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Please be aware that this data covers the time period through the COVID-19 pandemic. Provider performance should therefore be interpreted with caution. The optimal time for completing the screening scan is at 18 weeks plus 0 days to 20 weeks plus 6 day of pregnancy. To improve antenatal identification of babies with the specified conditions and enable timely information, support and interventions, where appropriate. Definition

Where providers can arrange the fetal anomaly scan later within the recommended window and have a pathway to facilitate referrals for further investigations and options for pregnancy choices in a timely manner and within the required national timeframes. Ongoing audit of practice should be in place to monitor conformity. The screening pathway must be completed by 23 weeks plus 0 days. This standard was FASP-S09: diagnosis or intervention: diagnostic tests fetal anomaly screening and was renumbered and revised. FASP-S04: test: fetal anomaly ulWomen who decline is the number of eligible women who are offered screening and make a personal informed choice not to accept screening, including women who choose to have private screening and do not wish to have NHS screening. Performance thresholds

Denominator: number of confirmed cytogenetic diagnoses of T21 following any result (higher or lower chance) from the quadruple test All 142 screening services submitted data, and all of them reached the achievable threshold of 99%. The chance cut-off is set at 1 in 150 at term for the combined and quadruple tests. This means women with a result of greater than or equal to 1 in 150 (between 1 in 2 and 1 in 150) are in the higher chance group. These women must be offered an appointment to discuss their results and the option of prenatal diagnosis. The appointment can be face to face or virtual depending on the woman’s choice. Sample was not taken at the correct time (for combined screening CRL between 45.0mm and 84.0mm, for quadruple screening head circumference ( HC) greater than 101.0mm up to 20 weeks and zero days).We have updated these standards in line with our national approach to setting screening standards and they will be valid for data collected from 1 April 2022. Hopefully this gives you lots of time to look at the standards and prepare for any changes before data collection starts. National performance of FA2 (see standard FASP-SO2) in Q3 2022 to 2023 was 98.8%, similar to the previous quarter. FA2 is collected 6 months (2 quarters) in arrears. The trend graph below shows that England FA2 performance has remained above the achievable threshold of 95% since 1 April 2019.