Summary
Update 28th August 2018: Please note that the Quality Improvement Metrics file has been replaced since the original file was published on 26th July 2018.
Postpartum haemorrhage (PPH) data were incorrect for 21 trusts in the ‘Table 1’ worksheet. Rather than correctly displaying 'DNS' (Did not submit) in columns V, W, X and Y, the values were displayed as either a number, a star (representing small numbers between 0 and 4) or 'Low DQ' (Low data quality). Data for other metrics and geographies were unaffected.
This is a report on NHS-funded maternity services in England for April 2018, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children.
The MSDS is a patient-level 'secondary uses' data set that re-uses clinical and operational data for purposes other than direct patient care, such as commissioning and clinical audit. It captures key information at each stage of the maternity service care pathway in NHS-funded maternity services, such as those provided by GP practices and hospitals. The data collected include mother's demographics, booking appointments, admissions and re-admissions, screening tests, labour and delivery along with baby's demographics, diagnoses and screening tests.
The Quality Improvement Metrics file includes rates for 4 of the 14 Clinical Quality Improvement Metrics that form part of NHS England's Maternity Transformation Programme.
The following analysis files are published within the zip file 'Additional experimental analysis using MSDS data' for the relevant month due to low data quality and completeness:
• Delivery method by previous births
• Delivery method by Robson group
• Smoking status at delivery (for births one month earlier)
• Postpartum haemorrhage and other maternal critical incidents (for births one month earlier)
• Antenatal pathway level
• Births without intervention.
These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. More information about experimental statistics can be found on the UK Statistics Authority website.
Key Facts
This report contains key information based on the submissions that have been made by providers and will focus on data relating to activity that occurred in April 2018.
• For April 2018 data, 132 providers successfully submitted data for the MSDS. Of the 132 providers submitting data in HES for 2016-17 eligible to submit to the MSDS in April 2018, 1 provider did not submit data. We are working closely with providers who did not respond and expect coverage and data quality to increase over time.
• Among women that had a booking appointment in April 2018, 53 per cent were within the first 10 weeks of pregnancy. This varied across regions with the highest proportion (61 per cent) of women having appointments in the first 10 weeks in the South West Commissioning Region and the lowest proportion (42 per cent) in the London Commissioning Region.
• Of the births that had a recorded delivery method, 58 per cent were spontaneous vaginal births, 11 per cent had instrumental assistance, 13 per cent were elective caesarean sections and 16 per cent were emergency caesarean sections. The proportion of births by emergency caesarean was highest in the London Commissioning Region (19 per cent) and lowest in the South West Commissioning Region (13 per cent).
• Among women that gave birth at 37 weeks gestation or later, 82 per cent had skin-to-skin contact with their baby within one hour of birth. The percentage of women that had skin-to-skin contact within one hour was highest in the South East Commissioning Region (83 per cent) and lowest in the London Commissioning Region (79 per cent).
• 74 per cent of babies received maternal or donor breast milk as their first feed.
Administrative Sources
Maternity Services Data Set (MSDS): this is a patient-level data set that captures information about activity carried out by Maternity Services relating to a mother and baby(s), from the point of the first booking appointment until mother and baby(s) are discharged from maternity services. This is a secondary uses data set, which re-uses clinical and operational data for purposes other than direct patient care.
Last edited: 28 August 2018 3:20 pm