Skip to main content

Publication, Part of

Maternity Services Monthly Statistics, October 2022, experimental statistics

Official statistics

Publication Date:
26 Jan 2023
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 Oct 2022 to 31 Oct 2022

Current Chapter

Maternity Services Monthly Statistics, October 2022, experimental statistics

View all

Next Chapter

Antenatal booking appointments

Data quality note - Identification of vaginal birth after previous caesarean delivery

Some figures for the CQIMVBAC metric (women who gave birth to a baby vaginally after a previous caesarean section) have been amended and reissued in this publication, following an improvement to the construction of this metric.

Previously a small number of first-time births were being considered in this metric due to some inconsistencies in the recording of the number of a woman’s previous births. For this metric, we now disregard any pregnancies where the count of previous births is amended after the labour and delivery. 

3 February 2023 15:18 PM

Page contents

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 earlier publications. We expect the completeness to improve over time as occurred with the previous version of the MSDS, and are looking at ways of supporting improvements.

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 were last produced for the publication in September 2022, which reported results for the CNST Safety Action 2 assessment month of July 2022, and now the assessment month has passed we are no longer publishing the CNST Scorecard and Data files. We are reviewing how similar data quality information may be more regularly included in publications in the future.

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%.

Highlights

Establishment of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs), and the 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 the 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 were completed for the September 2022 data released in December 2022. These ICB and sub-ICB breakdowns are now part of this publication series, and the July and August data was re-released 27 January 2023 to include the relevant breakdowns.

Key Facts

122 successful submissions

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

 One provider has advised their submitted data should be used with caution - see the Data quality statement for more detail.

54,695 bookings in October 2022

54,695 women with an antenatal booking appointment were reported in the period, of which 57% were within the first 10 weeks of pregnancy.

Of the trusts that submitted booking data, there were 31,365 bookings in which the babies' gestational age was in the 0-70 days range.                            
 

47,560 births reported

We received data relating to 46,915 deliveries of 47,560 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

52% of deliveries were spontaneous

52% of deliveries were spontaneous vaginal births, 10% 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: 14 March 2023 4:27 pm