Maternity
Dashboard
South West Maternity
and Children’s Strategic
Clinical Network
27th November 2014
Ann Remmers, Clinical
Director
www.england.nhs.uk
Network Priority
Outcome
Reduction in
perinatal morbidity
and mortality
(Domain 1)
Improved maternal
outcomes and
experience
(Domains 3 and 4).
www.england.nhs.uk
Ambition
Improving maternal &
perinatal outcomes
and experience in the
South West.
Transformational Elements
Developing a South West
maternity dashboard to identify
unwarranted variation in
outcomes (September 2014).
Development of an agreed model
of care to prevent and treat major
post-partum haemorrhage,
reduce stillbirth rates, pre-term
birth and admission of term
babies to NICU (2015-16).
National Priority
• NHS Mandate 2013-15
- Reducing infant mortality, neonatal mortality and
stillbirths
- Women’s experience of maternity services
• Reducing stillbirth rates is a priority of the National
Clinical Director for Maternity and Women’s Health, Dr
Catherine Calderwood
www.england.nhs.uk
Background
• Network requested example dashboards from acute
trusts across the South West via South West HoMS
• 16 dashboards were submitted (inc. Dorset and
Channel Islands)
• Showed wide variation not only in the range of
indicators measured but also in the criteria for an
indicator. e.g. for 1 indicator there were 12 different
criteria being used
www.england.nhs.uk
Progress so far
• Maternity Working group worked on establishing
Maternity dashboard – includes 32 indicators
• Detailed Technical Appendix has been produced to
provide support and guidance to those supplying the
data
• In the first round of data collection, 13 out of 14 Acute
Trusts submitted data
• Data collection started in October
www.england.nhs.uk
Dashboard Indicators
Total number of
babies born
Instrumental birth
rate
PPH ≥1500 ml
rate
Apgar at 5 min < 7
at term or over
Smoking at birth rate
Number of live
births
Caesarean
section rate
Rate of women
requiring level 3
care
NICU admission
at term or over
( on hold)
Obesity rates
Number of birth
episodes
Elective CS rate
Preterm birth rate
<37 weeks
Stillbirth rate
Rate of births resulting from
under 18 conceptions
Birth episode rate
by place of birth
Emergency CS
rate
Preterm birth rate
<34 weeks
Early booking rate
for analysis by
provider /CCG
Rate of birth resulting from
conceptions in women aged
40 or over
Midwife to birth
ratio
Robson group 1
rate
Preterm birth rate
<27 weeks
Early booking rate
for analysis by
provider or by
CCG
Female genital mutilation rate
Induction of labour
rate
3rd & 4th degree
tear rate
in unassisted
births
Low birth weight
rate at term or
over in live born
babies
Breastfeeding rate
on transfer to
health visitor (at
10-14 days) (on
hold)
Spontaneous birth
rate
3rd & 4th degree
tear rate
in assisted births
Low birth weight
rate at term or
over in stillborn
babies
Breastfeeding rate
at 6-8 weeks
(on hold)
www.england.nhs.uk
Moving forward
• Agree presentation of data with the working group
• Work on setting thresholds
• Use of the dashboard to identify and monitor
improvement work within maternity services as a part
of the Network work programme, e.g. reducing
stillbirths, low birth weight babies, management postpartum haemorrhage
Questions?
www.england.nhs.uk