Internal Reference Number: FOI_9024
Date Request Received: 10/11/2025 00:00:00
Date Request Replied To: 01/12/2025 00:00:00
This response was sent via: By Email
Request Summary: Maternity Data for Calendar Year 2024
Request Category: Companies
| Question Number 1: Please treat this as a request under the Freedom of Information Act 2000. We are requesting the following maternity and neonatal data for the period 1 January to 31 December 2024. Where definitions differ locally, please use those consistent with MBRRACE-UK, and exclude terminations for medical reasons (TFMR). Where the Trust provides maternity services at more than one site please ensure that the responses are broken down by site, including whether care was Consultant led, Midwife led and whether delivery was in a Obstetrician led delivery suit, midwife led birth centre, home birth or other. If any data are not yet validated, please provide provisional figures and note their status. If information is only held for part of the year, please provide what is available and specify the period covered. Births and Deaths • Total births • Total stillbirths • Crude stillbirth rate • Stabilised stillbirth rate • Total live births • Total neonatal deaths • Crude neonatal death rate • Stabilised neonatal death rate • Total perinatal deaths • Crude perinatal death rate • Stabilised perinatal death rate | |
| Answer To Question 1: • Total births - 2011. • Total stillbirths - Less than 5 • Crude stillbirth rate - Unable to provide as within MBRRACE 2024 Report which has not yet been published. • Stabilized stillbirth rate - Same as above. • Total live births - 2003. • Total neonatal deaths - Less than 5. • Crude neonatal death rate - Unable to provide as within MBRRACE 2024 Report which has not yet been published. • Stabilized neonatal death rate - As above. • Total perinatal deaths - 8 this includes deaths less than 24 weeks gestation. • Crude perinatal death rate - Unable to provide as within MBRRACE 2024 Report which has not yet been published. • Stabilized perinatal death rate - As above. | |
| Question Number 2: Maternal Deaths • Total maternal deaths (as defined by MBRRACE-UK) • Number of maternal deaths investigated through PMRT, PSIRF, or MNSI • Number of maternal deaths referred to the Coroner • Number of maternal deaths subject to Coroner investigation or inquest • Number of maternal deaths where issues with care were identified • Number of maternal deaths reported to MBRRACE-UK but not investigated by MNSI, with reason(s) | |
| Answer To Question 2: All answers are 0. | |
| Question Number 3: Perinatal Mortality Review Tool (PMRT) • Number of PMRTs completed for 2024 cases • Number of PMRTs outstanding for 2024 cases • Number of PMRTs within each grading (A, B, C, D) • Whether PMRTs are linked to MBRRACE case IDs (Yes/No – if No, please explain why) | |
| Answer To Question 3: • Number of PMRTs completed for 2024 cases - 5 • Number of PMRTs outstanding for 2024 cases - 0 • Number of PMRTs within each grading (A, B, C, D) as per below; Up to the point the baby was confirmed deceased (A,- 3 B-2 C-0, D-0) After the baby was confirmed deceased/ baby was born alive A-2 B-3, C-0 D-0 After the baby born alive had died A-1, B-0, C-0, D-0 • Whether PMRTs are linked to MBRRACE case IDs (Yes/No – if No, please explain why) - Yes-MBRRACE case ID’s generate PMRT episodes | |
| Question Number 4: Maternity and Neonatal Safety Investigations (MNSI) • Number of deaths not qualifying for referral to MNSI • Number of cases for each reason these deaths did not qualify (e.g. gestation, stillbirth criteria, timing, cause of death, etc.) • Number of referrals made to MNSI • Number of cases investigated by MNSI • Number of MNSI investigations where recommendations were made that may have altered the outcome • Details or summary of the recommendations made to the Trust by MNSI for these 2024 cases • Confirmation whether any MNSI-investigated cases were also reported as Serious Incidents under PSIRF, and how overlap is managed | |
| Answer To Question 4: 1. Number of deaths not qualifying for referral to MNSI - 7 2. Number of cases for each reason these deaths did not qualify (e.g. gestation, stillbirth criteria, timing, cause of death, etc.) Gestation = 7, Stillbirth criteria = Less than 5, Timing = Less than 5, the Cause of Death is not a reason for referring to MNSI. 3. Number of referrals made to MNSI - Less than 5. 4. Number of cases investigated by MNSI - Less than 5. 5. Number of MNSI investigations where recommendations were made that may have altered the outcome – 0. 6. Details or summary of the recommendations made to the Trust by MNSI for these 2024 cases - - CASE 1. Safety recommendation (incidental finding): The Trust to ensure that staff are supported to follow guidance for fluid balance management in labour to reduce the risk of hyponatraemia in a mother or a baby. - CASE 2. MNSI safety prompt (incidental): The investigation found that the maternity unit doors are locked overnight, and mothers are directed to call prior to their arrival for review. - Has the Trust considered alternative methods for mothers to gain access to the maternity unit when they attend overnight? - How can the Trust support mothers to access the maternity unit overnight? 7. Confirmation whether any MNSI-investigated cases were also reported as Serious Incidents under PSIRF, and how overlap is managed - Using Learn From Patient Safety Events System (LFPSE) via Datix system reporting not STEIS now. | |
| Question Number 5: Coroner Referrals (Neonatal and Maternal Deaths) • Number of neonatal or maternal deaths referred to the Coroner by the hospital • Number referred by parents/family/others • Number of cases where the Coroner undertook a full investigation • Number of inquests opened in 2024 • Number of inquests completed in 2024 • Number of inquests identifying issues with care • Number of inquests still open related to 2024 cases | |
| Answer To Question 5: All answers are 0. | |
| Question Number 6: Internal Investigations (PSIRF / RCA / Other) • Number of Root Cause Analysis or PSIRF investigations undertaken relating to 2024 maternity, perinatal, or maternal deaths • Number completed • Outcome statistics (e.g. avoidable / potentially avoidable / no issues identified) • Brief description or title list of any internal maternity or perinatal safety reviews conducted in 2024 not part of PMRT, PSIRF, or MNSI | |
| Answer To Question 6: 1. Number of Root Cause Analysis or PSIRF investigations undertaken relating to 2024 maternity, perinatal, or maternal deaths - SFT are aligned to PSIRF and undertake Patient Safety Reviews (PSRs) taking a systems approach and not RCA’s. SFT has been investigating incidents under PSIRF since 8.1.24. From the datix listing report which identifies all closed PSR and PSII incidents, the following has been identified (excluding incidents currently being investigated): PSRs maternal death (Less than 5) PSRs perinatal deaths (Less than 5) in addition to PMRT reviews during this timeframe. Maternity PSII (Less than 5) 2. Number completed - Closed PSRs (investigation complete) undertaken under PSIRF: approx. 200 (in 2 years). This is a mixture of PSR1, PSR2 and PSII. It includes all cases referred to MNSI and PMRT notifications/referrals. 3. Outcome statistics (e.g. avoidable / potentially avoidable / no issues identified) - Closed PSR’s (investigation complete) with = Moderate harm remaining following review: 19 (in almost 2 years). All else minor or no harm following PSR review (minor or no omissions). 4. Brief description or title list of any internal maternity or perinatal safety reviews conducted in 2024 not part of PMRT, PSIRF, or MNSI - Nil reviews conducted outside of PMRT, PSIRF or MNSI SFT investigate under PSIRF: PSRs and PSII’s, PMRT for SB’s and NND, MNSI for eligible cases and Antenatal SIAF’s reported separately. | |
| Question Number 7: Governance and Validation • Identify the primary source system used for each dataset (e.g. BadgerNet, EuroKing, etc.) • Confirm whether each dataset has been validated or submitted to MBRRACE-UK, or remains provisional • Provide the dates of Trust Board meetings in 2024 where maternity mortality data or PMRT findings were discussed | |
| Answer To Question 7: - Identify the primary source system used for each dataset (e.g. BadgerNet, EuroKing, etc.) - EuroKing - Confirm whether each dataset has been validated or submitted to MBRRACE-UK, or remains provisional - Those that meet MBRRACE criteria have been submitted. - Dates of Trust Board were as follows; 11.01.24, 07.03.24, 02.05.24, 04.07.24, 05.09.24, 03.10.24, 05.12.24 | |
| To return to the list of all the FOI requests please click here |
Our staff at 91Ó°ÊÓ District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.
