Rapid review of Allied Health Professionals working in neonatal services

Abstract

Background This review aimed to quantify the impact of allied health professionals (AHPs) embedded in neonatal services on outcomes by asking the following review questions: Q1. What is the effectiveness of neonatal services with embedded allied health professionals compared to neonatal services without embedded allied health professionals? Q2. What is the effectiveness of early interventions provided by allied health professionals in neonatal units? Research Implications and Evidence Gaps There was very little directly relevant evidence on AHPs embedded in neonatal services. Most of the evidence related to multidisciplinary team working or early interventions provided by AHPs. Few early intervention trials were from the UK, leading to uncertainty about the availability and applicability of interventions in the UK setting. Further UK-based research is needed to better understand the best way to integrate allied health professionals in neonatal services. Economic considerations There is no published evidence on the cost of AHPs working within neonatal units. There is marked variability in the reporting of cost estimates for neonatal care units in the UK, making the evaluation of cost implications of adopting AHP recommendations difficult. Subsequent economic evaluations could explore the Budget Impact to the NHS of increasing AHP presence in neonatal units to align with recommendations from AHP professional bodies and Royal Colleges.