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National Maternity and Perinatal Audit (NMPA)


NMPA logoThe National Maternity and Perinatal Audit (NMPA) is a new large scale audit of the NHS maternity services across England, Scotland and Wales. It began on 1 July 2016 and is initially commissioned for 3 years.


Using timely high-quality data, the audit aims to evaluate a range of care processes and outcomes, in order to identify good practice and areas for improvement in the care of women and babies looked after by NHS maternity services.


The audit consists of 3 elements:

1. A survey of the organisation of maternity care in England, Scotland and Wales will provide an up-to-date overview of maternity care provision, women’s access to recommended services and options available to them. See the first organisational report

2. A continuous prospective clinical audit of a number of key interventions and outcomes to identify unexpected variation between service providers or regions. See the first clinical report, published on 9 November 2017

3. A flexible programme of periodic audits on specific topics (‘sprint audits’) within a focused time frame. The first of these will be published in 2018.


The NMPA enables reliable reporting on a range of key measures using high-quality clinical data. We will produce annual reports, two organisational survey reports, as well as a series of in-depth reports on specific topics.


We have developed an interactive online facility whereby maternity care providers and commissioners can access timely reports, and benchmark the care provided by their service against other, similar services, regional or national averages, or local or national standards.


Together, these outputs from the audit allow healthcare professionals, NHS managers, commissioners and policy makers to understand the care they provide and identify areas for improvement.


For members of the RCOG, the audit represents a source of high-quality information about the organisation and outcomes of maternity care, developed by obstetricians, midwives, neonatologists and methodologists. It provides accurate, up to date information about the national risks of major complications such as PPH and third and fourth degree tear. It also provides information about rates in local sites which can be used for benchmarking and quality improvement.


NMPA website and updates

For details, resources and regular updates, visit the NMPA website and subscribe to the email newsletter:


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