MedTech NHS Digital Maternity Record — NHS Integrated Care Board

NHSE Digital Maternity Programme Architecture

NHS Digital Maternity Programme (Mat-e): national programme to digitise maternity records across all NHS Trusts.

Core components

• 1woman-held digital record (patient-facing app — woman views her maternity record),
• 2clinical decision support (antenatal risk screening — NICE guidelines automated checks),
• 3interoperability (maternity record shared across all 4 hospital trusts in ICB — woman seen at any trust has complete record available),
• 4national data collection (MSDS — Maternity Services Data Set — monthly submission to NHS England). ClickMasters implements Mat-e aligned architecture — conformant with NHSE Digital Maternity Programme specifications.

NHS UK Core Maternity FHIR R4 profiles

Patient (mother demographics — NHS number via PDS), Condition (obstetric conditions — SNOMED CT coded), Observation (blood pressure, weight, fundal height, foetal heart rate — all LOINC or SNOMED CT coded), Procedure (antenatal appointments, scans, delivery), CarePlan (birth plan — woman co-produces with midwife), and EpisodeOfCare (maternity booking to postnatal discharge).

FHIR maternity interoperability

• maternity record shared across 4 NHS Trusts via IHE XDS (Cross-Enterprise Document Sharing) or NHS regional FHIR API.
• Every maternity FHIR resource validated against UK Core Maternity profiles before storage.

DCB0129 Maternity Clinical Safety

Maternity clinical safety is among the highest-stakes in NHS — obstetric adverse events (maternal death, stillbirth) are subject to HSIB (Healthcare Safety Investigation Branch) investigation.

Critical hazards

• 1high-risk obstetric condition not identified at booking (e.g. previous caesarean section not recorded → VBA2C risk not assessed) — mitigation: structured booking form with mandatory obstetric history fields, risk scoring automatic.
• 2Blood group not available at delivery — mitigation: blood group recorded at booking, flagged at delivery if absent.
• 3GBS (Group B Streptococcus) positive result not accessible at labour — mitigation: GBS result displayed prominently in labour record.

HSIB Learning

• every HSIB report that identifies a digital system failure is reviewed and compared against platform design.
• Woman-

Held Digital Record and NHS App Integration

• Women want to hold their own maternity record (NICE QS22 — shared decision-making in maternity care).
• Woman-held digital record: NHS App integration (NHS Login — OIDC) → woman views her maternity record (antenatal appointments, scan results, blood results, birth plan).

Appointment reminders

GOV.UK Notify — 48-hour reminder before each antenatal appointment.

Birth plan

• woman co-produces birth plan with community midwife (structured form — preferences for pain relief, delivery environment, skin-to-skin contact).
• Birth plan accessible at delivery (on-call midwife sees birth plan — regardless of which trust the woman delivers at).

Postnatal

newborn blood spot (heel prick test) results accessible via NHS App.