Launched in April 2020, PERIPrem (Perinatal Excellence to Reduce Injury in Premature Birth) is a perinatal care bundle to improve the outcomes for premature babies across the West and South West regions. The bundle consists of eleven interventions that demonstrate a significant impact on brain injury and mortality rates amongst babies born prematurely.

Links to each of the bundle elements and resources for implementation can be found at the bottom of this page.

View the PERIPrem baby and clinical passports.

At the 2021 HSJ Patient Safety Awards, PERIPrem was highly commended as the Patient Safety Pilot of the Year. PERIPrem was also shortlisted for Provider Collaboration of the Year at the 2021 HSJ Awards.

PERIPrem has achieved life changing, sustainable improvements to the way the most vulnerable babies are cared for and accelerated perinatal working culture and innovation. As of December 2021, 1,094 babies have been cared for using the bundle. As measured by the National Neonatal Audit Programme’s (NNAP) latest report, units across the South West achieved, on average, the:

  • highest rate of delayed cord clamping (by over 21%),
  • third lowest rates of mortality to discharge,
  • the second lowest rates of necrotising enterocolitis,
  • alongside the fourth highest administration levels of magnesium sulphate (MgSO4) across England.

Read more about PERIPrem’s impact in our case study. In April 2022, NHS Confederation also published a PERIPrem case study.

We are working with The South West Neonatal Network, Health Innovation Network (HIN), British Association of Perinatal Medicine (BAPM) and other organisations to ensure the PERIPrem bundle is at the forefront of innovation and research.

PERIPrem is not just about implementing a care bundle. It is about forging a new way of working, where clinicians from obstetrics, midwifery and neonatal join together to drive forward and revolutionise care for pre term babies. Read more about the project.

As of April 2021, PERIPrem became part of the West of England’s local activity to deliver the ambitions of the NHS  Maternal and Neonatal Safety Improvement Programme.

Watch our short video where parents of premature babies give their accounts of how their births were affected by the implementation of the PERIPrem care bundle:

Perinatal equity

Want to be part of a network to explore improvements and improve equity outcomes for parents across the West of England and beyond? Find out more about our Regional Perinatal Equity Network.

Resources to implement PERIPrem

Official PERIPrem resources have received Neonatal Nurses Association (NNA) endorsement. They were also recommended in the latest GIRFT Neonatology Report.

Our resources page contains all of the current clinical tools and documents that will support teams on a PERIPrem journey. This includes a number of documents in both English and other languages that are designed to help inform and fully involve parents in the care of their preterm baby.

Our useful materials page  contains general resources and playlists of key videos.

The PERIPrem bundle elements