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Audit & quality improvement

The RCOG is committed to advancing the science and practice of obstetrics and gynaecology. As part of this work, we undertake national audits and other quality improvement projects on a range of topics in women’s health care through the Lindsay Stewart Centre for Audit and Clinical Informatics.

The Centre’s aims are:

  • To carry out high-quality national clinical audit and other quality improvement projects in obstetrics and gynaecology
  • To support quality improvement within the specialty through developing and publishing national performance indicators

The Centre is governed by the Lindsay Stewart Committee for Audit and Clinical Informatics, which acts as an overarching advisory group, providing clinical and methodological input into strategic decisions.


The Centre is running the following projects:

  • Each Baby Counts: a national quality improvement project to reduce the number of stillbirths, neonatal deaths and brain injuries occurring as a result of incidents during term labour
  • National Maternity and Perinatal Audit: a new large scale audit of the NHS maternity services across England, Scotland and Wales
  • Clinical Indicators Project: a project to develop clinically relevant, methodologically robust performance indicators for obstetric and gynaecological care using currently available data
  • GBS audit: an audit of current practice in preventing early-onset neonatal group B streptococcal (EOGBS) disease
  • Gynaecological Cancer Project: a project to improve the evaluation of gynaecological cancer care services in England using currently available data
  • National HMB Audit: an audit of hospital services, patient outcomes and experience of treatment for women with heavy menstrual bleeding in England and Wales
  • National Urinary Incontinence Organisational Survey of Hospital-based Services (in collaboration with the British Society for Urogynaecology): a survey to assess current clinical services for women with urinary incontinence in the UK
  • Third- and Fourth-degree Tears Project (in collaboration with the Royal College of Midwives): a project to develop a care bundle to improve the prevention and management of third- and fourth-degree perineal tears

Find out more

Contact us

If you have any questions about the Lindsay Stewart Centre, or any of the audits and research projects, please email

Elsewhere on the site

Invited review service
Designed to help employers improve O&G services and/or individual clinical practice
Academic O&G
Find out how the RCOG supports and promotes academic work within obstetrics and gynaecology