Identifying risk in antenatal care
Hello,
I would like to make the following FOI request:
1) How many pregnant women receving antenatal care by your trust were rated/considered to have
a) a low risk pregnancy (- or whatever the equivant term is your trust uses to describe an uncomplicated pregnancy)
b) a high risk pregnancy ( - or whatever the equivalent term is your trust uses to describe a complicated pregnancy)
in 2016, 2017, 2018 and 2019,
and how many of these women were first time mothers-to-be? Please provide numbers as well as percentages for women in each category.
2) How many women of the women who were considered/rated
a) low risk
b) high risk
went on to delivery their baby/babies prematurely in 2016, 2017, 2018 and 2019, and how many of these babies died?
3) How many of the women considered/rated low risk (or whatever the equivant term is your trust uses to describe an uncomplicated pregnancy) who were exclusively cared for by midwives and/or sonographers during the antenatal care they received by your trust, without receiving care from specialist obstetrics until they presented in labour, went on to deliver prematurely in 2016, 2017, 2018 and 2019?
4) How many pregnant women receiving antenatal care by your trust were cared for by midwives and/or sonographers only initially and were subsequently referred to obstetric specialists before they went into labour in 2016, 2017, 2018 and 2019?
If your hospital trust is responsible for the management of several maternity units, please provide numbers for all of them.
I look forward to receiving your response.
Yours faithfully,
Laila Devro
Hello,
Could you please promptly respond with an acknowledgement of this FOI request?
Many thanks
REF: NUH 59197 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST -
Acknowledgement
Thank you for your request for information. Your request was received on
20^th November 2019 and we are dealing with it under the terms of the
Freedom of Information Act 2000.
Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).
In some circumstances a fee may be payable and if that is the case I will
let you know. A fees notice will be issued to you, and you will be
required to pay before I will proceed to deal with your request.
You will receive the information requested within 20 working days allowed
under the Act unless the Trust does not hold the information or there is a
reason for it to be withheld. I will write to you in any event.
If you have any requirements regarding the format any information should
be supplied in, e.g. the language to be used, audio, large print and so
on, then please let me know.
If you have any queries or concerns then please do not hesitate to contact
me. Please remember to quote the reference number above in any future
communications.
Further information about your rights is also available from the
Information Commissioner at:
Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk
Yours sincerely,
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
Heathfield House
ICT Services, Nottingham University Hospitals NHS Trust
City Hospital Tel: 0115 9691169 ext 54656
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
References
Visible links
1. http://www.ico.gov.uk/
2. http://ictselfservice/
Dear Nottingham University Hospitals NHS Trust,
Please pass this on to the person who conducts Freedom of Information reviews.
I am writing to request an internal review of Nottingham University Hospitals NHS Trust's handling of my FOI request 'Identifying risk in antenatal care'.
A response to this request is now more than a month late. Please provide a valid explanation for this delay.
Dear Ms Devro
I have forwarded your request for an internal review to the records manager.
I have contacted the colleagues working on your request for an update as to when this information will be released
I apologise for any inconvenience that has been caused.
Kind Regards
James
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
Digital Services, Nottingham University Hospitals NHS Trust
City Hospital
Heathfield House
Tel: 0115 9691169 ext 54656
Dear Ms Devro
I Apologise for the long delay in disclosing this request for Information.
I hope that this has not been of any inconvenience to you.
I have been informed that internal reviews/complaints are to be handled by
the complaints lead at the address below as per the Trusts FOI policy.
6.14.2 - A complaint about the Trust’s Freedom of Information processes or
procedures should not be made to the IG Manager Records Manager/FOI Lead.
There should be a clear demarcation between the way in which the request
has been handled and review of those procedures.
Complaints will be dealt with by:
The Complaints Lead
Nottingham University Hospitals NHS Trust
Trust Headquarters
Third Floor
City Hospital Campus
Hucknall Road Nottingham
NG5 1PB
Kind Regards
James
REF: NUH 59197 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST –
FINAL DISCLOSURE
I am writing in response to your correspondence dated 19^th November 2019
requesting information under the Freedom of Information Act 2000.
Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).
Your request for information has now been considered and I am pleased to
be able to answer your questions as follows:
o Please refer to the attached document
You are advised that this information is provided in accordance with the
Freedom of Information Act 2000 and is for your personal use. Any re-use
of this information will be subject to copyright and the Re-Use of Public
Sector Information Regulations (18^th July 2015). In the event of any
re-use, the information must be reproduced accurately and not used in a
misleading manner.
If you have any queries or concerns then please contact me. Please
remember to quote the reference number above in any future communications.
If you are unhappy with the response you have received and wish to make an
appeal, you should write to:
Information Governance Manager
Nottingham University Hospitals NHS Trust
ICT Services, Heathfield House
City Campus
Hucknall Road
Nottingham
NG5 1PB
If are unhappy with the overall service you have received and wish to make
a complaint, you should write to:
Complaints Lead
Nottingham University Hospitals NHS Trust,
Queen’s Medical Centre Campus,
Derby Road,
Nottingham, NG7 2UH.
If, after exhausting our internal process, you are still unhappy with the
information received, you may write to:
The Information Commissioner’s Office,
Wycliffe House,
Water Lane,
Cheshire, SK9 5AF.
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk
Yours sincerely
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
ICT Services, Nottingham University Hospitals NHS Trust
City Hospital
Heathfield House
Tel: 0115 9691169 ext 54656
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Please note my working hours are 08.00 -16.00 through the working week.
ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[3]http://ictselfservice
Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.
Sent on behalf of:
Rory King
Information Governance Manager
ICT Services
Nottingham University Hospitals NHS Trust
City Hospital
Nottingham
NG5 1PB
Tel: 0115 9691169 Ext. 57169
Email: [4][email address]
References
Visible links
1. http://www.ico.gov.uk/
2. http://ictselfservice/
3. http://ictselfservice/
4. mailto:[email address]
Dear Foulds James (Digital Services),
thank you for your response, however the attached word document does not open. Could you please resend your response in an accessible format?
Many thanks
Dear Ms Devro
Apologies for any inconvenience.
I've copied the information below.
Q1
How many pregnant women receiving antenatal care by your trust were rated/considered to have
a) a low risk pregnancy (- or whatever the equivalent term is your trust uses to describe an uncomplicated pregnancy)
b) a high risk pregnancy ( - or whatever the equivalent term is your trust uses to describe a complicated pregnancy) in 2016, 2017, 2018 and 2019, and how many of these women were first time mothers-to-be? Please provide numbers as well as percentages for women in each category.
A1
Part A:
*Please note that the contracting process does not close for Dec-19 until the end of Feb-2020 so booking figures for the 2019 calendar year are not yet ready for release.
ANTENATAL BOOKINGS (Calendar Years 2016 to 2018*)
Data Source: Maternity Database System
By Pathway Levels (As Defined By NHS Maternity Tariff)
BOOKING_YEAR CONFIRMED_PATHWAY TOTAL BOOKINGS % BOOKINGS
2016 STANDARD 3,969 33.5%
INTERMEDIATE 5,666 47.9%
INTENSIVE 2,202 18.6%
Grand Total 11,837 100.0%
BOOKING_YEAR CONFIRMED_PATHWAY TOTAL BOOKINGS % BOOKINGS
2017 STANDARD 4,031 35.4%
INTERMEDIATE 5,272 46.2%
INTENSIVE 2,098 18.4%
Grand Total 11,401 100.0%
BOOKING_YEAR CONFIRMED_PATHWAY TOTAL BOOKINGS % BOOKINGS
2018 STANDARD 3,716 34.4%
INTERMEDIATE 5,141 47.6%
INTENSIVE 1,945 18.0%
Grand Total 10,802 100.0%
Part B:
ANTENATAL BOOKINGS (Calendar Years 2016 to 2018)
Data Source: Maternity Database System
By Intensive Pathway (As Defined By NHS Maternity Tariff) Primagravida (First Pregnancy)
BOOKING_YEAR CONFIRMED_PATHWAY GRAVIDITY TOTAL BOOKINGS
2016 INTENSIVE FIRST PREGNANCY 550
BOOKING_YEAR CONFIRMED_PATHWAY GRAVIDITY TOTAL BOOKINGS
2017 INTENSIVE FIRST PREGNANCY 539
BOOKING_YEAR CONFIRMED_PATHWAY GRAVIDITY TOTAL BOOKINGS
2018 INTENSIVE FIRST PREGNANCY 447
Q2
How many women of the women who were considered/rated
a) low risk
b) high risk
went on to delivery their baby/babies prematurely in 2016, 2017, 2018 and 2019, and how many of these babies died?
A2
After a search of our electronic and paper databases, NUH do not hold this information to the level of detail requested.
Q3
How many of the women considered/rated low risk (or whatever the equivant term is your trust uses to describe an uncomplicated pregnancy) who were exclusively cared for by midwives and/or sonographers during the antenatal care they received by your trust, without receiving care from specialist obstetrics until they presented in labour, went on to deliver prematurely in 2016, 2017, 2018 and 2019?
A3
After a search of our electronic and paper databases, NUH do not hold this information to the level of detail requested.
Q4 How many pregnant women receiving antenatal care by your trust were cared for by midwives and/or sonographers only initially and were subsequently referred to obstetric specialists before they went into labour in 2016, 2017, 2018 and 2019?
A4
After a search of our electronic and paper databases, NUH do not hold this information to the level of detail requested.
Kind Regards
James
James Foulds
Freedom of Information (FOI) Administrator
Information Governance Team
Digital Services, Nottingham University Hospitals NHS Trust
City Hospital
Heathfield House
Tel: 0115 9691169 ext 54656
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