CRM Oxford announces new ‘heartfelt’ charity partnership

We are delighted that Chapman Robinson & Moore Accountants Oxford have chosen to support Tiny Tickers throughout the year.

In the last few months of 2021, CRM accountant Beccy Blake’s son Charlie fell ill with a serious heart condition that was not diagnosed until he was 18 months old. Beccy and her family have been through a very difficult time with numerous hospital stays and ongoing treatment for Charlie. 

CRM Director Jessica Mason explains: “ We began supporting the charity during their annual celebration of heart heroes, Heart Week, where everyone comes together to help babies, their parents and the health professional who care for them. We thought it would be a great time to introduce Tiny Tickers to our clients and other local businesses. It was a great way to begin our year of vital fundraising for this great charity!”

CRM Oxford’s Heart Week 2022 bake sale

Katie Lawson, Tiny Tickers Head of Fundraising & Comms said “We are absolutely delighted that CRM Oxford have chosen our tiny charity to benefit from their support. We know it’s a very personal cause and we’re so grateful that we have been able to support Beccy & her family on their CHD journey. As much of what is normal in our lives continues to change, our cause remains the same. With the support of CRM we will be able to continue doing all that we can to help babies with congenital heart defects, their families, and the health professionals who look after them.”

Other charity events in the CRM calendar in 2022 will include an Easter family fundraiser (above), a local fun run, their popular Race Night, a Christmas raffle and of course the tuck shop which raises funds throughout the year.

Funds raised through this partnership will support our core vital work – improving early detection of serious heart conditions, diagnosis and treatment; providing hospital-based fetal cardiac screening training for sonographers to spot heart defects during routine pregnancy scans and providing vital support and advice to families dealing with a diagnosis.


Find out more about how to support Tiny Tickers in your workplace.

Nominate Tiny Tickers And Help Us Do More For Tiny Hearts This October.

We are taking part in a charity nomination poll throughout October at My Favourite Voucher Codes and we have a chance of winning 20% of the site’s profits for October! 

My Favourite Voucher Codes is a money saving website, and since their launch in 2012, they have saved money for their users whilst raising money for amazing causes every month. To date, they have raised over £60,000 for over 100 different causes.

This October, we are delighted to have been chosen as one of the four charities, but we need your help! Please nominate us to help us win the monthly donation. At the end of the month, the charity who has the most votes from website visitors will win the prize donation.

The poll will be running from the 1st – 31st October, and you will be able to cast your vote any time during this period. And every time a user makes a purchase through the site, the bigger the potential donation pot for the winning charity! If you are a regular online shopper, you can save a couple of extra pounds on your shopping and contribute to the donation at no extra cost. As they run a charity poll every month, every time you visit their site and cast a  vote or shop, you will have a huge impact on non-profit organisations who are working towards a better, safer and healthier world every day.

Tiny Tickers is the only UK charity working to improve detection rates of heart conditions in babies. Our work delivers real life-saving results to heart babies, their families, and the health professionals that look after them. We are a small charity, but with the help of all of our supporters and the heart community, we can continue to deliver a huge impact for all tiny hearts. With your support, we could save the lives of many more babies. 

Charity partnership set to increase early congenital heart disease detection

Children’s Heart Surgery Fund (CHSF) have awarded a grant of over £17k to Tiny Tickers to fund vital cardiac sonography training across the Yorkshire region.

Whilst the COVID pandemic has put the planned training programme back, the first session took place on September 14 at St James Hospital in Leeds.

Further sessions are planned at the Leeds General Infirmary, and then across other key Yorkshire hospitals into next year. Tiny Tickers hopes to have visited and trained sonographers at 21 hospitals by the end of this regional training programme.

Timely detection of congenital heart disease has been shown to make a huge difference, and this partnership will improve the chances of survival and long-term quality of life for hundreds of babies in Yorkshire.

The training covers the most up-to-date NHS recommendations on what sonographers should look for when examining the heart as part of the 20-week scan.

Our specialist fetal cardiac training enhances the confidence and skills sonographers need to detect heart defects during pregnancy scans.

The two charities worked together on a similar project in 2016 resulting in training for 226 sonographers, and another great result is expected this time around.

yorkshire sonographer training inforgraphic
The results of our 2016 project in Yorkshire to train sonographers to be better able to detect heart defects in babies.

Jon Arnold, the CEO of Tiny Tickers said:

“After the successes of our sonographer training scheme five years ago, we’re delighted to be back in Yorkshire and Humber to provide expert face-to-face training once again – especially after a number of months when pandemic restrictions have frustrated our efforts to get started.

We’re itching to start visiting hospitals throughout the region. We’re very grateful for the support of our friends at Children’s Heart Surgery Fund – it’s always great to work with CHSF, who share our aim of helping to save the lives of babies with serious cardiac disease.”

Jon Arnold, CEO Tiny Tickers

Mr Arnold is the parent of a child who has had open heart surgery for a major defect, and heads Tiny Tickers’ team of staff and volunteers based throughout the UK.

Sharon Milner, the CEO of CHSF added:

“We must pay tribute to CHSF’s incredible supporters for helping us fund yet more life-saving training through Tiny Tickers for sonographers in our region.

“It is clear that spotting a heart defect early can greatly improve a baby’s chances of survival and long-term quality of life.”

“Thanks to your donations, this training will make a huge difference to future children with congenital heart disease and their families.”

Tiny Tickers commissioned to start training in NHS Scotland health boards.

We are delighted to announce the start of our fetal cardiac training program in Scotland.

This will focus on implementing the 3vt (3 vessel trachea) view as part of the cardiac protocol for the fetal anomaly scan. Commissioned by NHS Scotland and working with Healthcare Improvement Scotland, Tiny Tickers will provide training for all antenatal sonographers across the country in the required cardiac views to better detect potential heart defects. 

We know that sonographers are more skilled and confident in detecting cardiac defects following our training. We hope that around 50,000 births in Scotland every year will receive a higher standard of cardiac screening at the 20-week fetal anomaly scan as a result.

One in every 125 babies is born with a heart problem but fewer than half of those are spotted during pregnancy and, in some parts of the UK, detection rates are as low as 1 in 4. That means over 1,000 newborns leave hospitals in the UK every year with no one realising they have a potentially life-threatening heart condition. Babies with undetected heart defects will often fall into the early stages of heart failure – significantly impacting their long-term quality of life. Some will die before anyone realises they have a poorly heart, or before getting the surgery that would save them. We want to increase early detection rates of cardiac conditions thus improving a baby’s chances of survival and long-term quality of life.

Tiny Tickers trained at Raigmore Hospital in Inverness, NHS Highland, in 2018.
Training will start with NHS Grampian & NHS Lanarkshire in mid August and move to other NHS boards over the coming months.


When heart defects are detected during pregnancy, babies get treatment from the first possible moment. Prenatal detection also means that parents-to-be get the support they need to prepare them for the future; it means fewer dangerous and costly emergency admissions to hospital, and fewer cancelled operations because of these admissions. As some areas of Scotland are more geographically remote, babies may be born some distance from the nearest cardiac unit at The Royal Hospital for Children (RHC) in Glasgow. This makes antenatal detection even more important so that preparations for those babies’ births and subsequent treatment can be made.

Read more

Have YOUR say on the future of Congenital Heart Disease research.

A national study has been launched to identify and prioritise the areas of future research in congenital heart disease that are most important to patients, their families, and healthcare professionals. Tiny Tickers are supporting this project to help ensure that patients’ and families’ voices are heard. This is your chance to have your say.

Congenital heart disease is the most common type of birth defect, affecting 12 children born every day in UK. Of these babies and children, many require one or more open heart operations or interventions in their lifetime.

Outcomes continue to approve and today around 97% of children born with congenital heart disease are expected to survive into adulthood. However many develop late complications related to their condition or previous surgery/interventions and almost all require life-long follow-up.

Picture of a baby with a congenital heart defect during treatment in hospital
What questions would you like to see answered by research, relating to the diagnosis, treatment, or outcomes of congenital heart disease?

The survey is now open and can be completed online at: https://redcap.link/congenitalPSP. It is also available to download as a PDF in English, Welsh, Polish, Bengali, Urdu, Gujarati, or Hindi.

It should take no more than 10 minutes to complete and with your help, the findings will be used to:

  • Develop a national strategy, to address the issues that matter most
  • Guide the design of future studies, aimed at improving the clinical care and day-to-day lives of children and adults born with congenital heart disease

This survey will have a major impact on the direction of congenital heart disease research in the UK.

This study is funded by George Davies, through a generous donation to the Birmingham Children’s Hospital Charity, as his granddaughter has previously undergone complex cardiac surgery.

For more information about the Congenital Heart Disease Priority Setting Partnership, please visit: www.birmingham.ac.uk/congenital-psp

Email: congenitalPSP@contacts.bham.ac.uk

Twitter: @congenitalPSP

Facebook: congenitalPSP

New pulse oximeters for birthing units at Shropshire’s hospitals

The Trust that runs Shropshire’s two acute hospitals has received new pulse oximetry machines to improve the detection and early care of babies with serious heart
conditions.


The seven pulse oximetry machines, donated as part of our Pulse Oximetry Project & Test for Tommy campaign, have allowed the Shrewsbury and Telford Hospital NHS Trust, which runs maternity services at the Royal Shrewsbury Hospital and the Princess Royal Hospital in Telford, to introduce Newborn Early Warning Track and Trigger (NEWTT).

NEWTT supports the care already provided for newborn babies by giving more detailed observations, including oxygen saturations. The monitors will also be used to help improve early detection rates of congenital heart disease (CHD).


SaTH’s seven pulse oximeters were donated as part of the Tiny Tickers’ Test for Tommy campaign, which aims to ensure that all newborns receive the test that could help save their life, and were generously funded by funders including Linda Bunce, who shaved her head to raise some of the funds to place these machines. Linda’s grandson, Tommy, who died from
undetected congenital heart disease (CHD) in 2015, is the inspiration behind the campaign Test for Tommy.


A baby is born with a serious heart condition every two hours in the UK, however not all congenital heart defects can be detected during routine prenatal scanning and some babies are at risk of falling into the early stage of heart failure if their condition is not diagnosed in time.


Hayley Flavell, Director of Nursing at SaTH, said: “On behalf of the Trust I’d like to thank Tiny Tickers for their generous donation. These pulse oximeters are a great addition to the care mums and newborn babies already receive and help us to take detailed observations which
ultimately provides better, safer care.”


Jon Arnold, Chief Executive from Tiny Tickers says: “We are truly delighted that we are able to help in this way and hope that it supports the team to continue to provide the best possible care for babies on the unit.”


Find out more about our pulse oximetry campaign, Test for Tommy, here.

Tiny Tickers launches new condition specific webinars for health professionals

By Tiny Tickers’ Head of Training, Anne Rhodes

As Head of Training for Tiny Tickers, my focus is mainly on delivering training to sonographers and other health professionals that provide obstetric scans. The aim of this is to give health professionals the confidence, knowledge and skills to better spot heart defects during pregnancy screening thus improving the antenatal detection rate of Congenital Heart Disease. The training focuses upon the normal fetal heart, it’s structure and circulatory system and the views to be obtained at the 20-week anatomy scan. We also touch upon some of the more common cardiac anomalies and how to recognise them.

Sonographers are often curious about what happens to these babies once they are born. In fact, most often, once the patient has been referred by the sonographer to the specialist cardiac team, the sonographer never gets to find out about that patient’s journey or the outcome.

At Tiny Tickers we also support cardiac nurse specialists. From the cardiac liaison nurse specialists who attend the antenatal diagnosis appointments through to the cardiac nurses caring for these children and their families on the wards and afterwards. These conditions often mean that the children and their families require lifelong follow-up and the cardiac team build good relationships with the families they care for.

With this in mind, I decided to create a series of condition specific webinars for UK health professionals.

They cover the incidence of the anomaly, the cause and any associations, the anatomical abnormality, and how a diagnosis can be made either in the antenatal or the postnatal period. They go on to examine the signs and symptoms, the different treatments and surgeries available, and the prognosis. 

We have teamed up with Gill McBurney, a cardiac liaison nurse specialist who will be delivering these webinars with us. 

They will be live presentations with the opportunity to ask any questions at the end of the session. To sign up for the dates below click here. Please note that you must use your NHS professional email address as these webinars are for UK health professionals only.

  • June 28th (18:30-19:30) – Hypoplastic Left Heart Syndrome
  • July 5th (18:30-19:30) – Atrioventricular Septal Defect

We welcome all sonographers, cardiac nurses and doctors who wish to know more about specific conditions or just have a refresher and get to connect with our little charity.

#RightNow: Tiny Tickers backs call to give charities the support they need to deliver their vital work.

On the 17th February 2021, hundreds of charities, including Tiny Tickers, will take to social media to back the Right Now Campaign and call on the government to create an Emergency Support Fund for the third sector.

Right now, charities are doing everything they can to make a difference, but resources are running out and people and causes are suffering. We join the call on the government to create an Emergency Support Fund.


During the coronavirus pandemic, there has been no let-up in our cause. Just as many babies have been born with poorly hearts, fighting for their lives against the dangerous, unrelenting and indiscriminate foe that is congenital heart disease, but now in the added context of the global pandemic. And that fight has been made harder – heart services have been severely reduced; families have faced the most difficult situations without the physical support of loved ones. Tiny Tickers has never been more needed.

The immediate response to coronavirus is only the start. People across the country know that charities like ours are Never More Needed right now, and for the foreseeable future.

During the last weeks and months there has been much greater demand for the work we do – more families needing support, more work to ensure that prenatal detection rates stay constant and do not drop. We want to carry on making a positive difference because we’re #NeverMoreNeeded than right now.

As a country, what we do and how we allocate resources as we move, hopefully, to recovery will only be effective if we include the people, problems and places that are often overlooked. The work charities like ours do – and our relationships with our beneficiaries – shows we must strive to meet everyone’s needs and rights, now more than ever.

We’re backing the #RightNow campaign because, like many other charities, we know the work we do helps change people’s lives, and our community, for the better.

Our CEO, Jon Arnold, has already signed the open letter, calling on the government to set up an Emergency Support Fund and urges others to do so too. You can read his blog about the #RightNow campaign here.

Tiny Tickers’ Chair of Trustees, Paul Schofield, says, “We are all very well aware of the toll the pandemic has taken on much of society over the last year or so, creating or amplifying extreme financial, physical or emotional hardship for many across the country. Often it is left to the charity sector to take up the strain when no one else can. But this usually vibrant sector is also under very significant financial pressure and the future of many vital charities hangs in the balance.

We at Tiny Tickers have been very fortunate that our wonderful supporters, young and old, have done an incredible job raising money for, and awareness of, the work we do despite the dark clouds of the pandemic hanging over us all.

Paul Schofield, Chair of Trustees, Tiny Tickers

But still we, like others, worry about the sustainability of this funding over the medium term and hence I fully support the call for more assistance to prevent the additional burden of the pandemic weighing down most on already disadvantaged shoulders.”


Find out more about how you can support the #RightNow campaign here and follow Tiny Tickers on Twitter @tinytickers

Right Now: Congenital heart disease has not stopped because of the pandemic

By Tiny Tickers CEO, Jon Arnold

On the 17th February 2021, hundreds of charities, including Tiny Tickers, are backing the Right Now #nevermoreneeded Campaign and calling on the government to create an Emergency Support Fund for the third sector.
Right now, charities are doing everything they can to make a difference, but resources are running out and people and causes are suffering. We join the call on the government to create an Emergency Support Fund.
Read more

Fundraising from your sofa…

By Katie Lawson, Head of Fundraising & Communications, Tiny Tickers

We know that the world looks a bit different at the moment, and that a lot has changed. Not being able to meet in real life has changed many aspects of our lives.

Here Katie, our Head of Fundraising and Comms, talks about some other ideas if your fundraising plans have been postponed or cancelled. All of these can be done from home, and from the comfort of your sofa!


So things have changed. And also they’ve not changed at the same time. I still spend a lot of time staring at a screen (too much some would say) and we at Tiny Tickers are still working hard to deliver services to support tiny hearts, their families and the NHS heroes who look after and care for them.

One thing that has hugely changed is the fundraising landscape. The bake sales, collecting tins, sponsored events can’t take place at the moment – and so people have had to get creative. But did you know that there are many ways to support your favourite charity (that’s us by the way) without leaving your home, or lifting your wallet – just stay on the sofa, with your jammies on and get going.

Here are 5 of the easiest ways to support us whilst keeping warm and cosy:

  1. Use easy fundraising. EasyFundraising is a cashback site that donates money to charity every time you shop. Your online shopping experience won’t change. Just follow this link and carry on your shopping as normal! It really is easy fundraising… https://www.easyfundraising.org.uk/causes/tinytickers/

2. If you shop on Amazon then did you know that you can use Amazon Smile – it’s exactly the same shopping experience, but you get cashback every time you shop.

On your desktop/browser: Simply visit Amazon Smile and select Tiny Tickers as your charity. Amazon will then make a donation of 0.5% of the value of your goods, at no cost to you.  Please note, to qualify for the donation you must checkout at www.smile.amazon.co.uk every time you shop. On the Amazon app: Tap on ‘settings’ then ‘Amazon Smile’ and choose Tiny Tickers as your charity. You will then raise a donation for us every time you shop! And remember to use this unique link – https://smile.amazon.co.uk/ch/1078114-0

3. Recycle your unwanted stuff for tiny hearts with the help of Ziffit. I’ve done this and it was ridiculously easy AND helped me clear my endless clutter. Virgin Money Giving have partnered with Ziffit to help you sell your unwanted books, games, DVDs and CDs quickly and easily whilst raising money for Tiny Tickers. It’s never been easier to declutter and donate! Set up your own virginmoney page and then get clearing out that clutter or link to our page here

4. Everyone is familiar with Ebay but did you know that you can sell your stuff for tiny hearts? Just list your items as normal and tick the ‘donate to charity’ button on your listing. Visit our Ebay homepage here.

5. #Donateyourbirthday on Facebook! Birthday parties might be postponed but you can still ask your friends to celebrate so why not ask them to donate the cost of a drink? Or ask your Facebook friends to donate to Tiny Tickers instead of buying you gifts. Just follow this link and you can #donateyourbirthday – https://www.facebook.com/fund/tinytickers/. And if Great Auntie Maud doesn’t use Facebook, don’t worry, she can send you a cheque in the post and you can add the donation yourself! Easy!

So there we go. These are some ideas for you. And please do tag us in any activity you choose to do – we’re on all social channels @tinytickers on Instagram, Twitter, Linkedin, Facebook and we even have a YouTube channel. Also remember that liking, following and sharing our posts are a huge help to our tiny charity.

You can follow Katie on the Twittersphere here

Tiny Tickers response to BBC News investigation into private baby scans

Tiny Tickers is concerned by the findings of the BBC News investigation into private baby scans. We have long backed calls for sonography to be a regulated profession – something we believe is important for the protection of the public and to help the dedicated NHS sonographers who look after them. We fully support medical professionals and groups who are calling for this to happen. It is wrong that anyone can set up a private scanning business and call themselves a sonographer.

The two NHS scans offered to pregnant women at around 12 and 20-weeks are vitally important appointments, and the best opportunity to assess the development of your baby. Our research shows many people do not fully understand the crucial role of these NHS scans. Our Think 20 awareness campaign empowers pregnant women to better understand the 20-week screening and its role in checking the development of their baby’s heart.

Companies offering private scans have a responsibility to the women they screen and their babies – and that responsibility must come ahead of profits. We recommend women who choose to have additional private scans empower themselves by making sure they understand the scan’s purpose and limitations, and the qualifications of the person carrying out the appointment.

Seeing your baby on screen can be a wonderful experience, but there are times when private screening will lead to potential health issues being detected. Providers of private scans must take responsibility for ensuring any suspected findings are communicated and followed-up in the appropriate way – ensuring pregnant women and their babies receive the highest standards of care and support.

Pregnancy scans should be about babies, not profits.

For more information:

  • Tiny Tickers Media Centre – click here
  • We’ve been providing expert training to healthcare professionals since 2002, with our trainers visiting more than two thirds of maternity hospitals in the UK. Read more about the training we provide to NHS sonographers.

Support & Advice for Cardiac Nurse Specialists

By Tiny Tickers Head of Training, Anne Rhodes.

One group of health professionals that are quietly, and constantly on the frontline of CHD treatment, care and support are the Cardiac Nurse Specialists (CNS).

CNS’s are teams of experienced paediatric cardiac nurses who can support families with an antenatal diagnosis. They often work in very difficult and upsetting circumstances. These nurses are based at cardiac centres which are not always in the same place as the Fetal Medicine Unit where the family may have received an antenatal diagnosis.

Different centres have different services available and the specialist nurse may not always be able to attend the Fetal Medicine Unit at the point of diagnosis. These specialist nurses provide information, support and signposting. They are able to organise visits to the cardiac centres during pregnancy to reassure and familiarise patient families with their future surroundings.

Advice for cardiac nurses

The physical challenges that Cardiac Nurse Specialists face in their work environment are the same as countless frontline NHS staff – masks, physical distancing, reduced staffing levels due to self isolation or illness. On top of this, cardiac nurses face very emotive and challenging patient care. They often deliver distressing and difficult news to families, made more difficult by the current global pandemic. The human face is extremely expressive and is able to convey countless emotions but the wearing of face masks takes away the invaluable aspect of this non-verbal communication. Offering reassurance and comfort whilst considering social/physical distancing makes this situation so much harder.

Advice for Cardiac Nurse Specialists

  1. Caring for babies, children and families affected by CHD can be challenging. Nurses, don’t forget to reach out to your colleagues for support when needed.
  2. Use your line managers as much as you require. They can signpost you to local support services and organise clinical supervision if needed.
  3. Try not to take your work/cases home with you – learn to compartmentalise
  4. We know that you work in an emotionally demanding environment, self-care is a priority, not a luxury 
  5. Access any courses you can in communicating unexpected news and bereavement counselling

By Anne Rhodes, August 2020

Our Pulse Oximetry Project is up and running again…

We’re delighted that we have been able to start placing pulse oximetry machines in maternity wards across the UK once again. These monitors, which can help detect serious heart conditions soon after birth, are used to help improve early detection rates of congenital heart disease.

Unfortunately, earlier this year we had to pause three of our key projects due to Government guidelines and to enable NHS hospitals to focus on their critical role responding to the pandemic. Our face-to-face sonographer training is still suspended for the foreseeable future, as is our project placing situs dolls in NHS Trusts. However we are delighted to announce that we are now pressing GO on placing more pulse oximetry machines in maternity units across the UK.

Before lockdown, with the support of Simon & Hayley Hills, we placed pulse oximetry machines at Broomfield Hospital in memory of their son Marshall. Marshall was born with a CHD which went undetected during Hayley’s pregnancy, and tragically their son passed away soon after birth.

Left to right: Jon Arnold, Tiny Tickers Chief Executive; midwives from the Broomfield Hospital Maternity unit, and far right, Simon & Hayley Hills

Thanks to Simon & Hayley’s donation we placed six handheld machines on the Broomfield Maternity Unit. This will help ensure that all newborns born in Broomfield Hospital get the test that could save their life.

A baby is born with a serious heart condition every two hours in the UK. However, not all congenital heart defects can be detected during routine prenatal scanning and some babies are at risk of falling into the early stage of heart failure if their condition is not diagnosed in time. As the only national charity dedicated to improving the early detection, diagnosis and care of babies with heart conditions, we want to change this. We are delighted that with the generosity of supporters and funders, like Edith Florence Spencer Memorial Trust, Next PLC, Children’s Heart Surgery Fund, DM Thomas Foundation for Young People, Spifox Too and the GC Gibson Charitable Trust, that we can continue to ensure these vital machines benefit the babies & families that need them most.

We launched our Pulse Oximetry project in 2017, and in 2018 we launched our national appeal, Test for Tommy, as part of our mission to ensure that no baby will die from an undiagnosed congenital heart defect.

Natasha Pye’s son, Tommy, was one of the 1000 newborn babies who leaves hospital every year with their heart defects undetected. Tommy tragically passed away at 11 days old and we have dedicated this campaign to his memory. 

“We now know that Tommy had a congenital heart defect that could be corrected with surgery. If only his condition had been detected, he could be alive today.”

Natasha, Tommy’s Mum
  • Giving Tuesday

Our Test for Tommy campaign is dedicated to the memory of baby Tommy and aims to ensure that every baby is given the test that could help save their life. A pulse oximetry test measures the oxygen saturation levels in a baby’s blood. It is quick, painless and a low reading could indicate a heart defect.

At present, pulse oximetry testing is not a mandatory newborn test within NHS hospitals, and many maternity units perceive cost as a barrier to introducing the test. This is why we are determined to place pulse oximetry testing kits in maternity units across the UK. Our ambition is that we will have offered machines to every NHS Trust in the UK by April 2022.

Thank you to each and everyone of our supporters who have helped us with this project. We’re excited to get started again…

Helping sonographers communicate unexpected baby scan news to expectant parents

Tiny Tickers is delighted to have played a part in creating new guidelines for sonographers that will help thousands of expectant parents affected by pregnancy complications each year.

Research led by the University of Leeds will for the first time provide sonographers with specific words and phrases to be used consistently when explaining miscarriages, foetal deaths and anomalies during scans, including instances where congenital heart disease is suspected.

At present, there is no standardised way of communicating scan findings, which can lead to increased distress for the expectant parents.

Have you been told at your antenatal scan that there may be a problem with your baby's heart?
Pregnancy screening can spot possible CHD

Each year about 150,000 families in England and Wales are affected by pregnancy complications: 20% of pregnancies end in miscarriage or stillbirth, while one in 20 scans reveal an anomaly which could indicate the presence of a foetal health condition.

Parents often recall the exact words and behaviours that the sonographer used when conveying unexpected news.

The new training framework, published today (Weds, 5 Aug) in Ultrasound, will help sonographers provide clear information for expectant parents in stressful situations.


Watch those involved in the research, including our Chief Executive, Jon Arnold, talk about the project to BBC Breakfast news

Tiny Tickers’ Chief Executive, Jon Arnold, said: “I have personal experience of being a parent being on the receiving end of unexpected news – my daughter’s heart defect was first spotted at my wife’s 20 week pregnancy scan.

“The way you are told about your baby’s potential condition can have a profound impact on what follows and how you as expectant parents cope with it. Our sonographer did a good job – she was honest, clear and compassionate in the way she told us about our unborn baby’s heart.

“At Tiny Tickers, we hear the full range of experiences from the families we support, and also hear from sonographers about how tough it is to suddenly come across a possible problem and have to let expectant parents know without any time to prepare.

“This research project has seen sonographers, psychologists, charities and parents with lived experience combine to create the world’s first set of guidelines to help sonographers with the really, really challenging task of communicating unexpected news. It’s really important work and we’ve been delighted to have been involved.”

Dr Judith Johnson, a Clinical Psychologist at Leeds’ School of Psychology, led the research.

She said: “The language used during scans can have a powerful emotional impact on the parents.

“It can influence how they respond to the news, and any decisions they then make regarding how to move forward.

“Addressing this issue has been particularly challenging because sonographers may have to communicate a wide variety of findings to parents, from miscarriages to a specific type of foetal anomaly.

“However, sonographers receive no mandatory training in news delivery and up until now, there was no agreed guidance for how to communicate these findings to expectant parents.”

Tiny Tickers helps train sonographers in the UK

A wide range of charities, international academics, healthcare professionals and policy experts worked together on the new, comprehensive set of guidelines.

The recommendations include:

  • prioritising the use of honest and clear communication, even with uncertain findings
  • using technical terms, but these should be written down for parents, together with non-technical interpretations
  • the term ‘baby’ should be used as a default, even in early pregnancy, unless expectant parents use other terminology such as ‘foetus’
  • at the initial news disclosure, communication should focus on providing information
  • expectant parents should not be asked to make decisions during the scan

Dr Johnson said: “These are the first consensus guidelines for news delivery in ultrasound which have been published anywhere in the world

“We hope that these guidelines can both improve the experiences of expectant parents in the UK and help to shape news delivery policy in other countries.

“We also anticipate that these guidelines will help to reduce sonographer anxiety around news delivery.”

Ruth Bender Atik, National Director of The Miscarriage Association, said the guidelines could make a major contribution to patient care.

“The guidance focuses on key aspects of the ultrasound experience in pregnancy, from the first hello through to discussing next steps.

“They suggest specific words, phrases and behaviours that can best serve their patients and they remind practitioners not to make assumptions about how news may be received.

“We are delighted to have been involved in their development and will share them widely.”

A spokesperson from the Down’s Syndrome Association said: “We were very pleased to be involved in the important project.

“Sonographers have a crucial role to play in pregnant women’s antenatal care. It is vital that sharing news of an ‘unexpected’ finding in a scan is done with sensitivity and compassion.

“This resource gives guidance on how best to approach this, developed by a range of professionals who have thought this through carefully.

“Sonographers also need to know they can refer women for additional information and support from a range of relevant organisations, including support available from the Down’s Syndrome Association.”

Jane Fisher, Director of Antenatal Results and Choices (ARC) said: “We hear regularly from parents who have had unexpected news from scans and know how sensitive they can be to how the information is conveyed.

“We also run training for sonographers and know how keen they are to ‘get it right’. We welcome these resources as they will help equip sonographers to provide high quality care to parents and avoid causing extra distress in these challenging circumstances.”

Gill Harrison a sonographer at The Society and College of Radiographers, was also involved in drawing up the guidelines.

She said: “Sonographers have for many years been taught to deliver unexpected findings detected during an ultrasound scan using methods originally designed for oncologists.

“Unfortunately the setting is completely different in ultrasound. Sonographers are not always expecting to find an abnormality or miscarriage.

“It is often not until they start scanning that they realise things are not as they should be, leaving little time for preparation.

“To have a framework specifically designed for obstetric ultrasound practice, with clear examples from experts within the field will help in the education of student sonographers and assist experienced practitioners to develop their skills.

“This should not only help build confidence and skills in the ultrasound community, but also lead to better patient care and satisfaction in what can be extremely challenging circumstances for all involved.

Further information:

UK consensus guidelines for the delivery of unexpected news in obstetric ultrasound: The ASCKS framework is published 5 August in Ultrasound, the journal of the British Medical Ultrasound Society: https://journals.sagepub.com/doi/10.1177/1742271X20935911

The ASCKS framework research was funded by the Society and College of Radiographers, and the University of Leeds. Framework contributors include: Tiny Tickers, The Miscarriage Association; SANDS (Stillbirth and Neonatal Death Society); ARC (Antenatal Results and Choices); The Downs Syndrome Association; The Society and College of Radiographers; SHINE (the organisation for Spina Bifida and Hydrocephalus); Public Health England; Department of Health and Social Care.

How our pulse oximetry project is saving lives

Pulse Oximetry Test

By Tiny Tickers’ Project Support Officer, Carly Doswell

As I complete my first year at Tiny Tickers, it is a great time to reflect on the achievements of our pulse oximetry project so far.

Our Test for Tommy Campaign started in 2019 and aims to further improve early detection rates of heart defects, by placing pulse oximetry machines in maternity wards across the UK.

Since taking on the role of Project Support Officer, I have been able to focus my efforts on the project, after a short pause due to the pandemic. Tiny Tickers supporters have raised an incredible amount of money for the project so far, so my task has been to ensure the hospitals that need pulse oximetry machines, have the opportunity to receive them for their wards. The aim is that as many newborn babies as possible will have their oxygen levels checked before they leave hospital.

Pulse oximetry testing uses a light sensor to measure oxygen levels in the blood. Not every baby will be born displaying signs and symptoms of a heart defect and with this machine, many more life-threatening defects can be detected.

Pulse Oximetry Test

I am delighted to say that we have now placed our 100th order and supplied over 400 pulse oximetry machines, in over 100 hospitals, around the UK. We are very proud to have achieved this and are now receiving feedback confirming that this simple test has prevented a significant number of babies from leaving hospital with undetected heart defects.

You can see where we have placed our machines here.

At present, pulse oximetry testing is not a mandatory newborn test within NHS hospitals, and many maternity units do not have the means to introduce these life-saving machines. For these reasons, Tiny Tickers aims to provide pulse oximetry testing kits to as many maternity units as we can.

We have also created a pulse ox hub, where professionals can access further information and resources about pulse oximetry testing and how to apply for free machines from Tiny Tickers.

The Tiny Tickers team continue to work hard to get as much funding as we can, to allow us to place as many machines as possible. This money is raised by our wonderful supporters and from grants and foundations keen to support this life-saving project.

Thank you so much to all those who have so generously helped to fund the project so far, and to all the hospitals that have now received our pulse oximetry machines and made the commitment to carry out this life-saving test on the babies born in their care.

I’ll leave you with a quote from The Practice Development Midwife at The Royal Berkshire Hospital, which demonstrates the impact of this project:

“Having the machines means we are able to provide the gold standard of care for babies born at The Royal Berkshire Hospital. It means changes in the oxygen saturation of all babies is detected and acted upon in a timely manner, thereby improving the overall health outcomes. Thank you Tiny Tickers – your generosity continues to save lives.


Support our Test For Tommy Pulse Oximetry Campaign here.

INEOS staff cycle miles for tiny hearts

Tiny Tickers has received a donation of £1,000 from INEOS O&P UK Team #3. Tiny Tickers was selected following the suggestion from one of the team riders, whose personal fundraising was founded on a close friend’s involvement with the charity. He said, “A good friend’s unborn baby was diagnosed with a congenital heart defect and underwent open heart surgery at just seven weeks old. He was very lucky his daughter’s heart defect was detected early. Many families are not as fortunate and go home from hospital after the birth without knowing their baby is in critical danger. Tiny Tickers, a heart charity, is changing that.”

Grant Scott, team captain said, “This year we were keen to get as many people out on the road as possible. Inspired by the Group ride to Culross with the INEOS Grenadiers in May, we set up the Grangemouth Grenadiers Cycle Club (GGCC) for all employees taking part in the challenge. There were two weekly group rides available, Wednesday’s group was focused on those who hadn’t ridden in a group before and would like to grow in confidence riding on the road; and Thursday’s was for those cyclists with more experience.”

The INEOS team with Tiny Tickers’ Head of Fundraising and Communications, Katie Lawson.

The GGCC ran every week during the Tour de France challenge with rides to the Helix Park, Skinflats and further afield to Stirling Castle and Knockhill. Whilst the majority of the team took to the cycle paths and roads, one keen cyclist, Jaki Wilson, managed an impressive personal tally of 767km of the HQ Gym bikes.

Katie Lawson, Head of Fundraising & Communications at Tiny Tickers said, “We are absolutely delighted that INEOS employees in Grangemouth have chosen our tiny charity to benefit from their support. We know it’s a personal cause to some of the staff and we’re so grateful that we have been able to raise awareness of just how common congenital heart defects are. With the fantastic support of the INEOS cyclists we will be able to continue doing all that we can to help babies with congenital heart defects, their families, and the health professionals who look after them.”

To conclude, Grant adds, “The Tour de France charity challenge created a great buzz around the office, hearing stories of those who dusted off their bike or commuted to work for the first time. It was great to have so many people enthusiastic about the charity challenge, ensuring their team completed the daily distance target as well as competing against fellow teammates and the INEOS Grenadiers!”