This page details the governance processes in place across the NWNODN and guides clinicians to additional information and resources.

The primary responsibility for clinical governance and accountability remains that of each individual Trust. However it is acknowledged that there are numerous lessons and outcomes that should be shared for the benefit of CM Neonatal Network and utilised for reporting identified and agreed performance to specialist commissioners.

 Core membership of the Clinical Effectiveness Group will be: the Network Neonatal Clinical Lead (Appointed Chair) and Quality Improvement Lead Nurse for Governance (Deputy Chair). A clinical lead and a nurse lead for each provider trust within the network. Colleagues from other professional groups and guest speakers maybe invited to CEG to enhance learning and understanding of the group.

Dates for forth coming CEG meetings – please see specific network for the CEG meeting date you require.

It is expected that the Neonatal Steering Group (NSG) will provide expertise, direction and advice to NHS England, service providers, and the wider NHS community to improve the quality, safety and effectiveness of neonatal care across the NWNODN.

 Core membership of the NSG will be the appointed chair, Neonatal Clinical Lead, Network Director and Quality Improvement Lead; this will be enhanced by membership from across the ODN footprint recognising the diversity of the conurbation.    The Steering Group welcome support and commitment from the following areas: –

  • Specialised commissioner
  • NHS service Providers
  • Obstetric and Midwifery representation
  • User / carer / families representation
  • Voluntary Sector representation
  • Supporting networks – SCN, AHSN, and LDN,s as required

Dates for forth coming NSG meetings – please see specific network for the NSG meeting date you require.

Clinical Incident Reporting Process:

Due to the nature of neonatal care and the need for transfer’s and care by more than one provider clinical incidents may be identified by one provider having occurred within another provider.  If this is the case and there has been harm to the patient or near miss of potential harm, the identifying provider has a responsibility to report this and ensure investigation has been carried out.  Historically this has occurred through the NWNODN communication process.  Whilst it remains appropriate that such clinical incidents are highlighted via the NWNODN, a more robust governance process is required to ensure timely and appropriate escalation of clinical incidents is undertaken and responses/outcomes are tracked.

From September 2018 there is a new clinical incident reporting process for clinical incidents identified at another unit which is detailed in the document NWNODN Clinical Incident reporting process

Please mail all completed Clinical incident forms to the ODN Governance Lead Kelly Harvey at:

Clinical Incident forms for downloading:

Proforma for clinical incident – to be completed and sent back to the NWNODN.

Sample Clinical incident form to show how the new form should be completed.

Patient Identifiable Information:

Please remember ANY form being sent via email that is not between two NHS.Net accounts should not contain any patient identifiable data.

Only Badger ID should be used on the Communication form to identify the patient.

For more information please visit:

Emailing patient identifiable information:

Patient identifiable information should only be sent between two NHS.Net email accounts. To set up an account please contact your Trust I.T help desk who will be able to set this up for you.

When accounts are not being used only Badger ID should be used on the form to identify the patient.

For more information please visit: