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Opportunity for Choice in the National Down’s Syndrome Screening Programme (NDSSP)

Opportunity for Choice in the National Down’s Syndrome Screening Programme (NDSSP). Presented by: Nancy L. Chung. The partners. The NHS FASP . Established in 1996. National lead for antenatal screening for chromosomal and structural abnormalities. Down’s syndrome screening

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Opportunity for Choice in the National Down’s Syndrome Screening Programme (NDSSP)

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  1. Opportunity for Choice in the National Down’s Syndrome Screening Programme (NDSSP) Presented by: Nancy L. Chung

  2. The partners

  3. The NHS FASP • Established in 1996. • National lead for antenatal screening for chromosomal and structural abnormalities. • Down’s syndrome screening • 18+0-20+6 week ultrasound scan • Accessibility • Equality • Quality • Choice

  4. Down’s syndrome screening

  5. Commissioning tool Accept TOP 10 weeks 10-14/16 weeks To term TOP Positive test No procedural related miscarriage Decline TOP Go to 1 Accept CVS or amniocentesis Negative test Go to 1 Procedural related miscarriage High risk result Accept screening test Decline CVS or amniocentesis Go to 1 Offered screening Low risk result Women with singleton pregnancy at 10 weeks Go to 1 Decline screening test Spontaneous miscarriage 1 Spontaneous miscarriage before screening offered Down’s birth Live Birth Spontaneous miscarriage Other birth

  6. NHS FASP benefits

  7. PenTAG benefits (Peninsula Collaborations for Leadership in Applied Health Research and Care)

  8. Associate benefits Modelling UK health care system Health economics

  9. Conclusion • Project is now in the pilot phase. • Overwhelmingly positive response. • Interest in sharing the tool and transfer to other UK screening programmes. • National and international interest in the project. • Setting FASP as an innovator.

  10. Thank you Nancy L. Chung, BSc (Kinesiology), MBA, MHSANHS FASP Innovation CentreRennes DriveUniversity of ExeterExeterDevonEX4 3AGnancy.chung@ansnsc.co.uk http://fetalanomaly.screening.nhs.uk/ http://sites.pcmd.ac.uk/pentag/main.php?c=welcome

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