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.

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.