Maternity Survey, 2021

<P>Abstract copyright UK Data Service and data collection copyright owner.</P><p>The National Patient Survey Programme is one of the largest patient survey programmes in the world. It provides an opportunity to monitor experiences of health and provides data to assist with registration of trusts and monitoring on-going compliance. Understanding what people think about the care and treatment they receive is crucial to improving the quality of care being delivered by healthcare organisations. One way of doing this is by asking people who have recently used the health service to tell the Care Quality Commission (CQC) about their experiences.<br>
<br>The CQC will use the results from the surveys in the regulation, monitoring and inspection of NHS acute trusts (or, for community mental health service user surveys, providers of mental health services) in England. Data are used in CQC Insight, an intelligence tool which identifies potential changes in quality of care and then supports deciding on the right regulatory response. Survey data will also be used to support CQC inspections.<br>
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Each survey has a different focus. These include patients' experiences in outpatient and accident and emergency departments in Acute Trusts, and the experiences of people using mental health services in the community.<br>
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<i>History of the programme<br></i><br>
The National Patient Survey Programme began in 2002, and was then conducted by the Commission for Health Improvement (CHI), along with the Commission for Healthcare Audit and Inspection (CHAI). Administration of the programme was taken over by the Healthcare Commission in time for the 2004 series. On 1 April 2009, the CQC was formed, which replaced the Healthcare Commission.<br>
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Further information about the National Patient Survey Programme may be found on the CQC <a href="http://www.cqc.org.uk/content/surveys" title="Patient Survey Programme" ,="" target="_blank">Patient Survey Programme</a> web pages.<br>
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</p><br><p class="x_x_x_x_x_MsoNormal">The <span style="font-style: italic;">Maternity Survey, 2021</span> looked at all three stages of the maternity pathway, covering care provided before birth (antenatal), during labour and birth, and in the first few weeks after birth (postnatal). The survey involved NHS trusts in England.<br></p>
<p class="x_x_x_x_x_MsoNormal"><span>Women who gave birth between 1 and 28 February 2021 (and January if a trust did not have a minimum of 300 eligible births in February) were invited to take part in the survey. Fieldwork took place between April and August 2021. This was during the third national lockdown for the COVID-19 pandemic. This means that respondents will have gone through their antenatal, labour and birth, and postnatal stages under pandemic conditions. Therefore, results of this survey reflect experiences of care throughout the COVID-19 pandemic.</span></p>
<p class="x_x_x_x_x_MsoNormal"><span>The 2021 maternity survey was also the first mixed-mode maternity survey in the NHS Survey Programme, where women were encouraged to respond online (but were also given the option of postal completion). The survey received responses from 23,479 women. The response rate increased substantially, from 36% in 2019 to 52% in 2021, with 89% of women taking part online.&nbsp; &nbsp;</span></p>
<p class="x_x_x_x_x_MsoNormal"><span>The results are intended for use by NHS trusts to help them improve their performance as well as being an essential quality indicator for the work of organisations including the&nbsp;</span>CQC, NHS England and NHS Improvement and the Department for Health and Social care.&nbsp;</p><br><B>Main Topics</B>:<BR><br>The questionnaire&nbsp;included questions on antenatal care, labour and birth, postnatal care, feeding, and care at home after birth.

本摘要版权归英国数据服务中心（UK Data Service）及数据采集版权所有者所有。

全国患者调查项目是全球规模最大的患者调查项目之一。该项目可为医疗服务体验监测提供支撑，并为医疗信托机构的注册登记与持续合规性监控提供数据支持。了解民众对其所接受的诊疗服务的评价，对于提升医疗服务机构的诊疗质量至关重要，而向近期使用过医疗服务的人群征询其就医体验，并将反馈提交给护理质量委员会（Care Quality Commission, CQC），正是实现这一目标的有效途径。

CQC将把本次调查的结果应用于英格兰地区国民保健服务（National Health Service, NHS）急性医疗信托机构的监管、监控与巡查工作；若为社区心理健康服务使用者调查，则对应心理健康服务提供商。调查数据将被纳入CQC洞察（CQC Insight）智能分析工具，该工具可识别医疗服务质量的潜在变化，进而辅助制定恰当的监管应对方案。此外，调查数据还将用于支持CQC的巡查工作。

每项调查均有不同的聚焦方向，涵盖国民保健服务急性医疗信托机构的门诊与急诊科室患者体验，以及社区心理健康服务使用者的就医体验。

*项目发展历程*
全国患者调查项目始于2002年，最初由医疗改善委员会（Commission for Health Improvement, CHI）与医疗审计与巡查委员会（Commission for Healthcare Audit and Inspection, CHAI）共同开展。2004年系列调查启动前，该项目的管理工作移交至医疗保健委员会承接。2009年4月1日，护理质量委员会（CQC）正式成立，取代了原医疗保健委员会。

如需了解全国患者调查项目的更多信息，可访问CQC官网的《患者调查项目》专题页面：http://www.cqc.org.uk/content/surveys

*2021年产妇调查*
本次调查覆盖了产妇诊疗全流程的三个阶段，涵盖产前（分娩前）、分娩及分娩后最初数周（产后）所接受的医疗服务。本次调查面向英格兰地区的国民保健服务信托机构开展。

2021年2月1日至28日期间分娩的女性（若某信托机构2月符合条件的分娩案例不足300例，则可将1月分娩的女性纳入调查范围）均受邀参与本次调查。实地调研工作于2021年4月至8月期间开展，时值新冠疫情第三次全国封锁阶段。这意味着所有受访者均在新冠疫情大流行的背景下完成了产前检查、分娩及产后康复流程，因此本次调查结果反映了新冠疫情大流行期间的就医体验。

2021年产妇调查亦是国民保健服务调查项目中首个采用混合调研模式的产妇调查：鼓励女性通过线上渠道作答，同时也提供线下邮寄问卷的选项。本次调查共回收有效问卷23479份，回复率从2019年的36%大幅提升至2021年的52%，其中89%的受访者选择通过线上方式参与调查。

本次调查结果可供国民保健服务信托机构用于优化自身服务绩效，同时也是包括护理质量委员会（CQC）、英格兰国民保健服务、国民保健服务改进署及卫生与社会保障部在内的多家机构开展工作的重要质量指标。

核心调研主题
本次调查问卷涵盖产前检查、分娩过程、产后护理、喂养方式及产后居家护理等相关问题。