record that each woman is the limitations of screening in the maternity maternity • given the NHS Screening are not always communicated notes/system notes/system Programmes booklet and/or understood for example annually for you and “screening tests screening is not 100% and is not It is advisable to your baby” (STFYAYB) diagnostic engage IT teams Women feel that screening from maternity and • is compulsory rather than optional radiology if systems not already in place Provider response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan What Why How When In addition to failsafe This is what we recommend These are the reasons we are This is how you might This is how often we you do recommending this do this recommend you undertake the action/check First trimester Complete screening: We have evidence from screening Weekly Submit data on KPI screening safety incidents of: FA3 (standard 1: maintain a record of For women accepting first screening not undertaken or coverage for Down’s, women`s screening completed where women have trimester combined screening and choices Edwards’ accepted the offer take paired CRL /Nuchal no syndromes) Patau’s Translucency (NT) screening to the NHS measurement T21 only screening if CRL to ≥45.0mm T18/T13 take blood ≤84.0mm, only programmes sample T21 and quarterly if CRL <45.0mm, rebook T18/T13 for further scan For women who If unable to measure NT have accepted after `twice on the couch`, screening, cross refer to midwife/offer reference with laboratory
record that each woman is given the NHS Screening Programmes booklet “screening tests for you and your baby” (STFYAYB) • the limitations of screening are not always communicated and/or understood for example screening is not 100% and is not diagnostic • Women feel that screening is compulsory rather than optional in the maternity notes/system It is advisable to engage IT teams from maternity and radiology if systems not already in place maternity notes/system annually Provider response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan What This is what we recommend you do Why These are the reasons we are recommending this How This is how you might do this When This is how often we recommend you undertake the action/check In addition to failsafe Complete screening: For women accepting first trimester combined screening take paired CRL /Nuchal Translucency (NT) measurement if CRL ≥45.0mm to ≤84.0mm, take blood sample if CRL <45.0mm, rebook for further scan If unable to measure NT after `twice on the couch`, refer to midwife/offer We have evidence from screening safety incidents of: screening not undertaken or completed where women have accepted the offer First trimester screening maintain a record of women`s screening choices no screening T21 only T18/T13 only T21 and T18/T13 For women who have accepted screening, cross reference with laboratory Weekly Submit data on KPI FA3 (standard 1: coverage for Down’s, Edwards’ and Patau’s syndromes) to the NHS screening programmes quarterly
FASP_Checks_and_audits_template_downs_edwards_pataus.docx