1. Antenatal diagnosis Update (DR Fetal major CHD) 19th December CHD Network Dr Helen Liversedge

2. Current disparity across the UK
National Institute for Cardiovascular Outcomes Research
National variation in England in 2012/13 between
26% & 55%
But this data is flawed

3. Standards FASP4 Definition of major
18+0 to 20+6 fetal anomaly ultrasound
Acceptable: Detection rate (DR) ≥ 50% for each serious cardiac anomaly
Definition of major
Atrioventricular septal valve defect
Hypoplastic left heart
Tetralogy of Fallot
Transposition of the Great Arteries

4. Audit
Aims
Find actual DR for the 4 FASP cardiac conditions in SW region
To identify training needs and to implement
Repeat after training support
Methods
Have gathered contacts in each centre and requesting data for these conditions
Already realised that we need a more formal/registered approach

5. SW Audit of standards Exact definitions eg complete AVSD/ HHS
Postnatal data- ? Bristol only (not all managed in Bristol)
Agreement to take part/ how to register this? (tertiary)
FASP ( )-how do we manage gestation at diagnosis? Exclusions/all gestations
SWCAR/FASP have similar aims ? link with their data
Who should be involved?
Which time frame ? use EDD as per FASP
End date for data collection
Repeated after training or rolling