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LG OFFICIAL England Ear buds TONE Free FA4 - LIMITED EDITION - True Wireless Bluetooth Earbuds with Meridian Sound, Hypoallergenic Medical-Grade Ear gels, Noise Reduction with a close fit. White

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About this deal

results based on increased NT measurement only ( FASP recommends all women who accept the offer of first trimester screening must have all components of the screening test completed - NT and biochemistry) In FASP-S02, the exclusion ‘women who are offered an appointment within the optimum time but choose to attend at a different time for personal reasons’ was moved to the subset of women left to follow up. This is because evidence shows this is masking inequalities in some services. The removal of this exclusion will have minimal impact on performance at an England level. FASP-S03: diagnosis/intervention: test turnaround time quantitative fluorescent-polymerase chain reaction (QF-PCR) Denominator: number of women who had a screening scan within the reporting period with an unexpected finding and were referred locally.

Timely referral (local and tertiary as clinically appropriate) when an anomaly is suspected or confirmed. Date standard last updated: April 2018 FASP-S08: referral: time to intervention 18 weeks plus 0 days to 20 weeks plus 6 days of fetal anomaly ultrasound Description Sample did not arrive at the laboratory as specified in the specimen transport and storage section of the FASP handbook. a condition is suspected or identified at the first scan that requires onward referral (for example, anencephaly)

Specific changes

out of 139 screening services submitted data, including 51 services that reported zero women at risk. make sure laboratories have systems in place to comply with the FASP handbook guidance for the combined and quadruple screening tests transfer in with a crown rump length ( CRL) less than or equal to 84.0mm (on or before 14 weeks plus 1 day) who have a result from a screening test performed elsewhere in the NHS in this pregnancy

present to the service at or after 23 weeks plus 1 day (as they are not part of the eligible population for the screening programme)

Need to change

The quadruple test is offered in the second trimester to assess the chance of the baby having Down’s syndrome. In Q4 2022 to 2023, national performance of FA4 for inadequate combined samples was 3.7%. FA4 is a KPI where a lower performance is better.

You will need to make separate applications for each manager/owner who requires approval and provide:Tested women is the number of eligible women for whom a completed screening result was available from the combined test ( T21 and or joint T18 and T13) screening at the day of report. All 142 screening services submitted data, including 50 services that reported zero couples at risk. Women who decline is the number of eligible women who are offered screening and make a personal informed choice not to accept screening, including women who choose to have private screening and do not wish to have NHS screening. Performance thresholds In Q4 2021 to 2022, national performance of FA4 for inadequate combined samples was 4.1%. FA4 is a KPI where a lower performance is better.

National performance of FA2 (see standard FASP-SO2) in Q4 2021 to 2022 was 98.7%, lower than the previous quarter. FA2 is collected 6 months (2 quarters) in arrears. The trend graph below shows that England FA2 performance has remained above the achievable threshold of 95% since 1 April 2019. The 20-week screening scan can be completed between 18 weeks and 0 days and 23 weeks plus 0 days weeks of pregnancy. For women between at or after 22 weeks plus 0 days and before or at 23 weeks plus 0 days, every effort must be made to accommodate the offer of the screening scan and they should be included in the denominator. In cases where the service is unable to offer the screening scan, they can be excluded. Following a higher chance result women are offered the choice of no further testing, non-invasive prenatal testing ( NIPT) or prenatal diagnosis ( PND). Women who decline is the number of eligible women who are offered screening and make a personal informed choice not to accept screening, including women who choose to have private screening and do not wish to have NHS screening. Denominator: total number of T21, T18, T13 screening samples received in the screening laboratory in the reporting periodThe proportion of pregnant women eligible for the 20-week screening scan who are tested, leading to a conclusive result within the defined timescale. Rationale This standard relates to the 11 physical conditions as defined by FASP (see the FASP information for parents. S08a - local referrals

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