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Publication, Part of

Maternity Services Monthly Statistics - July 2021, experimental statistics

Official statistics, Experimental statistics

Measures file

Please note that the following measures have been reissued following an update to their methodology. It was found that a small volume of data for some providers was included in the numerator where it should have been excluded. The impact of this is a small reduction in the rate for the affected providers:

  • PCSP_All_Pathways and supporting data quality measure: PCSP_DQ04
  • CQIMSmokingDelivery and supporting data quality measures: CQIMDQ06 and CQIMDQ07

10 December 2021 09:30 AM

Data quality statement

Important information for July 2021 data

The Maternity Services Monthly Statistics reports for April 2019 onwards are the first to come from the new version of the Maternity Services Data Set (MSDSv2).

This version of the data set has had numerous changes; to field names, table names, the clinical coding we receive and the structure of the data set itself. Our collection portal has also been redeveloped, to enable consistency in submissions and efficiency in analysis and data linkage in the fullness of time. System suppliers are at different stages on 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.

These changes have meant that we have not received as much data from every trust as we did in early 2019 under the previous version of the data set. Some tables are mandatory for upload, and therefore included in the submission as incentivised via the Maternity Incentive Scheme of the Clinical Negligence Scheme for Trusts (CNST). Whilst all tables are mandatory, not all are required for an upload to be successful. We expect their completeness to improve over time, as they did with the previous version of the MSDS, and are looking at ways of supporting the improvements.

122 of 123 Trusts in scope have submitted data, with 122 submitting data on births.

Certain information such as birth weight and smoking status are submitted using clinical codes. Currently only information coded in SNOMED is included in this publication which will result in an undercount of the true figure. We are working on the process of mapping information submitted in other classifications such as Read, OPCS or ICD10 into SNOMED and will revise the data once this has been completed.

Statistics on Continuity of Carer and Personalised Care and Support Plans have been published to provide data submitters and users with insight into the quality and completeness of their data. The ability to capture Continuity of Carer and Personalised Care and Support Plan information was introduced as part of the move to the new data set and therefore data quality and coverage is variable between organisations, as systems and processes are developed to capture this information. Due to variations in data quality and completeness, these statistics may not accurately reflect the true number of women placed on a Continuity of Carer pathway or with a Personalised Care and Support Plan at this early stage of development.

This month,  for the number of women receiving Continuity of Carer support and the number of women with Personalised Care and Support Plans, data quality measures have been included to validate the data used for these measures and only providers that score more than 5% for the applicable data quality tests will have their data published as part of the relevant main measure. For the measure concerning the number of women placed on a Continuity of Carer pathway by 29 weeks gestation, data quality tests were already introduced in the June 2021 publication.

Statistics on the Saving Babies' Lives Care Bundle have been published to provide data submitters and users with insight into the quality and completeness of their data. Due to variations in data quality and completeness, these statistics may not be an accurate reflection of trusts' performance at this early stage of development. A numerator and denominator will be shown for all providers, and further Data Quality assessment criteria will be developed further in coming months.


Known Issues

Site of booking contains a high proportion of GP practice codes in addition to hospital site codes. This is because the initial antenatal booking often takes place in non-hospital settings, such as the patient's home or GP practice.

The University Hospitals Dorset NHS Foundation Trust (R0D), formed from the recent merger of Poole Hospital NHS Foundation Trust (RD3) and The Royal Bournemouth And Christchurch Hospitals NHS Foundation Trust (RDZ) has not yet been mapped to an MBRRACE group. Until the mapping is updated, the activity for Dorset will be shown in Group 6 (Unknown).

Pennine Acute Hospitals NHS Trust (RW6) were unable to make a successful submission by the closing window deadline due to validation issues.


Purpose of this page

This page aims to provide users with an evidence-based assessment of the quality of the statistical output of the Maternity Services Monthly Statistics publication by reporting against those of the nine European Statistical System (ESS) quality dimensions and principles appropriate to this output.

In doing so, this meets our obligation to comply with the UK Statistics Authority (UKSA) Code of Practice for Official Statistics, particularly Principle Q3, which states:

“Producers of statistics and data should explain clearly how they assure themselves that statistics and data are accurate, reliable, coherent and timely”.

For each dimension this page describes how this applies to the publication and references any measures in the accompanying monthly data quality measures report that are relevant for assessing the quality of the output.

These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation.

They are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. More information about experimental statistics can be found on the UK Statistics Authority website.


Assessment of statistics against quality dimensions and principles

The degree to which the statistical product meets user needs in both coverage and content.

This publication comprises a set of reports which have been produced from NHS-funded maternity service providers’ monthly MSDS submissions. It provides the timeliest information from the MSDS.

The MSDS does not cover non-NHS funded maternity services provided by independent organisations (e.g. private clinics).

The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children. Monthly reports from the MSDS include:

  • An HTML executive summary
  • A CSV file containing the aggregate underlying data
  • A CSV data quality file showing national and provider-level data quality measures
  • A detailed metadata file describing all of the measures in the analysis. This includes, for each measure, how it has been constructed from providers’ submissions and how and where it is used.
Feedback

The statistics in this publication series are presently marked as ‘experimental’ and may be subject to further change as we develop our statistics. We welcome feedback on these statistics.


Accuracy and reliability

Accuracy is the proximity between an estimate and the unknown true value.

Reliability is the closeness of early estimates to subsequent estimated values.

Accuracy

The MSDS is a rich, person level data set that records packages of care received by individuals in contact with NHS-funded maternity services. NHS Digital provides a number of different reports at different stages in the data flow to ensure that the submitted data reflects the services that have been provided:

For data suppliers only:

At the point of submission:

  • Providers receive immediate feedback on the quality of their submission through a validation file. This file includes record-level reports of any submission errors, giving the data providers detailed information about which records produced which errors.

On receipt of processed data by NHS Digital:

  • A variety of data quality checks are run as part of the validation and load process for monthly data, prior to production of this monthly release. Where there are concerns about data quality we contact providers directly so that any issues with local data extraction processes can be addressed for a future submission.

For all users:

As part of this publication, we publish a CSV file of data quality of submissions from maternity service providers.

Users of the data must make their own assessment of the quality of the data for a particular purpose, drawing on these resources.

In addition, local knowledge, or other comparative data sources, may be required to distinguish changes in volume between reporting periods that reflect changes in service delivery from those that are an artefact of changes in data quality.

The analysis in this report is based on the latest data submitted by providers during the two month window to provide data. Any data which are re-submitted by a provider during the submission window will be used in place of an earlier submission within the window. We invite and welcome feedback from users on our constructions.

Reliability

Coverage – are all eligible providers submitting data?

All providers of NHS-funded maternity services should submit MSDS data. However, at present not all providers are making full submissions. 

All trusts made a submission, however some trusts submitted a limited number of tables. Detailed information on submission completeness can be found in the accompanying data quality file.

This publication reports on activity that was submitted for the July 2021 reporting period. As a dramatically revised national level data set there are a number of issues in terms of non-response from providers which in turn has an impact on the geographical coverage expected of the data set, hence caution should be taken when interpreting the data at levels higher than individual provider level.

Because of this, no figures derived from the MSDS data have been presented as England total figures, rather they are presented in terms of all providers who submitted data to the MSDS for the reporting period in question. While the number of submitting providers is all we expect, the number of providers submitting valid data for each data table and data item varies widely. Totals therefore continue to be presented as 'all submitters' values, and users of the data should consider the coverage for the relevant analysis when interpreting the data.

Coverage – is data for all eligible people included in the submission?

Local knowledge may be required to assess the completeness of a submission, based on information about local caseload. This publication provides detailed information about activity and providers and commissioners are encouraged to review this to ensure that submissions accurately reflect the local situation. Providers should also use all the aggregate record counts produced at the point of submission as part of the Data Summary Reports to check coverage in key areas (e.g. number of booking appointments.)

Where an organisation is submitting delivery data to MSDS, the number of births reported in a month can be compared to the 2018-19 monthly average number of births in HES to review the levels of activity reported in the MSDS for each organisation (noting that MSDS is not limited to births in hospital). Where an organisation is not yet submitting delivery data to MSDS, a similar comparison can be made using the number of booking appointments in the month, bearing in mind that not all booking appointments will lead to a birth for that pregnancy within a reporting organisation. 

Duplication

Validations are in place to ensure that there is only one booking appointment for each woman submitted to NHS Digital per organisation for the particular reporting period. It is possible that one woman may have multiple booking appointments recorded for the same pregnancy for different providers. For any calculated total value presented in this report a woman is only counted once in relation to the activity related to the booking appointment. For example, if a woman is reported for a booking appointment by two separate organisations within the same NHS England Region then they would be counted in any total for each of these providers presented at the provider level but would only be counted once for the overall NHS England Region. However, if the woman was reported by two separate providers within two separate NHS England Regions then they would be counted in the overall total calculated for each NHS England Region.

If a woman is reported for a booking appointment by two separate organisations within the same NHS England Region and different data are submitted by each provider then this woman may be counted twice for the overall NHS England Region total. For example, where a woman has an age recorded as 39 by one provider and 40 by another provider this woman would be counted in the NHS England Region total twice, once in the '35 to 39' age group and once in the '40 to 44' age group.

Similarly, a baby reported by two separate organisations within the same NHS England Region with an Apgar score at 5 minutes of 6 recorded by one provider and 8 by another provider would be counted in the NHS England Region total twice, once in the '0 to 6' group and once in the '7 to 10' group.

Timeliness of recording events on local systems

Whilst local systems may be continuously updated, the MSDS submission process provides a time-limited opportunity for data relevant to each month to be submitted. The submission window opens the day after the reporting month and remains open for two months. This means that the timeliness of recording all relevant activity on local systems has an impact on the completeness of the MSDS submission. For example, a booking appointment made in May 2020, but not entered onto the local system until August 2020, will not be included in the May 2020 submission (deadline end of July 2020). Providers should use the data summary reports produced at the point of submission to ensure that all relevant data has been included.

The submission requirements for MSDS are that all appropriate activity (e.g. booking appointment, dating scans, etc.) be included in the submission for each month in which they start, continue or end. It is important that data providers ensure that NHS numbers are submitted consistently because this is a key piece of information for creating the person identifiers in our records.

Quality of experimental analysis

It should be noted that these statistics are presently experimental in nature and are likely to be subject to further refinement; reference should be made to all accompanying footnotes and commentary when using these statistics.


Timeliness and punctuality

Timeliness refers to the time gap between publication and the reference period. Punctuality refers to the gap between planned and actual publication dates.

The monthly publication is based on the most recent available final data. For this publication, the Maternity Services Monthly Statistics report is published within four weeks of the submission window closing.

The Maternity Services Monthly Statistics report for July 2021 data was released on the pre-announced publication date and is therefore deemed to be punctual.


Coherence and comparability

Coherence is the degree to which data that are derived from different sources or methods, but refer to the same topic, are similar. Comparability is the degree to which data can be compared over time and domain.

Coherence

There is no other monthly publication that includes the same measures as are included in this publication. 

As well as this monthly report on maternity services, NHS Digital has also published the NHS Maternity Statistics 2018-19 report. This annual publication uses Hospital Episode Statistics (HES) data submitted to NHS Digital and has been published annually since 2001-02. The latest report also includes 2019-20 annual data from the MSDS.

MSDS deliveries comparison with annual HES statistics
Organisation Code Organisation Name MSDS deliveries, Jul 2021 HES deliveries average per month 18-19 MSDS as a proportion of HES (%)
RCF AIREDALE NHS FOUNDATION TRUST 170 170 100
RTK ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST 285 315 90
RF4 BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST 605 655 92
RFF BARNSLEY HOSPITAL NHS FOUNDATION TRUST 110 235 47
R1H BARTS HEALTH NHS TRUST 1065 1225 87
RC9 BEDFORDSHIRE HOSPITALS NHS FOUNDATION TRUST 650 420 155
RQ3 BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST 640 680 94
RXL BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST 245 235 104
RMC BOLTON NHS FOUNDATION TRUST 505 475 106
RAE BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST 400 415 96
RY2 BRIDGEWATER COMMUNITY HEALTHCARE NHS FOUNDATION TRUST      
RXQ BUCKINGHAMSHIRE HEALTHCARE NHS TRUST 300 405 74
RWY CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST 345 405 85
RGT CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 440 435 101
RQM CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST 895 915 98
RFS CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST 255 220 116
RJR COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST 140 200 70
RXP COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 225 395 57
RJ6 CROYDON HEALTH SERVICES NHS TRUST 140 285 49
RN7 DARTFORD AND GRAVESHAM NHS TRUST 445 395 113
RP5 DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FOUNDATION TRUST 230 380 61
RBD DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST 135 125 108
RWH EAST AND NORTH HERTFORDSHIRE NHS TRUST 470 440 107
RJN EAST CHESHIRE NHS TRUST 5 120 4
RVV EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST 550 540 102
RXR EAST LANCASHIRE HOSPITALS NHS TRUST 480 505 95
RDE EAST SUFFOLK AND NORTH ESSEX NHS FOUNDATION TRUST 555 560 99
RXC EAST SUSSEX HEALTHCARE NHS TRUST 230 80 288
RVR EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST 325 355 92
RDU FRIMLEY HEALTH NHS FOUNDATION TRUST 780 775 101
RR7 GATESHEAD HEALTH NHS FOUNDATION TRUST 130 145 90
RLT GEORGE ELIOT HOSPITAL NHS TRUST 100 185 54
RTE GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 520 485 107
RN3 GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST 335 340 99
RJ1 GUY'S AND ST THOMAS' NHS FOUNDATION TRUST 530 540 98
RN5 HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST 400 415 96
RCD HARROGATE AND DISTRICT NHS FOUNDATION TRUST 150 145 103
RQX HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 505 480 105
RWA HULL UNIVERSITY TEACHING HOSPITALS NHS TRUST 385 420 92
RYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST 740 735 101
R1F ISLE OF WIGHT NHS TRUST 80 85 94
RGP JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 140 160 88
RNQ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST 295 270 109
RJZ KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST 630 755 83
RAX KINGSTON HOSPITAL NHS FOUNDATION TRUST 425 405 105
RXN LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST 385 350 110
RR8 LEEDS TEACHING HOSPITALS NHS TRUST 710 760 93
RJ2 LEWISHAM AND GREENWICH NHS TRUST 660 670 99
REP LIVERPOOL WOMEN'S NHS FOUNDATION TRUST 660 680 97
R1K LONDON NORTH WEST UNIVERSITY HEALTHCARE NHS TRUST 325 375 87
RWF MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST 535 485 110
R0A MANCHESTER UNIVERSITY NHS FOUNDATION TRUST 1355 1115 122
RPA MEDWAY NHS FOUNDATION TRUST 410 395 104
RAJ MID AND SOUTH ESSEX NHS FOUNDATION TRUST 1135 290 391
RBT MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST 265 240 110
RXF MID YORKSHIRE HOSPITALS NHS TRUST 470 500 94
RD8 MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 325 290 112
RM1 NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 430 445 97
RVJ NORTH BRISTOL NHS TRUST 500 490 102
RNN NORTH CUMBRIA INTEGRATED CARE NHS FOUNDATION TRUST 235    
RAP NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST 345 380 91
RVW NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 215 220 98
RGN NORTH WEST ANGLIA NHS FOUNDATION TRUST 495 540 92
RNS NORTHAMPTON GENERAL HOSPITAL NHS TRUST 375 370 101
RBZ NORTHERN DEVON HEALTHCARE NHS TRUST 125 100 125
RJL NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST 315 325 97
RTF NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 290 260 112
RX1 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 645 725 89
RTH OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 665 615 108
RHU PORTSMOUTH HOSPITALS UNIVERSITY NATIONAL HEALTH SERVICE TRUST 430 430 100
RHW ROYAL BERKSHIRE NHS FOUNDATION TRUST 385 385 100
REF ROYAL CORNWALL HOSPITALS NHS TRUST 345 340 101
RH8 ROYAL DEVON AND EXETER NHS FOUNDATION TRUST 320 315 102
RAL ROYAL FREE LONDON NHS FOUNDATION TRUST 680 710 96
RA2 ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST 235 235 100
RD1 ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST 340 390 87
RNZ SALISBURY NHS FOUNDATION TRUST 190 170 112
RXK SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 430 455 95
RHQ SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST 540 530 102
RK5 SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST 280 265 106
RH5 SOMERSET NHS FOUNDATION TRUST 250    
RTR SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 445 405 110
R0B SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST 335 330 102
RJC SOUTH WARWICKSHIRE NHS FOUNDATION TRUST 235 235 100
RVY SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST 215 185 116
RJ7 ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 415 410 101
RBN ST HELENS AND KNOWSLEY TEACHING HOSPITALS NHS TRUST 375 330 114
RWJ STOCKPORT NHS FOUNDATION TRUST 300 250 120
RTP SURREY AND SUSSEX HEALTHCARE NHS TRUST 425 425 100
RMP TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST 200 180 111
RNA THE DUDLEY GROUP NHS FOUNDATION TRUST 350 350 100
RAS THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST 345 360 96
RTD THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 515 535 96
RQW THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST 265 325 82
RCX THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST 180 175 103
RFR THE ROTHERHAM NHS FOUNDATION TRUST 210 205 102
RL4 THE ROYAL WOLVERHAMPTON NHS TRUST 375 410 91
RXW THE SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 380 360 106
RA9 TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST 175 180 97
RWD UNITED LINCOLNSHIRE HOSPITALS NHS TRUST 420 395 106
RRV UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST 375 565 66
RHM UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST 480 445 108
RRK UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST 775 775 100
RA7 UNIVERSITY HOSPITALS BRISTOL AND WESTON NHS FOUNDATION TRUST 415 405 102
RKB UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 510 475 107
R0D UNIVERSITY HOSPITALS DORSET NHS FOUNDATION TRUST 400    
RTG UNIVERSITY HOSPITALS OF DERBY AND BURTON NHS FOUNDATION TRUST 680 735 93
RWE UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST 810 800 101
RTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST 255 250 102
RJE UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST 445 530 84
RK9 UNIVERSITY HOSPITALS PLYMOUTH NHS TRUST 325 320 102
RYR UNIVERSITY HOSPITALS SUSSEX NHS FOUNDATION TRUST 610 395 154
RBK WALSALL HEALTHCARE NHS TRUST 330 300 110
RWW WARRINGTON AND HALTON TEACHING HOSPITALS NHS FOUNDATION TRUST 215 220 98
RWG WEST HERTFORDSHIRE HOSPITALS NHS TRUST 350 370 95
RGR WEST SUFFOLK NHS FOUNDATION TRUST 180 190 95
RKE WHITTINGTON HEALTH NHS TRUST 230 290 79
RBL WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST 270 250 108
RWP WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 405 430 94
RRF WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST 220 170 129
RLQ WYE VALLEY NHS TRUST 125 140 89
RA4 YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST 120 110 109
RCB YORK AND SCARBOROUGH TEACHING HOSPITALS NHS FOUNDATION TRUST 360 375 96
         
Breastfeeding initiation

NHS England have a historical data collection on mothers initiating breastfeeding by NHS Trust and by CCG, which went up to March 2017. The MSDS reports the baby's first feed, which differs from the definition of initiation in the NHS England collection, so data is not exactly comparable between the two sources.

Smoking at time of delivery

Official statistics on Smoking at Time of Delivery (SATOD) are published by NHS Digital on a quarterly basis using aggregate returns from CCGs. The analysis of smoking at delivery recorded in the MSDS published for January 2017 includes a comparison with data from the SATOD collection for October – December 2016 to explore the quality of MSDS submissions.

Births in England and Wales: Office for National Statistics

The Office for National Statistics also publishes annual data on live births and stillbirths in England and Wales. These data are collated from local registrar records and are the most complete data source available. The latest publication for these data can be found here.


Accessibility and clarity

Accessibility is the ease with which users are able to access the data, also reflecting the format in which the data are available and the availability of supporting information. Clarity refers to the quality and sufficiency of the metadata, illustrations and accompanying advice.

Accessibility

Alongside this background quality document, an executive summary is made freely accessible via the NHS Digital website as an HTML page together with a supporting monthly data file in machine-readable format (with an accompanying metadata document).

Re-use of our data is subject to conditions outlined here: https://digital.nhs.uk/about-nhs-digital/terms-and-conditions

Data Services for Commissioners Regional Offices (DSCROs) can obtain a record level extract of data relevant to the Clinical Commissioning Groups (CCGs) that they support and can share data with these CCGs subject to the relevant data sharing agreements being in place. Information about DSCROs is available from https://digital.nhs.uk/services/data-services-for-commissioners-dsfc

Clarity

The monthly data file is presented as a CSV file, with an accompanying metadata file in MS Excel format. A broad definition of each measure, including the data items used in the analysis and constructions and current or intended uses are provided. Terminology is defined where appropriate.

Full details of the way that MSDS returns are processed, which will be of use to analysts and other users of these data, are provided in the MSDS User Guidance, available on the NHS Digital website: https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/maternity-services-data-set

In order to prevent disclosure of identities or information about service users, all figures for all organisations which submitted, are rounded to the nearest 5. All figures between 1 and 7 are rounded to 5. 


Trade-offs between output quality components

This refers to the extent to which different aspects of quality are balanced against each other

The format of this publication meets user needs for a greater wealth of information on maternity services in England. Benefits to users include the publication of detailed data on a monthly basis together with associated data quality measures, as well as a visual representation of the national picture on a monthly basis.

The aggregate underlying data provides a much greater scope of analysis and will support a variety of local uses as well as meeting our obligations under the Code of Practice for Statistics and the Transparency Agenda.

The format of this publication balances the need for increased frequency of reporting and scope of analysis with NHS Digital resources and production time. NHS Digital is publishing the data in a new HTML format, whilst supporting the Open Data initiative by also publishing data in a machine-readable format. By publishing a range of clearly defined measures in a timely fashion we hope to support discussions between providers and commissioners about caseload and activity and promote a virtuous cycle of improving data quality, through use.

For MSDS version 2.0 analysis, we have stopped producing the basic suite of data tables as part of this publication. However, the machine-readable data file is very detailed and allows data users to easily produce custom tabulations as required for their own analytical purposes.


Assessment of user needs and perceptions

This refers to the processes for finding out about users and uses, and their views on the statistical products.

The purpose of the MSDS monthly reports is to provide maternity service providers, commissioners and other stakeholders with timely information about activity. This is intended to support changes in commissioning arrangements as services move from block commissioning to commissioning based on activity and outcomes for mothers and babies.

For members of the public, researchers and other stakeholders, the release provides up to date information about the people in contact with services.

NHS Digital held a number of workshops for maternity service providers and system suppliers, providing updates on the development of the data set and allowing clinicians, system administrators and informatics staff to provide feedback during the development stage. NHS Digital continues to hold regular workshops with service providers and system suppliers, providing updates on data quality and future development of the data set, and obtaining feedback on use of the data. 

NHS Digital has also held workshops with analysts who use MSDS data and other maternity data to seek feedback to inform further development of the monthly reports and other outputs and encourage wider use of MSDS data.


Balance between performance, cost, and respondent burden

This refers to the effectiveness, efficiency and economy of the statistical output.

As a 'secondary uses' data set, the MSDS does not require the collection of new data items by maternity providers. It re-uses existing clinical and operational data for purposes other than direct patient care.

Providers are not required to submit data held only on paper records as no provision has been made in the MSDS for the cost of transcribing these records to an electronic format.

Only three of the data tables are required to flow in every MSDS submission (MSD001, MSD002 and MSD101); completion of the remaining tables is only necessary when activity has occurred that is captured within these tables.


Confidentiality, transparency and security

This refers to the procedures and policy used to ensure sound confidentiality, security and transparent practices.

All publications are subject to a standard NHS Digital risk assessment prior to issue. Disclosure control is implemented where deemed necessary.

Please see links below to relevant NHS Digital policies:



Last edited: 9 December 2021 11:26 am