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Publication, Part of

Maternity Services Monthly Statistics, September 2021, experimental statistics

Official statistics, Experimental statistics

Personalised Care and Support Plans (PCSP) metrics removed

Following feedback received, the decision has been taken to revise the Clinical Negligence Scheme for Trusts (CNST) Maternity Incentive Scheme Safety Action 2 criteria relating to Personalised Care and Support Plans (PCSP). Due to this revision the existing metrics relating to PCSP have been removed from this publication series. Guidance on the new criteria and timescales for assessment will be released in the next update to the Maternity Incentive Scheme year 4 guidance and reflected in this publication series once available.

16 December 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 here:

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.


Data by organisation on the following can be found in the measures file available for download:

  • Number of women placed on a Continuity of Carer pathway by 29 weeks gestation
    • Plus two new data quality tests, both of which providers must score more than 5%  for to have their data included in the figures for women placed on a Continuity of Carer pathway.
  • Number of women in ongoing receipt of Continuity of Carer
    • Plus four new data quality tests, all of which providers must score more than 5%  for to have their data included in the figures for women in ongoing receipt of Continuity of Carer.

Filtered data looking at the breakdown of women by ethnicity and by their home’s index of multiple deprivation, has been published alongside the two main metrics.

Statistics on Continuity of Carer 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 accurately reflect the true number of women placed on a Continuity of Carer pathway at this early stage of development.

Saving Babies’ Lives

What is the Saving Babies’ Lives Care Bundle?

The Care Bundle provides detailed information for providers and commissioners of maternity care on how to reduce perinatal mortality across England. It brings together this information in five elements of care based on evidence and best practice. It is part of an aim, reiterated in the NHS Long Term Plan, to reduce stillbirth, maternal mortality, neonatal mortality and serious brain injury by 50% by 2025, as well as a reduction in preterm birth rate, from 8% to 6%.

The five elements are:

  • Reducing smoking in pregnancy
  • Risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction (FGR)
  • Raising awareness of reduced fetal movement (RFM)
  • Effective fetal monitoring during labour
  • Reducing preterm birth

More information can be found at:


The Care Bundle’s five elements are supported by a series of process and outcome indicators. Where possible using MSDS, these indicators will be reported as part of this statistical series and will be released as soon as they are developed. The first set of indicators were published in the April 2021 (January 2021 data) release.

Personalised Care and Support Plans

What are Personalised Care and Support Plans?

To deliver safer care with better outcomes for all women and every baby it is directed that support should be provided to every woman to enable her to develop a personalised care and support plan to focus on her antenatal care, her birth care, and her postpartum care.

This three-stage care plan should be developed by the woman with her midwife, and other health professionals as appropriate, and set out her decisions about her care, reflect her wider health needs and be kept up to date as her pregnancy progresses.

Unbiased information should be made available to all women and genuine choices offered, to help them make their decisions and develop their three stage personalised care and support plan. They should be able to choose the provider of this care, have access to their own NHS Personal Maternity Care Budget, and be enabled to have personalised conversations about what matters to them. Care should be centred on the woman, her baby, and her family, and based around her needs and decisions.

Where a Personalised Care and Support Plan has been agreed, this should be recorded and submitted via the MSDS, including information about which type of care plan it is.

Last edited: 15 December 2021 3:13 pm