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We calculate performance by dividing numerator by denominator and multiplying by 100 to give a percentage. There is no intention to publish FA3 by individual maternity service. We are reviewing the data with the aim of publishing it nationally in the future.

This report should be read in conjunction with the full key performance indicator ( KPI) data tables published each quarter. 1. Fetal anomaly screening 1.1 KPI FA2: coverage: fetal anomaly ultrasound Please be aware that this data covers the time period through the COVID-19 pandemic. Provider performance should therefore be interpreted with caution.

All screening services who submitted data (136 out of 136) met the acceptable threshold of 90%, with 133 meeting the achievable threshold of 95% and 12 of them reporting performance of 100%.

make sure there is effective communication between maternity and ultrasound services, for example when interpreting services are needed Tested women is the number of eligible women for whom a completed screening result was available from the combined test ( T21 and or joint T18 and T13) screening at the day of report. When women present to the service at or after 20 weeks plus 6 days and the ultrasound department can offer a scan appointment and complete screening by 23 weeks plus 0 days. Numerator: number of screening test results reported by the screening laboratory to the maternity service on or before 3 working days of sample receipt.National performance of ST4a (see standard SCT-S05) in Q4 was 47.8%, 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. Date of sample receipt in the laboratory is counted as day 1. Sample receipt is when the sample is recorded as received on the laboratory information management system. National performance of ST4b (see standard STC-S05) in Q4 was 60.6%, similar to the previous quarter. The trend graph below shows England ST4b performance since the KPI was first published in Q1 2019 to 2020. Thresholds have not yet been set for this KPI. Numerator: number of confirmed cytogenetic diagnoses of T21 following a higher chance T21 result from the quadruple test The combined test can be performed when the baby’s crown rump length ( CRL) is between 45.0mm and 84.0mm. This is between 11 +2 and 14 +1 weeks. The nuchal translucency ( NT) measurement is needed to calculate the chance result. The blood sample can be taken from 10 weeks.