Down’s, Edwards’ and Patau’s syndromes screening: checks and audits to improve quality and reduce risks What Why How When In addition to This is what we recommend These are the reasons we This is how you might do this This is how often we failsafe you do are recommending this recommend you undertake the action/check to make sure the eligible Identify the eligible Have systems in place to: Weekly FA3 (standard 1: population are offered an Maintain an accurate record of population: have systems in coverage for opportunity to make an eligible population which includes: place to: Down’s, Edwards’ informed decision about all women booking for record all pregnant and screening Patau’s maternity care women booking for that those who choose to syndromes) gestational age at booking antenatal care accept the offer of women presenting when to the NHS identity gestation in screening complete Crown Rump Length (CRL) screening order to offer screening within the to to ≥45.0mm ≤84.0mm (up appropriate screening programmes correct timeframes 14+1 weeks of pregnancy) (first strategy quarterly trimester combined screening) collect and submit We have evidence from women presenting when CRL data for FASP screening safety incidents of: ≥84.0mm and/or head coverage Key women who are not circumference (HC) ≥101.0mm Performance offered screening between 14+2 to 20+0 weeks Indicators (KPIs) of pregnancy (second trimester unnecessary delays between presenting for quadruple screening) maternity care and women who present for first booking/screening trimester combined screening,
Down’s, Edwards’ and Patau’s syndromes screening: checks and audits to improve quality and reduce risks 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 Identify the eligible population: have systems in place to: record all pregnant women booking for antenatal care identity gestation in order to offer appropriate screening strategy collect and submit data for FASP coverage Key Performance Indicators (KPIs) to make sure the eligible population are offered an opportunity to make an informed decision about screening that those who choose to accept the offer of screening complete screening within the correct timeframes We have evidence from screening safety incidents of: women who are not offered screening unnecessary delays between presenting for maternity care and booking/screening Have systems in place to: Maintain an accurate record of eligible population which includes: all women booking for maternity care gestational age at booking women presenting when Crown Rump Length (CRL) ≥45.0mm to ≤84.0mm (up to 14+1 weeks of pregnancy) (first trimester combined screening) women presenting when CRL ≥84.0mm and/or head circumference (HC) ≥101.0mm between 14+2 to 20+0 weeks of pregnancy (second trimester quadruple screening) women who present for first trimester combined screening, Weekly 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