Publication, Part of Maternity Services Monthly Statistics

Maternity Services Monthly Statistics October 2020, experimental statistics

Official statistics, Experimental statistics

Publication Date:: 28 Jan 2021
Geographic Coverage:: England
Geographical Granularity:: Country, Regions, Sustainability and Transformation Partnerships, Clinical Commissioning Groups, Local Authorities, Hospital Trusts
Date Range:: 01 Oct 2020 to 31 Oct 2020

Clinical Quality Improvement Metric Update

UPDATE 12/03/2021

The Clinical Quality Improvement Metric (CQIM) data within the measures CSV datafile has been updated since original publication. This has been done to include the recently developed CQIMs on Robson groups, to include some recent changes to SNOMED derivations which affects the data used in the smoking and Apgar score measures and to standardise the presentation of some of the data between the CSV and the measures as displayed in the Maternity dashboard.

12 March 2021 09:30 AM

Policy-specific analysis

Maternity Transformation Programme

In 2016, the Maternity Transformation Programme, led by NHS England, published 'Better Births' which set out the following vision:

'...for maternity services in England to become safer, more personalised, kind, professional and more family friendly; where every woman has access to information to enable her to make decisions about her care; and where she and her baby can access support that is centered on their individual needs and circumstances.'

The programme covers a number of specific policy areas for review, some of which are detailed below on this page.

Further information about the Maternity Transformation Programme is available.

Continuity of Carer

What is Continuity of Carer?

The overarching aim is to ensure safer care for women based on a relationship of mutual trust and respect between women and their midwives.

The provision of care by a known midwife throughout the pregnancy, labour, birth and postnatal period can be associated with improved health outcomes for the mother and baby and also greater satisfaction levels.

Where a Continuity of Carer pathway has been agreed, this should be recorded and submitted via the MSDS.

86 trusts have reported that Continuity of Carer pathways are in place for a total of 20,950 women.

This is 7 more trusts than the previous months.

Statistics on Continuity of Carer have been published to provide data submitters and users with insight into the quality and completeness of their data, with a view to improving this ahead of formal measurement in March 2021 and beyond. 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 at this early stage of development.

Reporting

Data by organisation on the number of women placed on a Continuity of Carer pathway by 29 weeks gestation can be found in the measures file available for download. As of the December 2020 publication, filtered data looking at placement of Black and Asian women, and women from the most deprived decile of areas, has been published alongside the main metric.

A numerator and denominator will be shown for all providers, but only providers that score 5% or more will be included in the national-level rate, as a basic test for data quality. Data Quality assessment criteria will be developed further in coming months

Why do the metric breakdowns focus specifically on the placement of black and asian women and those from the most deprived decile areas?

Part of the Continuity of Carer work involves a focus on specific targeted groups where there are known health inequalities, specifically the increased risk of perinatal mortality for babies of mothers from Black and Asian ethnic backgrounds and babies born to mothers living in the most deprived areas. This focus is in line with the Long Term Plan commitment that 75% of women from these groups should receive Continuity of Carer by 2024.

Further information about this targeted care is available.

Last edited: 9 February 2022 6:05 pm

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