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Guidance is available on the FASP programme’s processes for ensuring seamless and safe screening across the whole pathway. make sure women are also offered the 20-week screening scan (performed between 18 +0 and 20 +6 weeks of pregnancy)
move ‘women who choose to have private screening and do not wish to have NHS screening’ to the subset of declines make sure all ultrasound practitioners involved in the pathway complete the e-learning resource First trimester resource for ultrasound practitioners every 12 months You will need to make separate applications for each manager/owner who requires approval and provide: In both FASP-S01 (coverage: T21/T18/T13 screening) and FASP-S02 (coverage: 20-week screening scan) we have made changes to the exclusion category.National performance of ID1 in Q4 was 99.8%, remaining at the highest ever level recorded for this KPI. The trend graph below shows that England ID1 performance has remained above the achievable threshold of 99% since 1 April 2017. present to service at or after 23 weeks plus 1 day (as they are not part of the eligible population for the screening programme) National performance of FA2 (see standard FASP-SO2) in Q4 2021 to 2022 was 98.7%, lower than 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 2019. To provide assurance that individuals with higher chance results are referred in a timely manner and receive timely intervention where appropriate. Definition
have a vanished twin where ultrasound shows there is a second pregnancy sac containing a non-viable fetus We calculate performance by dividing numerator by denominator and multiplying by 100 to give a percentage. Sample did not have all data fields completed, as listed on the KPI template, to enable identification of the mother, analysis and reporting of results, including samples where the result needed recalculating after reporting.The 20-week screening scan is offered to screen for Edwards’ syndrome and Patau’s syndrome, and 11 physical conditions. Private screening Denominator: number of eligible babies where the woman did not decline the 20-week screening scan and have a confirmed diagnosis of one or more of the specified conditions in the reporting period. Performance thresholds Standard are offered an appointment within the optimal gestational screening timeframe but choose to attend at a different time for personal reasons Providers are responsible for reporting identified babies born in their service and those diagnosed or screened in their service (if born elsewhere). FA4 (see standard FASP-SO6) was introduced in 2020 to 2021. New KPIs are not published in the first year of data collection. This time is used to improve the data quality and completeness, by revising the definition, adding clarity and/or setting thresholds as required.
A single repeat scan must be offered and completed by 23 weeks plus 0 days. The woman can be rescanned on the same day and if the scan is still incomplete, a new appointment should be offered according to local guidelines. Numerator: number of women with higher chance results attending an appointment in ≤ 3 working days to discuss their results. We calculate performance by dividing numerator by denominator and multiplying by 100 to give a percentage. Performance thresholds National performance of ST4a in Q4 was 52.9%, the highest ever level recorded for this KPI. The national trend graph below shows the ST4a performance since the KPI was first published from 1 April 2019. Thresholds have not yet been set for this KPI. Screening for Down’s syndrome is offered to all eligible pregnant women, and takes place between 10⁺⁰ and 20⁺⁰ weeks of pregnancy.Sample’ is defined as a request form (paper and or electronic) and blood sample for Down’s syndrome, Edwards’ syndrome and Patau’s syndrome screening using the combined test or Down’s syndrome screening using the quadruple test. National performance of ST4a (see standard SCT-S05) in Q1 was 49.6%, higher than the previous quarter. The trend graph below shows England ST4a performance since the KPI was first published in Q1 2019 to 2020. Thresholds have not yet been set for this KPI. FA4 was introduced in 2020 to 2021. New KPIs are not published in the first year of data collection. This time is used to improve the data quality and completeness, by revising the definition, adding clarity and / or setting thresholds as required. After this time we will review the data with the aim of publishing it from the following year. 2. Infectious diseases in pregnancy screening 2.1 KPI ID1: HIV coverage Refer to the ‘Screening for Down’s syndrome, Edwards’ syndrome and Patau’s syndrome’ section of the FASP handbook for additional details. 2. Screening test 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
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