Publication, Part of Maternity Services Monthly Statistics

Maternity Services Monthly Statistics, Final June 2024, Provisional July 2024, official statistics

Official statistics

Publication Date:: 19 Sep 2024
Geographic Coverage:: England
Geographical Granularity:: Country, Regions, Hospital Trusts, Provider, NHS Trusts, Integrated Care Boards, Sub-Integrated Care Boards, Local Authorities, Hospital and Community Health Services, Hospital Sites
Date Range:: 01 Jun 2024 to 31 Jul 2024

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Antenatal booking appointments

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 initially reduced from the levels seen in earlier publications. MSDS.v.2 data completeness improved over time, and we are looking at ways of supporting further improvements.

This publication also includes the National Maternity Dashboard, which can be accessed via the link below.

Data derived from SNOMED codes is used in some measures such as those for birthweight, 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 development and delivery to trusts. In some cases, this has limited the aspects of data that can be submitted in the MSDS.

To help Trusts understand to what extent they met the Clinical Negligence Scheme for Trusts (CNST) Maternity Incentive Scheme (MIS) Data Quality Criteria for Safety Action 2 Year 6, we have been producing a CNST Scorecard Dashboard showing trust performance against this criteria. This dashboard also includes data for a few non-CNST MSDS data quality priorities and this month we have introduced into the dashboard a new data quality measure on birth site code recording, in accordance with Maternity and Neonatal Programme priorities. This measure will not be assessed as part of the Maternity Incentive Scheme. The dashboard can be accessed via the link below.

This month, MSDS metrics published to support Saving Babies Lives Care Bundle (SBLCB) monitoring have been updated to align with the contents of SBLCB version 3. As a result some SBLCB version 2 metrics have been removed from the Measures file and others have been renamed to align with SBLCB version 3 naming conventions. More information about the MSDS metrics published to support SBLCB is available in the accompanying Metadata file.

The percentages presented in this report are based on rounded figures and therefore may not total to 100%.

Highlights

Official Statistics

These statistics are now classified as official. More information about official statistics can be found on the UK Statistics Authority website. More information about this change can be found in the Data Quality Statement.

Where this publication contains new or existing statistics undergoing development and improvement work, they will individually be labelled as "Official Statistics in development" in the accompanying Metadata.

Publication data files and suppression methodology

This publication contains three separate CSV files for the reporting months: one set for the final (June 2024) data and one set for the provisional (July 2024) data.

The contents of the three files are as follows:

• CSV Data: Aggregate figures based on the MSDS, for a standard set of metrics including the total numbers of booking appointments, deliveries, and babies born within the reporting month. Breakdowns are provided at several organisational and regional levels including National, Local Maternity and Neonatal System (LMNS), and Provider (trust).
• Data Quality: Counts broken down by provider, showing the VODIM (Valid, Default, Invalid, or Missing) status of the records submitted for each data field within the MSDS. This file contains information about data quality only and should not be used to assess activity and outcomes. It reports on all the data provided at submission and will include information about records that are not included in the final analysis contained within the other two CSV files.
• Measures: Aggregate figures based on the MSDS, for several specific sets of metrics including but not limited to those for Clinical Quality Improvement Metrics (CQIM), Continuity of Carer (CofC), mother's body mass index (BMI), and the Saving Babies Lives Care Bundle v2 (SBLCBv2). Breakdowns are provided at several organisational and regional levels including National, Local Maternity and Neonatal System (LMNS), and Provider (trust). This file only contains CQIMBreastfeeding6to8Weeks figures for final data, not provisional data, as this metric requires Community Services Dataset (CSDS) records which are not available within the required timeframe.

This publication is accompanied by a Metadata file located on the MSDS guidance hub which contains more granular detail about the contents of the above files, including information about the definitions and logic used in their construction.

In accordance with the suppression methodology guidance for this dataset, rounding has been applied to all figures as follows: counts of zero are shown as zero, counts of 1-7 are rounded to 5, and all other counts are rounded to the nearest 5, with rates (where relevant) calculated from the rounded numerator and denominator numbers. There are four exceptions to this, for rare events, where rates are calculated from unrounded numbers but are not shown where the numerator is less than 8. This applies to CQIMTears, CQIMPPH, CQIMPreterm, and CQIMApgar.

Key Facts

120 successful submissions

For June 2024 data, 120 providers successfully submitted data with 120 submitting data on births.

One provider submitted data that should be used with caution. See the Data quality statement for more detail.

51,670 bookings in June 2024

51,670 women with an antenatal booking appointment were reported in the period, of which 63% were within the first 10 weeks of pregnancy.

Of the trusts that submitted booking data, there were 32,450 bookings in which the babies' gestational age was in the 0-70 days range

43,180 births reported

We received data relating to 42,555 deliveries of 43,180 babies.

MSDS figures relate only to births occurring under the care of NHS Maternity Services. The Office for National Statistics publish information on all registered births.

46% of deliveries were spontaneous

46% of deliveries were spontaneous vaginal births, 10% had instrumental assistance, 18% were elective caesarean sections and 25% were emergency caesarean sections.

Interactive Tool

National Maternity Services Dashboard

This dashboard aims to bring together maternity information from a range of different sources and includes a nationally agreed set of indicators to help local maternity systems track, benchmark, and improve the quality of maternity services. It also includes descriptive statistics and demographic data sourced from MSDS, which provides a profile of the maternity population and activity within a given provider.

We welcome user feedback on how we can improve this tool, you can provide this by email to [email protected]

CNST MIS Scorecard Dashboard - Safety Action 2

This dashboard contains information to help trusts understand to what extent they meet the Clinical Negligence Scheme for Trusts (CNST) Maternity Incentive Scheme (MIS) Year 6 Data Quality Criteria for Safety Action 2.

It also includes some data for other non-CNST MSDS data quality priorities.

We welcome user feedback on how we can improve this tool, you can provide this by email to [email protected]

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.