Maternity record standards

This RCP Health Informatics Unit project will develop standards for the clinical content and structure of maternity records and to ensure that this information can be easily shared amongst healthcare professionals and women themselves, with the focus on delivering safer care for both women and their babies.

What we are doing

The project will look at how to improve care experienced by pregnant women and their babies by developing standards for an electronic maternity record to allow clinical information to be recorded, exchanged and accessed consistently across the care settings.

This work aims to:

  • ensure that information about the health of pregnant women and their babies will be easily available to parents, health and care professionals and public health professionals
  • enable recorded information to be easily understood by all health and non-health professions
  • ensure recommendations are practical and fit for purpose by adopting an evidence-based approach and consulting widely with pregnant women and parents, health and care professionals and suppliers of maternity health information systems
  • enable information to be effectively reused for secondary purposes such as research, audit and public health surveillance, without requiring separate data collection exercises
  • support the delivery of NHS England’s Maternity Transformation Programme and Better Births agenda.

The project builds on the outputs of previous Professional Record Standards Body (PRSB) projects, including the Healthy Child Record, the discharge summary and other transfer of care standards (emergency care, mental health and ambulance to emergency department), and crisis care documentation.

The HIU is working in partnership with the PRSB in producing these standards. For more information regarding this project, please visit the PRSB website.

Who's involved

Organisations

Pregnant women, parents, carers, and health and care professionals were widely consulted through workshops and online surveys.