Summary
Maternity Services Monthly Statistics July 2021, experimental statistics
This is a report on NHS-funded maternity services in England for July 2021, using data submitted to the Maternity Services Data Set (MSDS).
This is the latest report from the new version of the data set, MSDSv2. The new data set is a significant change which adds support for key policy initiatives such as personalised care plans and continuity of carer, as well as increased flexibility through the introduction of new clinical coding. This is a major change, so data quality and coverage has reduced from the levels seen in previous publications.
The data derived from SNOMED codes is still being developed. We have included data on smoking at booking and birth weight and others such as BMI and alcohol consumption will follow in later publications. SNOMED data is also included in some of the published Clinical Quality Improvement Metrics (CQIMs) where rules have been applied to ensure rates are calculated only where data quality is high enough. System suppliers are at different stages of developing their new solution and delivering that to trusts. In some cases this has limited the aspects of data that could be submitted to NHS Digital.
This month we have introduced the following new measures:
• Birth settings, transfers and mode
• BMI at 14+1 weeks
In addition, we have reinstated the following Care Quality Improvement Metrics (CQIMs) following a methodological change:
• Smoking at Booking
• Smoking at Delivery
• CQIMDQ04-07
These can all be found in the 'Measures' file. Please see the Metadata file for further details.
This month, data quality measures to validate the data used for the measures counting the number of women receiving Continuity of Carer support and counting the number of women with Personalised Care and Support Plans have been included for the first time and can be found in the measures file available for download. Information on the construction of these new data quality tests and how they have been applied to the existing Continuity of Carer and Personalised Care Plan measures can be found in the metadata file available for download. Similar changes were already implemented for the measure counting the number of women placed on a Continuity of Carer pathway by 29 weeks gestation in the June 2021 publication.
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.
122 successful submissions
For July 2021 data, 122 providers successfully submitted data with 122 submitting data on births.
This is one less than expected from NHS trusts
54,465 bookings in July 2021
54,465 women with an antenatal booking appointment were reported in the period, of which 62% were within the first 10 weeks of pregnancy.
Of the trusts that submitted booking data, there were 33,620 bookings in which the babies' gestational age was in the 0-70 days range.
We received data relating to 48,110 deliveries of 48,755 babies. External data sources suggest there are around 53,000 births each month.
NHS Maternity Statistics, England 2018-2019 (NHS Digital)
Births in England and Wales: 2019 (Office for National Statistics)
54% of deliveries were spontaneous
54% of deliveries were spontaneous vaginal births, 11% had instrumental assistance, 13% were elective caesarean sections and 17% were emergency caesarean sections.
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: 9 December 2021 11:26 am
