Overview
Contents
Supporting Documents
Endorsement

As part of its improvements to maternity services, the NHS is switching to digital maternity records that make information about a woman’s health easier and quicker to access.


The PRSB has produced a standard for maternity care records, which will mean that information from a record can be understood by all IT systems in use across the country, enabling the seamless exchange of information regardless of local maternity system boundary.

Standardised records will save time for health and care professionals and pregnant women by ensuring they have the necessary information in the right place at the right time, to make decisions for safer care. It will also support mothers in managing their own maternity information, giving them more personalised and focussed appointments with healthcare professionals and helping midwives and clinicians to provide holistic care.

Developed and supported by midwives, clinicians and other professionals, the work was conducted in partnership with the Royal College of Physicians (RCP) Health Informatics Unit (HIU).

New: Next steps for implementation (31.01.2019)
Standards can only make a real difference to care if they are properly implemented and used. To ensure that women and their babies benefit from the maternity record standard, we have outlined the next steps for implementation, which is being delivered by NHS Digital and managed through NHS England’s Maternity Transformation Programme.

The maternity record standard has now been professionally endorsed. This will support digital maternity records across England, by ensuring that information is recorded consistently and can therefore be shared more easily between healthcare services. The next step will be publishing instructions, in the form of an Information Standards Notice (ISN). Along with the publication of the ISN, the standard will be piloted. NHS Digital are currently recruiting suppliers and providers in England to take part in this pilot stage.

Implementation will happen in the following stages:
1. The pilot will see clinical system suppliers and health and care providers implementing the standard and digitising records. This will be carried out during Q4 2018/19 and Q1 2019/20.
2. The ISN will be issued in Q1 2019/20. These instructions inform service providers that the maternity record standard needs to be adopted and the timeframe for doing this, along with the relevant guidance materials.
3. The ultimate aim is for the maternity record standard to be implemented, and able to be shared where needed, between different systems by November 2020.


Supporting Documents

  • Maternity record standard - record specification
    Download the record specification (as displayed in the contents section) as an Excel file.
  • Maternity record standard - data model specification
    This document contains the Maternity record data model specification and associated format and SNOMED codes. The document is designed to be used alongside the record specification above.
  • Final report
    The final report outlines the process taken to reach the final standard
  • Survey analysis
    Survey 1
    Survey 2
  • Implementation guidance (produced by NHS Digital)
    This guidance sets out issues identified during the project which relate to the implementation of the headings and sub-headings.

    Latest implementation update: (31.01.2019)
    The maternity record standard has now been professionally endorsed. The next step will be publishing instructions, in the form of an Information Standards Notice (ISN). Along with the publication of the ISN, the standard will be piloted. NHS Digital are currently recruiting suppliers and providers in England to take part in this pilot stage.

    Implementation will happen in the following stages:
    1. The pilot will see clinical system suppliers and health and care providers implementing the standard and digitising records. This will be carried out during Q4 2018/19 and Q1 2019/20.
    2. The ISN will be issued in Q1 2019/20. These instructions inform service providers that the maternity record standard needs to be adopted and the timeframe for doing this, along with the relevant guidance materials.
    3. The ultimate aim is for the maternity record standard to be implemented, and able to be shared where needed, between different systems by November 2020.
Endorsements

The Maternity record standard has been endorsed by the following organisations:

  • Royal College of Midwives
  • Royal College of Obstetricians and Gynaecologists
  • Royal College of General Practitioners
  • The Royal College of Physicians
  • Royal College of Paediatrics and Child Health
  • Royal College of Nursing
  • Royal College of Occupational Therapists
  • Royal Pharmaceutical Society
  • Institute of Health Visiting
  • TechUK