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The private screening: important information leaflet provides information for people who ask about private screening options. Non-invasive prenatal screening test (NIPT) We recommend ultrasound practitioners performing the 20-week screening scan should complete the fetal cardiac e-learning resource every 24 months. In FASP-S02, the exclusion ‘women who are offered an appointment within the optimum time but choose to attend at a different time for personal reasons’ was moved to the subset of women left to follow up. This is because evidence shows this is masking inequalities in some services. The removal of this exclusion will have minimal impact on performance at an England level. FASP-S03: diagnosis/intervention: test turnaround time quantitative fluorescent-polymerase chain reaction (QF-PCR) encourage all healthcare professionals who are involved in the pathway to complete the Screening for Down’s syndrome, Edwards’ syndrome and Patau’s syndrome e-learning resource every 24 months Personal details, work history, professional regulation, confirmation they have no open investigations or closed adverse regulatory or disciplinary decisions against them.
make sure all ultrasound providers participate in the Down’s syndrome quality assurance support service ( DQASS) Denominator: number of confirmed cytogenetic diagnoses of T21 following any result (higher or lower chance) from the quadruple test National performance of ST4b (see standard STC-S05) in Q4 was 60.6%, similar to the previous quarter. The trend graph below shows England ST4b performance since the KPI was first published in Q1 2019 to 2020. Thresholds have not yet been set for this KPI.National performance of ST4b (see standard STC-S05) in Q4 was 64.7%, lower than the previous quarter. The trend graph below shows England ST4b performance since the KPI was first published in Q1 2019 to 2020. Thresholds have not yet been set for this KPI. See the central glossary of terms, NHS population screening explained and NHS.UK for definition of terms. If you would like to see the meaning of an acronym, hover over it with your cursor and you will be able to see the full definition. Summary of changes from previous version of standards We calculate performance by dividing numerator by denominator and multiplying by 100 to give a percentage. S09b Karyotype testing for higher chance T21, T18, T13 Please be aware that this data covers the time through the COVID-19 pandemic. Provider performance should therefore be interpreted with caution. Denominator: number of women for whom a higher chance result (from the combined or quadruple test) is received by the maternity service in the reporting period.
Denominator: number of women who had a screening scan within the reporting period with an unexpected finding and were referred to a tertiary centre.The 20-week screening scan can be completed between 18 weeks and 0 days and 23 weeks plus 0 days weeks of pregnancy. For women between at or after 22 weeks plus 0 days and before or at 23 weeks plus 0 days, every effort must be made to accommodate the offer of the screening scan and they should be included in the denominator. In cases where the service is unable to offer the screening scan, they can be excluded. Date standard last updated: 1 April 2020 FASP-S07: referral: time to intervention T21, T18, T13 screening Description
To improve antenatal identification of babies with the specified conditions and enable timely information, support and interventions, where appropriate. Definition National performance of FA2 (see standard FASP-SO2) in Q3 2021 to 2022 was 99.2%, the same as the previous quarter. FA2 is collected 6 months (2 quarters) in arrears. The trend graph below shows that England FA2 performance has remained above the achievable threshold of 95% since 1 April 2018. Where the provider has a pathway in place to offer the 20-week screening scan between 18 weeks plus 0 days and 23 weeks plus 0 days, this pathway must: Numerator: tested women is the total number of eligible women for whom a completed screening result was available from the 18 weeks plus 0 days to 23 weeks plus 0 days fetal anomaly scan at the day of report. make sure all healthcare professionals record the woman’s decision to accept or decline screening clearly and accurately in line with local guidelines
Sample did not have all data fields completed, as listed on the KPI template, to enable identification of the woman, analysis and reporting of results, including samples where the result needed recalculating after reporting. Date standard last updated: April 2018 FASP-S03b: test: detection rate T21, T18, T13 screening Description All 142 screening services submitted data, and all of them reached the achievable threshold of 99%. The UK National Screening Committee (UK NSC) recommends all eligible pregnant women in England are offered screening to assess the chance of the baby being born with Down’s syndrome (trisomy 21 ( T21)), Edwards’ syndrome (trisomy 18 ( T18)) and Patau’s syndrome (trisomy 13 ( T13)) or a number of physical conditions. Date standard updated: April 2022. FASP-S08: referral: timeliness to intervention (20-week screening scan) Description
NCARDRS data shows that coarctation of the aorta has the highest number of diagnoses of all cardiac conditions not currently part of FASP-S04. There are no changes to the ultrasound requirements and practitioners should continue to use the 3 vessel and trachea (3VT) view as part of the existing fetal cardiac protocol.Denominator: number of pregnant women booked for antenatal care during the reporting period, excluding women who: To enable timely reporting of QF-PCR test results to women so they can make personal informed choices. Definition Denominator excludes initial samples received that are not fit for analysis and a repeat sample is requested, or are received with missing data required for calculating the result; this delays reporting. This standard is a measure of the laboratory’s performance. Data collection and reporting
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