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 Women with singleton pregnancy at 10 weeks Spontaneous miscarriage before screening offered Offered screening Spontaneous miscarriage Accept screening test Decline screening test High risk result Low risk result Down’s birth Other birth Go to 1 Accept CVS or amniocentesis Decline CVS or amniocentesis Positive test Negative test No procedural related miscarriage Procedural related miscarriage Go to 1 Accept TOP Decline TOP Go to 1 TOP Live Birth 1 Go to 1 10-14/16 weeks10 weeksTo term

6. NHS FASP benefits

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

8. Associate benefits Health economics Modelling UK health care system

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. Nancy L. Chung, BSc (Kinesiology), MBA, MHSA NHS FASP Innovation Centre Rennes Drive University of Exeter Exeter Devon EX4 3AG nancy.chung@ansnsc.co.uk nancy.chung@ansnsc.co.uk Thank you http://fetalanomaly.screening.nhs.uk/ http://sites.pcmd.ac.uk/pentag/main.php?c=welcome