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Maternity Services Monthly Statistics, July 2022, experimental statistics

Official statistics, Experimental statistics

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Maternity Services Monthly Statistics, July 2022, experimental statistics


Establishment of Integrated Care Boards (ICBs) / Integrated Care Partnerships (ICPs), and abolition of CCGs and STPs, as of July 2022

Integrated Care Systems (ICSs) were formally established across the NHS in England on 1 July 2022, with the introduction of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs), and abolition of CCGs.

Further information around the introduction of ICBs and ICPs is available via the relevant Organisation Data Service (ODS) page here.

The derivations necessary to support reporting under the new commissioning structures have been completed and this publication has now been updated to include ICB (LMNS) and sub-ICB breakdowns in the CSV Data and Measures files.

 

27 January 2023 09:30 AM

Data quality note - BMI recording

Following the identification of a data quality issue in the BMI_14+1Wks measure in this publication which was leading to some women being incorrectly assigned to higher BMI categories than they should have been, we have updated the construction of this measure to correct for this. More information about this updated logic can be found in the accompanying Metadata file.

This data quality issue led to some incorrect BMI_14+1Wks figure originally being reported in this July data. This has now been corrected and this publication has been updated to include revised BMI figures in the Measures file.

 

27 January 2023 09:30 AM

Summary

This statistical release makes available the most recent monthly data on NHS-funded maternity services in England, using data submitted to the Maternity Services Data Set (MSDS).

This is the latest report from the newest version of the data set, MSDS.v.2, which has been in place since April 2019. The new data set was a significant change which added support for key policy initiatives such as continuity of carer, as well as increased flexibility through the introduction of new clinical coding. This was a major change, so data quality and coverage has initially reduced from the levels seen in previous publications.

The data derived from SNOMED codes is being used in some measures such as those for smoking at booking and birth weight, and others 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 measure 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.

To help Trusts understand to what extent they meet the Clinical Negligence Scheme for Trusts (CNST) Data Quality Criteria for Safety Action 2, we have been producing two data files each month which contain information for data providers showing their performance against all MSDS-derived Safety Action 2 criteria. These CNST files are available for download alongside the main publication documents below, but are not currently intended to be produced beyond this month's publication. All the CNST measures use data from the latest reporting month only, in this case July 2022. For some measures this differs to their construction in the main publication CSV files, where they may report on data from longer or different time periods.

As July 2022 is the assessment month, the CNST files in this publication include information on if a trust has met all the relevant assessment criteria. Changes have been made specifically to the Scorecard tab to reflect manual adjustments made to indicate where a measure can be considered as a Pass due to additional analysis carried out in this assessment month, please note the Scores Breakdown tab may still show the same criteria as failed due to the original unamended figures being shown.

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.

Please note that the percentages presented in this report are based on rounded figures and therefore may not total to 100%.


Key Facts

122 successful submissions

For July 2022 data, 122 providers successfully submitted data with 121 submitting data on births.

This is all expected from NHS trusts

53,650 bookings in July 2022

53,650 women with an antenatal booking appointment were reported in the period, of which 58% were within the first 10 weeks of pregnancy.

Of the trusts that submitted booking data, there were 30,935 bookings in which the babies' gestational age was in the 0-70 days range.

46,955 births reported

We received data relating to 46,300 deliveries of 46,955 babies.

We have removed information about external data source counts of birth due to their lack of comparability with MSDS figures. We are investigating a more robust and appropriate replacement, and will reinstate a comparison when this work is complete.

51% of deliveries were spontaneous

51% of deliveries were spontaneous vaginal births, 11% had instrumental assistance, 16% were elective caesarean sections and 21% 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: 26 January 2023 4:35 pm