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Publication, Part of

Maternity Services Monthly Statistics June 2019, experimental statistics

Official statistics, Experimental statistics

Data quality statement

Important information for June 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). While 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.

  • All 130 trusts in scope continued to submit.
  • The completeness of those submissions seems to be of lower quality. Only a minority of trusts have passed our data quality tests for the clinical quality improvement metrics (e.g. whether they submitted to MSDS an adequate proportion of average monthly deliveries from the most recent HES maternity statistics).
  • The submissions were timely. All expected trusts submitted within the submission window. 

Therefore, the statistics we are presenting in this publication are reflective of the submissions we have received, but should not be interpreted as the entirety of activity that took place in the month.

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 - to follow
  • 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.

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.


The MSDS is a rich, person level dataset 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 reflect 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.


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 submissions. All trusts made a submission, one independent provider did not. However some trusts submitted a limited number of tables.

This publication reports on activity that was submitted for the June 2019 reporting period. As a dramatically revised national level dataset 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 dataset 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 2017-18 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. 


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 2019, but not entered onto the local system until August 2019, will not be included in the May 2019 submission (deadline end of July 2019). 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 June 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.


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 2017-18 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 2017-18 annual data from the MSDS.

MSDS deliveries comparison with annual HES statistics
Organisation  code Organisation Name MSDS deliveries, June 2019 HES deliveries average per month 17-18 MSDS as a proportion of HES (%)
RCF Airedale NHS Foundation Trust 175 165 106
RTK Ashford and St Peters Hospitals NHS Foundation Trust 285 315 90
RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 625 670 93
RFF Barnsley Hospital NHS Foundation Trust 175 240 72
R1H Barts Health NHS Trust 790 1275 61
RDD Basildon and Thurrock University Hospitals NHS Foundation Trust * 370 *
RC1 Bedford Hospital NHS Trust 220 245 89
RQ3 Birmingham Womens and Childrens NHS Foundation Trust 615 645 95
RXL Blackpool Teaching Hospitals NHS Foundation Trust 205 235 87
RMC Bolton NHS Foundation Trust 435 470 92
RAE Bradford Teaching Hospitals NHS Foundation Trust * 430 *
RXH Brighton and Sussex University Hospitals NHS Trust * 425 *
RXQ Buckinghamshire Healthcare NHS Trust * 415 *
RWY Calderdale and Huddersfield NHS Foundation Trust 310 420 73
RGT Cambridge University Hospitals NHS Foundation Trust * 430 *
RQM Chelsea and Westminster Hospital NHS Foundation Trust 825 920 89
RFS Chesterfield Royal Hospital NHS Foundation Trust 225 225 100
RJR Countess of Chester Hospital NHS Foundation Trust * 225 *
RXP County Durham and Darlington NHS Foundation Trust * 405 *
RJ6 Croydon Health Services NHS Trust 160 300 53
RN7 Dartford and Gravesham NHS Trust 380 395 96
RP5 Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust 335 390 85
RBD Dorset County Hospital NHS Foundation Trust 155 135 114
RWH East and North Hertfordshire NHS Trust 425 440 96
RJN East Cheshire NHS Trust 100 130 76
RVV East Kent Hospitals University NHS Foundation Trust * 570 *
RXR East Lancashire Hospitals NHS Trust * 510 *
RDE East Suffolk and North Essex NHS Foundation Trust 260 585 44
RXC East Sussex Healthcare NHS Trust 250 250 100
RVR Epsom and St Helier University Hospitals NHS Trust 350 385 90
RDU Frimley Health NHS Foundation Trust 790 765 103
RR7 Gateshead Health NHS Foundation Trust 145 150 96
RLT George Eliot Hospital NHS Trust 155 175 88
RTE Gloucestershire Hospitals NHS Foundation Trust 480 490 97
RN3 Great Western Hospitals NHS Foundation Trust * 350 *
RJ1 Guys and St Thomas NHS Foundation Trust 495 550 90
RN5 Hampshire Hospitals NHS Foundation Trust 365 415 87
RCD Harrogate and District NHS Foundation Trust * 150 *
RQX Homerton University Hospital NHS Foundation Trust 400 460 86
RWA Hull University Teaching Hospitals NHS Trust 405 425 95
RYJ Imperial College Healthcare NHS Trust * 760 *
R1F Isle of Wight NHS Trust 70 90 77
RGP James Paget University Hospitals NHS Foundation Trust 135 170 79
RNQ Kettering General Hospital NHS Foundation Trust * 265 *
RJZ Kings College Hospital NHS Foundation Trust 710 775 91
RAX Kingston Hospital NHS Foundation Trust * 430 *
RXN Lancashire Teaching Hospitals NHS Foundation Trust 370 350 105
RR8 Leeds Teaching Hospitals NHS Trust 735 775 94
RJ2 Lewisham and Greenwich NHS Trust 650 665 97
REP Liverpool Womens NHS Foundation Trust 605 675 89
R1K London North West University Healthcare NHS Trust 410 405 101
RC9 Luton and Dunstable University Hospital NHS Foundation Trust 435 415 104
RWF Maidstone and Tunbridge Wells NHS Trust 450 485 92
R0A Manchester University NHS Foundation Trust * 1100 *
RPA Medway NHS Foundation Trust 350 390 89
RBT Mid Cheshire Hospitals NHS Foundation Trust * 250 *
RQ8 Mid Essex Hospital Services NHS Trust 355 365 97
RXF Mid Yorkshire Hospitals NHS Trust 480 500 96
RD8 Milton Keynes University Hospital NHS Foundation Trust 75 295 25
RM1 Norfolk and Norwich University Hospitals NHS Foundation Trust 415 440 94
RVJ North Bristol NHS Trust * 580 *
RNL North Cumbria University Hospitals NHS Trust * 230 *
RAP North Middlesex University Hospital NHS Trust * 385 *
RVW North Tees and Hartlepool NHS Foundation Trust 190 225 84
RGN North West Anglia NHS Foundation Trust * 580 *
RNS Northampton General Hospital NHS Trust * 375 *
RBZ Northern Devon Healthcare NHS Trust 105 115 91
RJL Northern Lincolnshire and Goole NHS Foundation Trust 330 345 95
RTF Northumbria Healthcare NHS Foundation Trust * 260 *
RX1 Nottingham University Hospitals NHS Trust * 760 *
RTH Oxford University Hospitals NHS Foundation Trust * 605 *
RW6 Pennine Acute Hospitals NHS Trust * 705 *
RD3 Poole Hospital NHS Foundation Trust 330 350 94
RHU Portsmouth Hospitals NHS Trust * 455 *
RHW Royal Berkshire NHS Foundation Trust 385 400 96
REF Royal Cornwall Hospitals NHS Trust 345 360 95
RH8 Royal Devon and Exeter NHS Foundation Trust 285 295 96
RAL Royal Free London NHS Foundation Trust * 710 *
RA2 Royal Surrey County Hospital NHS Foundation Trust 195 240 81
RD1 Royal United Hospitals Bath NHS Foundation Trust * 380 *
RNZ Salisbury NHS Foundation Trust 150 175 85
RXK Sandwell and West Birmingham Hospitals NHS Trust 355 470 75
RHQ Sheffield Teaching Hospitals NHS Foundation Trust 515 540 95
RK5 Sherwood Forest Hospitals NHS Foundation Trust 240 265 90
RXW Shrewsbury and Telford Hospital NHS Trust 365 370 98
RTR South Tees Hospitals NHS Foundation Trust 375 415 90
R0B South Tyneside and Sunderland FT 300 335 89
RJC South Warwickshire NHS Foundation Trust 225 235 95
RAJ Southend University Hospital NHS Foundation Trust 335 305 109
RVY Southport and Ormskirk Hospital NHS Trust * 195 *
RJ7 St Georges University Hospitals NHS Foundation Trust 380 400 95
RBN St Helens and Knowsley Teaching Hospitals NHS Trust * 325 *
RWJ Stockport NHS Foundation Trust * 260 *
RTP Surrey and Sussex Healthcare NHS Trust * 405 *
RMP Tameside and Glossop Integrated Care NHS Foundation Trust 190 195 97
RBA Taunton and Somerset NHS Foundation Trust * 260 *
RNA The Dudley Group NHS Foundation Trust 330 350 94
RAS The Hillingdon Hospitals NHS Foundation Trust 250 370 67
RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust 475 530 89
RQW The Princess Alexandra Hospital NHS Trust * 325 *
RCX The Queen Elizabeth Hospital, Kings Lynn  NHS Foundation Trust 155 175 88
RFR The Rotherham NHS Foundation Trust 60 210 28
RDZ The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust 20 20 100
RL4 The Royal Wolverhampton NHS Trust 360 425 84
RA9 Torbay and South Devon NHS Foundation Trust * 170 *
RWD United Lincolnshire Hospitals NHS Trust * 415 *
RRV University College London Hospitals NHS Foundation Trust 410 620 66
RHM University Hospital Southampton NHS Foundation Trust 35 445 7
RRK University Hospitals Birmingham NHS Foundation Trust 745 790 94
RA7 University Hospitals Bristol NHS Foundation Trust * 405 *
RKB University Hospitals Coventry and Warwickshire NHS Trust 500 490 102
RTG University Hospitals of Derby and Burton NHS Foundation Trust 625 745 83
RWE University Hospitals of Leicester NHS Trust * 820 *
RTX University Hospitals of Morecambe Bay NHS Foundation Trust * 235 *
RJE University Hospitals of North Midlands NHS Trust 440 540 81
RK9 University Hospitals Plymouth NHS Trust 270 325 83
RBK Walsall Healthcare NHS Trust 210 300 70
RWW Warrington and Halton Hospitals NHS Foundation Trust 190 220 86
RWG West Hertfordshire Hospitals NHS Trust 360 385 93
RGR West Suffolk NHS Foundation Trust 190 200 95
RYR Western Sussex Hospitals NHS Foundation Trust * 400 *
RA3 Weston Area Health NHS Trust * 10 *
RKE Whittington Health NHS Trust * 305 *
RBL Wirral University Teaching Hospital NHS Foundation Trust 245 260 94
RWP Worcestershire Acute Hospitals NHS Trust 425 425 100
RRF Wrightington, Wigan and Leigh NHS Foundation Trust 190 195 97
RLQ Wye Valley NHS Trust 110 145 75
RA4 Yeovil District Hospital NHS Foundation Trust 110 110 100
RCB York Teaching Hospital NHS Foundation Trust * 375 *
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.


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:

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


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:

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 dataset, 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: 1 October 2021 9:40 am