsall is a HEFCE Senior Clinical Lecturer, Cambridge University Lecturer and Consultant Neonatologist at Cambridge University Hospitals NHS Trust. She leads research in the area of the metabolic transition from fetal to independent life as adaptive processes, including that of glucose control in the per-inatal period can be critical for programming later metabolic health. She trained in London and Cambridge and her work involves physiological and interventional studies in the neonatal period as well as long term follow up studies of children at risk of impaired glucose tolerance investigating the long term impact on neurocognitive and metabolic outcomes of these babies.

Name: Professor Boris Kramer Job title: Director of Paediatric ResearchHospital: Maastricht University Medical Centre, Netherlands Talk title: NEC and Sepsis: more than gut feelings

BiographyBoris W. Kramer has completed his MD at the University of Tübingen/ Germany, and his PhD at the University of Maastricht. Dr. Kramer performed postdoctoral studies at the Cincinnati Children’s Hospital/Ohio/USA. He is a neonatologist and the director of pediatric research. He has pub-lished more than 165 papers in reputed journals and serving as an editorial board member of international journals.

Abstract Preterm delivery is frequently associated with microbial invasion by bacteria and/or viruses of the amniot-

ic cavity (chorioamnionitis). In contrast to a relatively asymptomatic mother, the fetus might suffer from a fetal inflammatory response including umbilical inflammation and increased serum levels of inflammatory cytokines. Antenatal exposure to inflammation places the extremely immature neonates therefore at high risk for adverse gastrointestinal outcomes such as NEC. Patients who developed NEC have changes in the gut microbiome which precede the development of NEC and have a low percentage of regulatory T lymphocytes which are crucial for the control of inflammation. We studied the composition of the gut microbiome over time in preterm babies. We found temporary changes which precede the development of NEC and sepsis, respectively. With the help of an electronic nose changes in the metabolic activity of the microbiome could be detected in babies two days BEFORE the development of NEC or sepsis – with the possibility to distinguish NEC and sepsis from each other. In a sub-sequent step, we compared the isolated bacteria from blood culture with the changes in the composition of gut microbiome. The bacteria species that increase before the development of sepsis are the ones that can be later isolated in the blood stream. We therefore conclude that the changes in the gut microbiome does not only play a role in the development of NEC but may also be the source of sepsis.

Name: Dr Alan Gibson Job title: Consultant Neonatal Paediatrician Hospital: Previously Jessop NICU in SheffieldTalk title: The story of oxygen: A murky tale of death and deceit, of half truths and lies and of use and abuse

Biography Alan used to be a neonatologist - but now he is not. He seems to recall that he was involved in some fairly important things – but now he is not. To the surprise of both himself and many other people he reached retirement age before being found out and thus, with a deep sigh of relief – he retired. He now spends a lot of time wandering in his campervan stopping off to do a variety of odd jobs in a variety of locations. Quite a bit of time is spent acting as a vomit target and picker up in chief for his granddaughter and a trouble diffuser for his grandson although his daughter in law maintains that if he didn’t start the trouble in the first place it wouldn’t need diffusing. He still likes finding things out and has a fascination with the often-irrational behaviour of human beings, himself included. While a neonatologist he strongly believed that accepted practice should always be challenged - good practice will be strengthened and poor practice changed. He still does and to this end is teaching his three-year-old grandson the vital importance of the relentless use of the word “Why”.

AbstractThe air we breathe is rather special. It contains 21% oxygen, a higher level than on any other known world and these levels are a signature feature of Planet Earth and define the outlines of our existence. It was not always thus, and the evolution of our oxygenated atmosphere is an amazing story told over billions of years yet oxygen was only discovered (maybe) in the 1770s, yet by 1798 the first institution for oxygen therapy was established and the era of “lack of evidence-based use of oxygen” had begun. The driving simplistic concept behind this appears to be “if a little bit of oxygen is good for you then a lot must be even better”. Neonatology has not been immune to this belief – but rapidly learnt the errors of its ways. In 1922 it was scientifically postulated that oxygen therapy “used correctly” could be life saving but the very real risks of oxygen toxicity were clearly recognised. Despite this inappropriate usage continues and is increasing ex-ponentially. This talk will cover 13.8 billion years of history, lots of deaths, lies, amazing science, complete garbage, live research and a plea to base practice on fact, not fiction. Canfield DE. Oxygen. A four billion year history. Princeton University Press. 2014

References- Close F, The New Cosmic Onion: Quarks and the Nature of the Universe. Taylor and Francis, 2006

- Gribbin J. 13.8 The quest to find the true age of our galaxy and the theory of everything. Icon Books Ltd, 2015- Kean S. Caesar’s Last Breath: The Epic Story of The Air Around Us. Doubleday, 2017- Lane N. Oxygen. The molecule that made the world. Oxford University Press. 2002- Many, many hours on the internet. 2017-2018- Mc Cabe E. Flood Your Body With Oxygen: Therapy For Our Polluted World. Energy Publications. 2004- Sircus M. Anti-Inflammatory Oxygen Therapy: Your Complete Guide to Understanding and Using Natural Oxygen Therapy. Square One Publishers. 2015

Name: ANNP George BrooksJob title: Neonatal Nurse Consultant Hospital: Northumbria Specialist Emergency Care Hospital, UK

Biography I am the neonatal lead professional in the most northern trust in England. Our maternity service covers from the banks of the river Tyne to the Scottish border in Berwick Upon Tweed. Over 3300 babies per year are born within our service. Northumbria has a level 1 neonatal unit has been nurse-led without on-site medical cover since 1997. Orig-inally based at Ashington we are now based in a new emergency care hospital, the first of its kind in the UK.I have been an Advanced Neonatal Nurse Practitioner for 20 years. Prior to that I worked as a midwife and neonatal nurse.My passion at work is optimal cord clamping. We are to have practiced delayed cord clamping for nearly 10 years and have seen rates of resuscitation at birth drop by nearly 70%. Our delivery rooms are resus-citaire-free zones as we use bedside resuscitation units to avoid the need for immediate cord clamping.

AbstractSince 1997 a team of 8 Advanced Neonatal Nurse Practitioners (ANNP) have maintained a 14 cot neonatal unit supporting an obstetric unit delivering more than 3300 babies per year.

This session aims to discuss the implementation of a nurse-led level I Special Care Unit in Northumberland, UK. The background to the change (factors limiting onsite paediatric medical cover) and why it devel-oped will be discussed. What we have learnt about maintaining an Advanced Neonatal Nurse Practitioner led-service service and continued development of the SCU 20 years on will be shared.

Details of the evaluation of the effectiveness of the “Ashington” model will be discussed. It is hoped that attendees may see how adaptations of the model could be implemented to maintain the services of their own level I units within their networks as the number of trainee posts in paediatrics diminishes.

- Allan F. (1997) Advanced Neonatal Practice: The Northern Experience so far. Journal of Neonatal Nursing 3 (4) p31-33- Calman K. (1993) Hospital doctors: Training for the future. The report of the working group on specialist medical training. Department of Health- Chan LC. Hey E. (2006) Can all neonatal resuscitation be managed by nurse practitioners? Archives of Dis-ease in Childhood Fetal and Neonatal Edition 91, pF52-F55- Cumberlege (1993) Changing Childbirth. The report of the expert midwifery group. Her Majesty’s Station-ary Office

- McSherry R., Bassett C. (Eds) (2002) Practice development in the clinical setting. A guide to implementa-tion. Nelson Thornes- Nicolson P., Burr J., Powell J. (2005) Becoming an advanced practitioner in neonatal nursing: a psycho-so-cial study of the relationship between educational preparation and role development. Journal of Clinical Nursing (2005) 14 p727-738- Northern Regional Health Authority Working Party (1994) An advanced neonatal care course- Northumberland Community Health Council (2003) The Pre-Discharge examination of normal newborn babies in Northumberland - Oliver J. Allan F. (1998) The implementation of Advanced Neonatal Nurse Practitioners into a District Gen-eral Hospital in Northumberland. Journal of Neonatal Nursing 4 (3) p28-30Redshaw M., Harvey M. (2001) Education for a new role: a review of neonatal nurse practitioner programmes. Nurse Education Today 21, p468-476- The Ashington Audit Group (2004) Evaluating a nurse led model for providing neonatal care. Journal of Advanced Nursing 47 (1) 39-48 - Ward-Platt M., Brown (2004) Evaluation of advanced neonatal nurse practitioners: confidential enquiry into the management of sentinel cases. Archives of Disease in Childhood Fetal/Neonatal Edition 89, pF241-F244

Name: Dr Julie-Clare Becher Job title: Consultant Neonatologist Hospital: Royal Infirmary of Edinburgh, UK

BiographyJulie-Clare Becher is a Consultant Neonatologist and a Senior Lecturer in Child Life and Health at the University of Edinburgh. Within the Neonatal Service locally she has established the Newborn Care Collaborative, which provides a strategic and unified vision for improve-ment and patient safety within clinical services across Lothian. Her national Quality roles include Neonatal Advisor to the Maternity and Children’s Quality Improvement Collaborative of the Scottish Patient Safety Programme, Neonatal Representative on the Scottish Child Death Review Steering Group, Chair of the Scot-tish Cooling Group, member of the NNAP Project Board and Data & Methodology Group, and within the British Association of Perinatal Medicine, she is the Scottish Representative and Lead of the Quality Collab-orative.

Name: Dr Julian Eason Job title: Consultant NeonatologistHospital: Plymouth Hospitals NHS Trust, UK

BiographyDr Julian Eason currently works at the University Hospitals Plymouth NHS Trust as a Consultant Neonatologist and Lecturer. He is a co-editor of the recent publica-tion on Neonatal and Perinatal Mortality: Global Challenges, Risk Factors and Interventions’. He also holds

Chairs

the position of Senior Lecturer on the ‘Aviation and Transport Medicine’ MSc at the University of Otago, New Zealand. He continues to run courses and workshops on Neonatal Ventilation, Transport and Nutrition across the Middle East.

Name: Dr Ruth Gottstein Job title: Consultant NeonatologistHospital: St Mary’s Hospital, Manchester, UK

BiographyDr Gottstein studied medicine in Trinity College Dublin, Ireland. She worked for 2 years in Ireland after qualifying doing in general medicine and surgery and then 1 year Neonatology and Obstetrics & Gynaecology at the Coombe Women’s Hospital, Dublin. Thereafter her postgraduate training was in North West England.Her subspecialty training in Neonatology, Paediatric Intensive Care, Developmental Paediatrics and Cardiol-ogy was at Liverpool Women’s Hospital, Alder Hey Children’s Hospital and Saint Mary’s Hospital, Manches-ter.Dr Gottstein took up her consultant post at Saint Mary’s Hospital in 2003. She gained an MSc in Child Health from University of Liverpool in 2008.

Name: Dr Cath Harrison Job title: Consultant NeonatologistHospital: Leeds Teaching Hospitals, UK

I am a neonatologist with training in the UK, South Africa and Australia.I have been a consultant at Leeds Teaching Hospitals NHS Trust since 2004 and have been the clinical co- lead for Embrace, Yorkshire and Humber Infant and Chil-dren’s transport service, since 2009.My other areas of interest are newborn resuscitation, ventilation, risk and education.I have been the Royal College Speciality Advisory Committee chair for neonatology since 2012. I also volun-teer for an UK charity providing newborn education and training in developing countries.

Name: Dr Jane Hawdon Job title: Responsible Officer and Consultant NeonatologistHospital: Royal Free London NHS Foundation Trust, UK

BiographyDr Hawdon became consultant neonatologist in 1994 and is also responsible officer for the Trust. She is a qualified coach. She has been a member of the board of trustees of the charity Bliss, NICE guideline development groups, and has chaired the hypoglycaemia working group of the NHS Improvement patient safety programme.

Name: Dr Kevin Ives Job title: Consultant NeonatologistHospital: John Radcliffe Hospital, Oxford, UK

Name: Dr Peter ReynoldsJob title: Consultant NeonatologistHospital: St Peter’s Hospital, Chertsey, UK

BiographyPeter Reynolds is a Consultant Neonatologist at St. Peter’s Hospital in Surrey. His interests are focussed on improving outcomes through adopting a less-invasive approach whenever possible, and to generate improvements in existing care to ensure optimal delivery. As joint Clinical Lead for the South East region, he has improved the quality of cooling treatment across the region through implementation of the Time=Brain quality improvement pro-gramme. He has applied the non-invasive principles to a number of aspects of neonatal care at St. Peter’s, including publishing work on the stabilisation of the preterm infant with nasal High Flow and the early adoption in the UK of the LISA procedure for the administration of surfactant.

AbstractI will present an overview of the 2017 BAPM Hypoglycaemia Guideline, and will describe the challenges and points raised during the extensive consultation that contributed to the final document.

Name: Roisin McKeon-Carter Job title: Advanced Neonatal Practitioner Hospital: Derriford Hospital, Plymouth, UK

BiographyClinical Director Neonatal Services / Neonatal Nurse Consultant / Advanced Neona-tal Nurse Practitioner (ANNP), Florence Nightingale Scholar. Rόisίn is currently an ANNP / Neonatal Nurse consultant in a tertiary NICU in the South West Peninsula hosted in Derriford, University Hospitals Plymouth. She is also the Clinical Director for the neonatal servic-es completing her 2nd term (6 years) in 2019. She joined the NHS in 1990 through the neonatal intensive care course, the then ENB 405. Rόisίn has remained in the neonatal service since then and has undertaken most roles and witnessed all the changes, clinical and managerial, that have impacted on the neonatal service. Rόisίn sits on the executive committee of the South West Operational Delivery Network (ODN) including 12 neonatal unitswww.swneonatalnetwork.co.uk/ . She also sits on the executive for the neonatal nurses as-sociation (NNA) in the UK and integral in raising the profile of neonatal nursing including advancing practice

www.nna.org.uk/ In her clinical director role she leads a 20 cot NICU, 18 cot Neonatal Transitional Care (NTC) ward and a Neonatal Outreach Service (NOS) covering 7 days / week. Rόisίn’s focused on keeping the baby and moth-er/father/family at the centre of the service and has an ethos of Family Integrated Care (FICare). Therefore, she has developed the NTC and NOS which has resulted in a reduction in the length of stay for preterm babies, achieved the NHSE ATAIN (avoiding term admissions to NNU/separation from mother after birth) target of <5% and consequently prevented bed blocking on the NICU. Rόisίn was a member of the BAPM working group who produced and published a ‘Framework for Neonatal Transitional Care’ in 2017. #Right-BabyRightCotRightTime Rόisίn is a regular speaker at regional, national and international neonatal conferences and in November 2017 was the keynote speaker at the Neonatal Nurses College of Aotearoa, Wellington New Zealand http://nnca.org.nz/ She has developed a UK & Ireland ANNP forum with the support of Chiesi which is in its 3rd year. The forum includes a research and leadership meeting and she is keen to coach other ANNPs to develop neonatal ser-vices in NICUs/LNUs/SCUs/TC/Outreach/Transport Services keeping focus on baby & family journey. Rόisίn is also keen to coach ANNPs/Senior nurses in the UK to develop leadership skills, develop to nurse consult-ant and to sit on executive boards in line with the Neonatal Toolkit 2009.

Name: Professor Ben Stenson Job title: Consultant Neonatologist and Senior LecturerHospital: Simpson Centre for Reproductive Heath at the Royal Infirmary of Edinburgh, UK

BioProfessor Ben Stenson is a consultant neonatologist at the Royal Infirmary of Edin-burgh. He has an interest in clinical trials and works in collaboration with the Na-tional Perinatal Epidemiology Unit in Oxford. He was an investigator on the BOOST-II UK, SIFT and INIS Trials and has advisory roles on a number of others. He Is the Editor of the Fetal and Neonatal Edition of Archives of Disease in Childhood. He was a member of the ILCOR neonatal group for the last 3 revisions of the ILCOR neonatal resuscitation guidelines. Ben Spoke at the first ReaSoN meeting and has been closely involved with the organisation of the meeting program ever since.

Name: Dr David Sweet Job title: Consultant Neonatologist Hospital: Royal Maternity Hospital, Belfast, UK

David Sweet graduated from Queen’s University Belfast in 1990 and trained in Pae-diatrics and Neonatal Medicine in Northern Ireland and Western Australia.

Appointed as a consultant Neonatologist in the Regional Neonatal Unit in the Royal Maternity Hospital in Belfast in 2003 and Honorary Clinical Lecturer for the Dept of Child Health, Queen’s University in 2007. 32 peer reviewed publications and review articles to date, mostly related to newborn respiratory care and the

evolution of neonatal bronchopulmonary dysplasia. David is the Northern Ireland Co-ordinator of several multicentre trials and maintains an active interest in Perinatal Research and Evidence-based medicine. He is first author of 4 editions of the European Guidelines on the Management of RDS – 2007, 2010, 2013 and 2016.

Name: Dr Merran ThomsonJob title: Honorary Consultant Neonatologist Hospital: The Hillingdon Hospital, Uxbridge, UK

Biography I am a neonatologist who for many years worked as a Consultant Neonatologist, Chief of Service for Paediatrics and Neonatology, and Clinical Lead for the North West London Perinatal Network. I now have the luxury of a portfolio career which gives me plenty of opportunity to do things I enjoy including; new drugs and therapeutic discovery, work with several charities improving the education and training of doctors and nurses in Sub-Saharan Africa and the former Soviet countries, and neonatal work here in the UK.