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Pause in reporting procedure for the maternity incentive scheme

Date published:

In recognition of the current pressure on the NHS and maternity services in response to COVID-19, we will be pausing the majority of reporting requirements relating to the maternity incentive scheme 10 safety actions until Monday 31 August 2020. This will be kept under review. Trusts are asked to continue to apply the principles of the 10 safety actions, given that the aim of the maternity incentive scheme is to support the delivery of safer maternity care.

From 1 April 2020, it is no longer necessary for trusts to report Early Notification (EN) cases to NHS Resolution. This decision will be reviewed in September 2020. However, it is still important to report all cases that meet the EN criteria to HSIB during this time. HSIB will triage all cases and prioritise those where there is evidence of harm (brain injury) to the baby and will share these cases directly with NHS Resolution.

Additionally, from the 1st of April 2020, the Each Baby Counts programme team will not be actively following up any reporting or reviewing of 2018 cases. Any babies who fit the EBC criteria in England should be reported via HSIB. This will be reviewed in August 2020.

In the meantime, it is still important to report perinatal deaths to MBRRACE-UK.  Every reasonable effort should be made to make a monthly Maternity Services Data Set submission to NHS Digital.

Perinatal reporting to MBRRACE-UK should be carried out in the following order of priority:

  • Notify all deaths;
  • Complete the surveillance information for COVID-19 related perinatal deaths;
  • Continue to complete the perinatal surveillance information for all other deaths, whilst there is capacity to do so;
  • Complete the reviews using the Perinatal Mortality Review Tool, whilst there is capacity to do so.

The reporting period of MIS action will be extended and will run from Tuesday 1 September 2020 until Friday 30 April 2021. Again, this will be kept under review. A further update will be provided with a revised timetable and technical guidance will be published in due course. This will be shared via your submitted MIS nominated contacts and posted on our web site.

In response to the current situation, it has also been agreed that the 10% uplift to the Clinical Negligence Scheme for Trusts (CNST) for the maternity incentive scheme will not be collected from April 2020 for the year 2020/2021. The remainder of the notified CNST contribution will be collected as normal. NHS Resolution’s Finance team will make the practical arrangements to adjust the collect. Please refer to your trust’s contribution notice for details.

The supporting technical guidance will be updated to reflect these changes and published in due course. This will also be sent via your submitted maternity incentive scheme nominated contacts. The technical guidance will include updated reporting date guidelines.

We are aware that considerable resource and energy is devoted to ensuring safety actions incentivised through the maternity incentive scheme are met. Thank you for your continued efforts to support safer maternity care.

Please send any questions you have to mis@resolution.nhs.uk and a member of our team will be in touch.

We appreciate the unprecedented challenges at present, and would like to thank you for all of your hard work and efforts both with the current situation and in working towards the maternity incentive scheme safety actions.