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Clinical Indicators Project

The Clinical Indicators Project aims to develop clinically relevant, methodologically robust performance indicators for obstetric and gynaecological care using currently available data. This information will be used to inform quality improvement initiatives and enable comparative benchmarking of women’s health services across the UK.

The RCOG is carrying out this project in collaboration with the London School of Hygiene and Tropical Medicine (LSHTM). There will be an annual report outlining the variation in care delivered to women during childbirth.

Second report from the Clinical Indicators Project  

First report
Patterns of Maternity Care in English NHS Hospitals 2013/14 [PDF]

The second report from the clinical indicators project presents 18 indicators that can be used to compare the performance of English NHS trusts. The report uses Hospital Episode Statistics (HES) data from 2013/2014 (data routinely submitted by NHS hospitals). The researchers have risk-adjusted for factors that are beyond the hospital’s control (e.g. mother’s age and medical history) to enable fairer comparisons to be made between trusts.

The second report shows substantial variation in practice between NHS trusts in England and this variation is a source of concern. It may suggest the care that women receive depends on where they live, or that NHS resources are not being used in the most efficient way.

Key recommendations

The report makes a number of key recommendations for NHS trusts, commissioners and researchers:

  • NHS maternity services should aim to submit complete data to HES and ensure standard coding definitions to improve consistency.
  • Local commissioners should review the areas of maternity care described and agree the steps to be taken in order to improve local outcomes.
  • Research is required to clarify ‘acceptable ranges’ of performance for intrapartum care and to improve understanding of the relationships between indicators.
Clinical indicators website

Clinical indicators website

View the risk-adjusted national and trust results for maternity care on the clinical indicators website

Other outputs

See all of the outputs from the Clinical Indicators Project, including annual reports, published articles and presentations.

Find out more

Contact us

If you have any questions about the Clinical Indicators Project, please email Hannah Knight or call +44 20 7772 6472. Alternatively email Fran Carroll or call +44 20 7772 6430.

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 College supports and promotes academic work within obstetrics and gynaecology