NTG Annual Transport Data.
2019.
Colin Devon (data analyst) and
Allan Jackson (consultant
neonatologist)
ScotSTAR
Method
• Email to transport service’s medical and
nursing leads requesting activity data from
1.1.19 to 30.6.19
• Brief additional information about each
service.
Reorganisations &
additions for 2019 data
• No reorganisations in 2019
• 1 service new to the data submission-
Jersey
Number of services, UK
• 2012 – data from 22
• 2013 – data from 21
• 2014 – data from 19
• 2015 – data from 19
• 2016 – data from 18
• 2017 – data from 18
• 2018 – data from 15
• 2019- data from 16 (1 new)
32%
UK summary data,
Jan-Jun/year,
all transfers, all teams (n=)
7152
7562
7892 7997
7910 7938
7594
7773
6000
6500
7000
7500
8000
8500
2012 2013 2014 2015 2016 2017 2018 2019
2013 2014
2015 2016 2017 2018 2019
Total
transfers
7562 7892 7997 7910 7938
7594 7773
Ventilated 1961
(26%)
1949
(25%)
2155
(27%)
2000
(25%)
1913
(24%)
1939
(26%)
1871
(24%)
HFOV - - 16 (<1%) 16 (<1%) 39 (2%) 48 (2%) 54 (3%)
CPAP 906(12%) 819 (10%) 790 (10%) 737 (9%) 621 (8%) 529 (7%)
High-flow
- - 452 (6%) 496 (6%) 674 (9%) 767 (10%)
Cooling 288 (4%) 249 (3%) 274 (3%) 288 (4%) 245 (3%) 255 (3%) 281 (4%)
iNO 111 (1%) 117 (1%) 138 (2%) 145 (2%) 154 (2%) 157 (2%)
Palliative 9 (<1%) 19 33 33 20 24
UK summary data
Jan-Jun/year
Total Transfers/team, Jan-Jun 2019
649
250
466
934
731
805
687
617
79
249
442
321
789
539
207
8 0
100
200
300
400
500
600
700
800
900
1000
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS ANTS N Wales NTS
CHANTS SONET NEST London NTS KSS Peninsula Jersey GH
Changes in activity by
team, 2018 v 2019
7.5%
30.2%
17.4%
8.3% 8.0%
21.5%
11.2%
2.3%
27.8%
2.5%
7.9%
2.1%
14.2%
4.7%
4.8%
-20%
-15%
-10%
-5%
0%
5%
10%
15%
20%
25%
30%
35%
ScotSTAR NISTAR NNeTS Connect
NW
Embrace CenTre W Mids
NTS
ANTS N Wales
NTS
CHANTS SONET NEST London
NTS
KSS Peninsula
Number of ventilated transfers,
Jan-Jun 2014-2019
0
50
100
150
200
250
300
350
400
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS ANTS N Wales NTS
CHANTS SONET NEST London NTS KSS Peninsula Jersey GH
2014 2015 2016 2017 2018 2019
HFO capability and activity • 2 teams in 2015
• 5 teams in 2016
• 6 teams in 2017
• 8 teams in 2018 and 2019
Teams with HFO HFO in transit HFO commenced by NTS HFO commenced
by NTS %
ScotSTAR 5 0 0%
Connect NW 11 3 27%
W Mids NTS 0 0 N/A
CHANTS 0 0 N/A
NEST 3 3 100%
SONET 6 4 67%
London NTS 29 17 59%
This is the first year that data on initiation of HFOV has been
collected
Response standards
Data on
– Time critical % mobile in 60 mins
– Referral response time for ICU/uplift transfers-
3.5 hours
– Uplift transfers within catchment are
performed be commissioned team(%)
Number of time-critical
transfers/team, Jan-Jun 2015-2019
0
10
20
30
40
50
60
70
80
90
100
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2015 2016 2017 2018 2019
Note that this does not represent the total emergency workload of
the teams, the NTG team critical benchmark uses specific case
definitions to assess response times
TC transfers/team as % of uplift
transfers, Jan-Jun 2015 - 2019 2015 2016 2017 2018 2019
TC 469 408 341 315 265
Uplift 3172 3355 3729 3718 3839
% 15% 12% 9% 8% 7%
0%
10%
20%
30%
40%
50%
60%
70%
Scotstar NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SoNET NEST London NTS KSS Peninsula
2015 2016 2017 2018 2019
% of time critical transfers team
mobile within 60 minutes of start of referring call.
2014 2015 2016 2017 2018 2019
% Met 77% 81% 84% 82% 79% 80%
Total
(=n) 409 469 408 341 315 265
Without the outlier out in this years’ numbers (see next slide) target was
met on 87% of occassions
% of time critical transfers team
mobile within 60 minutes of start of referring call.
0%
25%
50%
75%
100%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2014 2015 2016 2017 2018 2019
Team arrived with the patient within 3.5 hours
of the start of the referring call (Intensive care; uplift) (%), Jan-Jun/year.
2013 2014 2015 2016 2017 2018 2019
% Met 72% 86% 83% 82% 80% 85% 82%
Total
(=n) 1689 1836 1945 1787 2031 1800 1953
Team arrived with the patient within 3.5 hours
of the start of the referring call (Intensive care; uplift) (%), Jan-Jun/year.
0%
25%
50%
75%
100%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2014 2015 2016 2017 2018 2019
Stabilising time (minutes),
Jan-Jun 2019, Median (25th & 75th centiles), uplift/ICU transfers.
The red line indicates the mean stabilising team for all teams
Stabilising time (minutes),
Jan-Jun 2019, Median (25th & 75th centiles), uplift/ICU transfers.
The red line indicates the mean stabilising team for all teams
Neonatal Transport Services transfer
at least 95% of patients requiring transfer for uplift
within its defined catchment area. (%)
Year 2013 2014 2015 2016 2017 2018 2019
n = 3109 3416 3268 3355 3729 3718 3839
Transfer by Commissioned Team n = 2704 3097 3172 2971 3543 3637 3719
(87%) (90.7%) (97.1%) (88.6%) (95%) (97.8%) (96.9%)
Previous 3 year average 94%
Neonatal Transport Services transfer
at least 95% of patients requiring transfer for uplift
within its defined catchment area. (%)
0%
25%
50%
75%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS ANTS N Wales NTS
CHANTS SONET NEST London NTS KSS Peninsula
2013 2014 2015 2016 2017 2018 2019
Number transferred on iNO
Jan-Jun/year
2013 2014 2015 2016 2017 2018 2019
iNO for UK 111 117 138 145 - 154 157
0
5
10
15
20
25
30
35
40
45
50
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2013 2014 2015 2016 2017 2018 2019
% transferred on iNO
Jan-Jun/year
0%
1%
2%
3%
4%
5%
6%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2013 2014 2015 2016 2017 2018 2019
iNO use by team,
gestation breakdown 2019
13
0
11
16
8
10
18
10
0
3
14
6
34
11
3
0
10
20
30
40
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
iNO <28 wks iNO 28-35 wks iNO >35wks
iNO use by team,
gestation breakdown 2019
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
iNO <28 wks iNO 28-35 wks iNO >35wks
iNO started by team,
Jan-Jun 2019
31%
0%
73%
56%
100% 100%
50%
100%
0%
100%
71%
100% 100% 100%
67%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
2019 n= 13 0 11 16 8 10 18 10 0 3 14 6 34 11 3
Active vs. passive cooling,
number of teams, 2014 - 2019.
13
15
15
15
14
14
0 5 10 15 20
2014
2015
2016
2017
2018
2019
Active Cooling Teams
6
4
3
3
1
2
0 5 10 15 20
2014
2015
2016
2017
2018
2019
Passive Cooling Teams
Passive cooling in transit over time: 2014 – 2019, Jan-Jun
9
5 5
2
18
3 2
1 0
5
10
15
20
2014 2015 2016 2017 2018 2019
Passive Journeys
Passive Journeys by Active Team Passive Journeys by Passive Only Team
Number transferred for cooling or
assessment for cooling by team, Jan-Jun 2019
9
0
12
30
18 20 20
30
1
4
20
35
45
27
10
0
5
10
15
20
25
30
35
40
45
50
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
Active n= Passive n =
Number transferred for cooling or
assessment for cooling by team, Jan-Jun 2019-
active/passive detail
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
Active % Passive %
Number transferred for cooling or
assessment for cooling, Jan-Jun 2013 - 2019 Year 2013 2014 2015 2016 2017 2018 2019
UK total 288 249 274 288 245 255 281
0
10
20
30
40
50
60
70
80
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2013 2014 2015 2016 2017 2018 2019
Transferred for cooling,
temp 33-340C at 6 hours of age.
Year 2016 2017 2018 2019
Cooling n= 288 245 255 281
Transferred on active cooling n= (%)
277 229 250 279
(96.2%) (93.5%) (98%) (99.3%)
Infant temperature data available n= (%)
216 191 230 267
(75%) (78%) (90.2%) (95%)
Temp 33-340C at 6hrs n= (%)
180 154 182 214
(62.5%) (62.9%) (71.4%) (76.2%)
Infants transferred for cooling,
percentage in target range at 6 hours of age by
service, Jan-Jun 2019
2019 n= 9 0 12 30 18 20 20 30 1 4 20 35 45 27 10
78%
0%
100%
66%
100%
90% 90%
79%
100% 100%
75%
80%
71%
81%
56%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
Infants transferred for cooling,
percentage in target range at 6 hours of age by
service, Jan-Jun/year.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
2016 2017 2018 2019
Age (mins) target temperature achieved,
infants transferred for cooling, Jan-Jun 2019 (median,
range)
0
60
120
180
240
300
360
420
480
540
600
660
720
780
840
900
960
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
The green line indicates the target time of 6 hours.
On further enquiry it is clear that the longer times to target
temperature relate to timing of initiation of cooling in referring
centres
Hypocarbia Jan-Jun/year, infants on a
ventilator during journey, cooling transfers, national data
Jan-Jun 2015-2019
Year 2014 2015 2016 2017 2018 2019
Cooling n = 249 274 288 245 255 281
Cooling & Ventilated, n= (%)
202 230 217 190 195 203
(81.1%) (83.9%) (75.3%) (77.6%) (76.5%) (72.2%)
pCO2 <4kPa, n= (%)
27 25
21
15
19
19
(13.4%) (10.9%) (9.7%) (7.9%) (9.7%) (9.4%)
Hypocarbia in infants
transferred for cooling: pPO2<4 at end of
transfer by service, Jan-Jun 2015-2019
0%
10%
20%
30%
40%
50%
60%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2015 2016 2017 2018 2019
Hypocarbia & hypercarbia
- pCO2 <4 kPa
- pCO2 >7 kPa and pH<7.2
…on the gas measurement on completion of
transfer of ventilated infants.
Note that not all infants had pCO2 available post-
transfer.
Hypocarbia & hypercarbia,
Jan-Jun/year, infants on a ventilator during journey, all
operational reasons.
Year 2013 2014 2015 2016 2017 2018 2019
Ventilated + Gas n = 1355 1895 1685 1493 1519 1524 1459
pCO2 <4kPa, n= (%)
118 106 122 107 100 94 86
(8.7%) (5.6%) (7.2%) (7.2%) (6.6%) (6.2%) (5.9%)
pCO2>7kPa & pH<7.2, n= (%)
68 94 79 83 73 65
(3.6%) (5.6%) (5.3%) (5.5%) (4.8%) (4.5%)
% pCO2 <4 kPa on completion,
by service. Jan-Jun 2019
0.0%
4.0%
3.0% 3.0%
4.5%
8.5%
0.0%
2.6%
0.0%
4.9%
6.0% 5.7%
9.7%
8.5% 8.9%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
Red line displays mean of teams
% pCO2 <4 kPa on completion,
by service. Jan-Jun 2013-19
0%
5%
10%
15%
20%
25%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2013 2014 2015 2016 2017 2018 2019
% pCO2 >7kPa & pH<7.2 on
completion , per service, Jan-Jun 2019
0.0%
8.0%
5.0% 5.2%
7.5%
1.2%
15.4%
3.2%
0.0%
2.4%
3.6% 4.1% 4.2%
7.6%
0.0% 0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
Red line displays mean of teams
% pCO2 >7kPa & pH<7.2 on
completion , per service, Jan-Jun 2014-19.
0%
5%
10%
15%
20%
25%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2014 2015 2016 2017 2018 2019
% pCO2 >7kPa & pH<7.2 and/or
pCO2 <4 kPa on completion , per service,
Jan-Jun 2019
0.0%
11.8%
8.0% 8.2%
11.9%
9.7%
15.4%
5.8%
0.0%
7.3%
9.5% 9.8%
13.9%
16.1%
8.9%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
Red line displays mean of teams
% pCO2 >7kPa & pH<7.2 and/or
pCO2 <4 kPa on completion , per service,
Jan-Jun 2015-19
0%
5%
10%
15%
20%
25%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula
2015 2016 2017 2018 2019
Operational reason for transfer
for premature infants transferred on the first 3 days
of life: Uplift
0
100
200
300
400
500
600
700
800
2014 2015 2016 2017 2018 2019
23+0 to 26+6 27+0 to 31+6 32+0 to 35+6
Operational reason for transfer
for premature infants transferred on the first 3 days
of life: Capacity
0
20
40
60
80
100
120
140
160
180
200
2014 2015 2016 2017 2018 2019
23+0 to 26+6 27+0 to 31+6 32+0 to 35+6
Operational reason for transfer
for premature infants transferred on the first 3 days
of life, Repatriation
0
20
40
60
80
100
120
140
160
180
200
2014 2015 2016 2017 2018 2019
23+0 to 26+6 27+0 to 31+6 32+0 to 35+6
Uplift transfers, 1st 3 days
of life, 23-32 week infants, Jan-Jun
2019
0
5
10
15
20
25
30
35
40
45
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS ANTS N Wales NTS
CHANTS SONET NEST London NTS KSS Peninsula
23-26+6 Uplift 27-31+6 Uplift
Capacity transfers, 1st 3 days of
life, 23-31+6 week infants, Jan-Jun 2019
0
2
4
6
8
10
12
14
16
18
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS ANTS N Wales NTS
CHANTS SONET NEST London NTS KSS Peninsula
23-26+6 capacity 27-31+6 capacity
Capacity transfers, 1st 3 days
of life, 27-31+6 week infants,
Jan-Jun 2015 - 2019
0
5
10
15
20
25
30
35
40
45
50
ScotSTAR NISTAR NNeTS Connect NW Embrace CenTre W Mids NTS ANTS N Wales NTS CHANTS SONET NEST London NTS KSS Peninsula
2015 2016 2017 2018 2019
Premature Newborn Infants
23 to 32 weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0
10
20
30
40
50
60
70
80
90
1st assess 23-32 <36.5
1st assess 23-32 36.5-37.5
1st assess 23-32 >37.5
2nd assess 23-32 <36.5
2nd assess 23-32 36.5-37.5
2nd assess 23-32 >37.5
Premature Newborn Infants
23 to 32 weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0%
25%
50%
75%
100%
1st assess 23-32 <36.5
1st assess 23-32 36.5-37.5
1st assess 23-32 >37.5
2nd assess 23-32 <36.5
2nd assess 23-32 36.5-37.5
2nd assess 23-32 >37.5
Premature Newborn Infants 23 to 26+6
weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0
5
10
15
20
25
30
35
40
45
1st assess 23-27 <36.5
1st assess 23-27 36.5-37.5
1st assess 23-27 >37.5
2nd assess 23-27 <36.5
2nd assess 23-27 36.5-37.5
2nd assess 23-27 >37.5
Premature Newborn Infants
23 to 26+6 weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0%
25%
50%
75%
100%
1st assess 23-27 <36.5
1st assess 23-27 36.5-37.5
1st assess 23-27 >37.5
2nd assess 23-27 <36.5
2nd assess 23-27 36.5-37.5
2nd assess 23-27 >37.5
Premature Newborn Infants
27 to 31+6 weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0
5
10
15
20
25
30
35
40
45
1st assess 27-32 <36.5
1st assess27-32 36.5-37.5
1st assess 27-32 >37.5
2nd assess 27-32 <36.5
2nd assess 27-32 36.5-37.5
2nd assess 27-32 >37.5
Premature Newborn Infants 27 to
31+6 weeks Temperature Tally, Jan-Jun 2019
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula 0%
25%
50%
75%
100%
1st assess 27-32 <36.5
1st assess27-32 36.5-37.5
1st assess 27-32 >37.5
2nd assess 27-32 <36.5
2nd assess 27-32 36.5-37.5
2nd assess 27-32 >37.5
Air Transport,
Jan-Jun 2016-19 Jan-Jun 2016 - 54 transfers undertaken by 4 services.
Jan-Jun 2017 - 59 transfers undertaken by 6 services.
Jan-Jun 2018 - 71 transfers undertaken by 7 services.
Jan-Jun 2019 - 95 transfers undertaken by 7 services
0
5
10
15
20
25
30
35
40
45
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula Jersey GH
2016 2017 2018 2019
Parents travelling on transport:
totals
0
50
100
150
200
250
300
350
400
450
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula Jersey GH
Parents travelling on transport
as a percentage of total transfers
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula Jersey GH
Parents offered to travel on
transport totals
0
100
200
300
400
500
600
700
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula Jersey GH
Parents offered to travel on
transport as a percentage of total transfers
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ScotSTAR NISTAR NNeTS Connect NW
Embrace CenTre W Mids NTS
ANTS N Wales NTS
CHANTS SONET NEST London NTS
KSS Peninsula Jersey GH
Service Characteristics 2019
24 hour service
0
2
4
6
8
10
12
14
16
18
2017 2018 2019
Yes No
Service Characteristics 2019
Cot bureau
0
2
4
6
8
10
12
14
16
18
2017 2018 2019
Yes No
Service Characteristics 2019
Conference calling
0
2
4
6
8
10
12
14
16
18
2017 2018 2019
Yes No
Service Characteristic- infants referred with
bile-stained vomiting/aspirates treated as time-critical
transfers ?
0
2
4
6
8
10
12
14
16
18
2017 2018 2019
Yes No
IUT Do you offer support for locating
appropriate maternal and neonatal beds for in-
utero transfers?
0
2
4
6
8
10
12
14
16
18
2017 2018 2019
Yes No
Dedicated vehicles,
2014-2019.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
All Some None
2014 2015 2016 2017 2018 2019
Service process for
reviewing “wrong site” deliveries
Consultants
• Consultant
availability to
attend
transfers:
– Scheduled, all of
the time.
– Scheduled, some
of the time
– Maybe available,
ad-hoc.
– Never available
to attend.
0
2
4
6
8
10
12
14
All Some Ad-hoc None
2013 2014 2015 2016 2017 2018 2019
Conclusions/trends 2019
• Number of transfers trending rising again- blip or trend?
• Number of services stabilising.
• HFO and high-flow up.
• Time critical numbers down.
• Stabilising times are very variable- what is this telling us?
• Cooling now well established, timings very dependent on
referrer practice. Better looked at as network wide audits
than national level transport data?
• Lots of hypothermia at first assessment- will we see that
improve?
• Wide variation in rates of parents travelling with their
babies- work for 2020.
Acknowledgements
• All the service leads and team members
providing their data
• Colin Devon, ScotSTAR data analyst
• Andy Leslie, outgoing NTG data lead