Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the Single Patient Record could improve the recording of miscarriage across NHS services; and what steps are being taken to reduce the risk of double counting the same miscarriage recorded by different services.

Answered by Alison McGovern - Minister of State (Department of Health and Social Care)

It has historically been difficult to gather accurate and comprehensive data on miscarriages. While data is collected on those miscarriages that occur during hospital stays, the majority occur outside of healthcare settings, and it is the choice of the woman affected whether she discloses that information to healthcare professionals.

The Single Patient Record (SPR) aims to provide a more joined-up view of a patient’s health and care history, reducing the need for the same information to be recorded multiple times across different systems. Maternity is one of the priority care pathways for the roll out of the SPR, with early implementation starting in 2027.

The SPR will help to address the lack of miscarriage data by better enabling the National Health Service and supporting organisations to record miscarriages wherever they may be reported across different care settings. We will continue to consider this as implementation progresses.

It is not currently mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration of the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage.

Timescales for this next iteration will be confirmed in due course. We will also consider what changes may be required to the Digital Maternity Record Standard as part of wider maternity data architecture design work, which will also support the MSDS and the SPR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the Single Patient Record could improve the recording of miscarriage across NHS services and what steps he is taking to help reduce the risk of double counting the same miscarriage recorded by different services.

Answered by Alison McGovern - Minister of State (Department of Health and Social Care)

It has historically been difficult to gather accurate and comprehensive data on miscarriages. While data is collected on those miscarriages that occur during hospital stays, the majority occur outside of healthcare settings, and it is the choice of the woman affected whether she discloses that information to healthcare professionals.

The Single Patient Record (SPR) aims to provide a more joined-up view of a patient’s health and care history, reducing the need for the same information to be recorded multiple times across different systems. Maternity is one of the priority care pathways for the roll out of the SPR, with early implementation starting in 2027.

The SPR will help to address the lack of miscarriage data by better enabling the National Health Service and supporting organisations to record miscarriages wherever they may be reported across different care settings. We will continue to consider this as implementation progresses.

It is not currently mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration of the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage.

Timescales for this next iteration will be confirmed in due course. We will also consider what changes may be required to the Digital Maternity Record Standard as part of wider maternity data architecture design work, which will also support the MSDS and the SPR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether an update to the Digital Maternity Record Standard is planned to limit birth outcome to coded values and ensure that a value is included for second trimester miscarriage.

Answered by Alison McGovern - Minister of State (Department of Health and Social Care)

It has historically been difficult to gather accurate and comprehensive data on miscarriages. While data is collected on those miscarriages that occur during hospital stays, the majority occur outside of healthcare settings, and it is the choice of the woman affected whether she discloses that information to healthcare professionals.

The Single Patient Record (SPR) aims to provide a more joined-up view of a patient’s health and care history, reducing the need for the same information to be recorded multiple times across different systems. Maternity is one of the priority care pathways for the roll out of the SPR, with early implementation starting in 2027.

The SPR will help to address the lack of miscarriage data by better enabling the National Health Service and supporting organisations to record miscarriages wherever they may be reported across different care settings. We will continue to consider this as implementation progresses.

It is not currently mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration of the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage.

Timescales for this next iteration will be confirmed in due course. We will also consider what changes may be required to the Digital Maternity Record Standard as part of wider maternity data architecture design work, which will also support the MSDS and the SPR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans he has to improve the recording of miscarriage experienced by women engaged with NHS services.

Answered by Alison McGovern - Minister of State (Department of Health and Social Care)

It has historically been difficult to gather accurate and comprehensive data on miscarriages. While data is collected on those miscarriages that occur during hospital stays, the majority occur outside of healthcare settings, and it is the choice of the woman affected whether she discloses that information to healthcare professionals.

The Single Patient Record (SPR) aims to provide a more joined-up view of a patient’s health and care history, reducing the need for the same information to be recorded multiple times across different systems. Maternity is one of the priority care pathways for the roll out of the SPR, with early implementation starting in 2027.

The SPR will help to address the lack of miscarriage data by better enabling the National Health Service and supporting organisations to record miscarriages wherever they may be reported across different care settings. We will continue to consider this as implementation progresses.

It is not currently mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration of the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage.

Timescales for this next iteration will be confirmed in due course. We will also consider what changes may be required to the Digital Maternity Record Standard as part of wider maternity data architecture design work, which will also support the MSDS and the SPR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what plans NHS England has to improve the collection of second trimester miscarriage data through the Maternity Services Dataset.

Answered by Alison McGovern - Minister of State (Department of Health and Social Care)

It has historically been difficult to gather accurate and comprehensive data on miscarriages. While data is collected on those miscarriages that occur during hospital stays, the majority occur outside of healthcare settings, and it is the choice of the woman affected whether she discloses that information to healthcare professionals.

The Single Patient Record (SPR) aims to provide a more joined-up view of a patient’s health and care history, reducing the need for the same information to be recorded multiple times across different systems. Maternity is one of the priority care pathways for the roll out of the SPR, with early implementation starting in 2027.

The SPR will help to address the lack of miscarriage data by better enabling the National Health Service and supporting organisations to record miscarriages wherever they may be reported across different care settings. We will continue to consider this as implementation progresses.

It is not currently mandatory for trusts to record second trimester miscarriage through the Maternity Services Data Set (MSDS). The requirements for the next iteration of the MSDS include more detailed data collection around pregnancy outcomes, including on miscarriage.

Timescales for this next iteration will be confirmed in due course. We will also consider what changes may be required to the Digital Maternity Record Standard as part of wider maternity data architecture design work, which will also support the MSDS and the SPR.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, in what way national guidance, training frameworks and service specifications for maternity, health visiting and perinatal mental health services support the use of evidence based observational approaches to parent–infant relationships, such as the Newborn Behavioural Observations and the Neonatal Behavioural Assessment Scale.

Answered by Diana Johnson - Minister of State (Department of Health and Social Care)

National guidance and service specifications recognise the importance of early parent-infant relationships and helping parents understand and respond to their baby’s needs. The refreshed Healthy Child Programme guidance and Best Start Family Hubs and Healthy Babies guidance promote evidence-based support for parent-infant relationships, including practitioner observation of interactions between babies and their parents and carers. The Healthy Child Programme guidance and the Best Start Family Hubs and Healthy Babies guidance are available at the following two links:

https://assets.publishing.service.gov.uk/media/6a2965046d178a6fb7e32098/Best_start_family_hubs_and_healthy_babies_-_guidance_for_local_authorities.pdf

https://assets.publishing.service.gov.uk/media/6a2965046d178a6fb7e32098/Best_start_family_hubs_and_healthy_babies_-_guidance_for_local_authorities.pdf

Through Healthy Babies, we are investing in national workforce development initiatives to increase practitioner skills and confidence in supporting parent-infant relationships in 75 local authorities with high levels of deprivation. These local authorities are expected to train their workforce in evidence-based approaches, such as Video Interaction Guidance.

NHS England also routinely identifies and disseminates best practice and learning across National Health Services and clinical networks to support local delivery of parent-infant relationship support.

Decisions on the use of specific observational approaches, including tools such as Newborn Behavioural Observations and the Neonatal Behavioural Assessment Scale, are made locally by services and appropriately trained practitioners.

Found: West) (Chair) Tom Collins (Labour; Worcester) Emily Darlington (Labour; Milton Keynes Central) Maya Ellis

Found: Watch the meeting Members present: Dame Chi Onwurah (Chair); Tom Collins; Emily Darlington; Maya Ellis

Found: Watch the meeting Members present: Dame Chi Onwurah (Chair); Tom Collins; Emily Darlington; Maya Ellis

Found: Watch the meeting Members present: Dame Chi Onwurah (Chair); Tom Collins; Emily Darlington; Maya Ellis

Found: Thompson to be discharged from the Science, Innovation and Technology Committee and Tom Collins and Maya Ellis