New GAP Care Pathway for fetal growth surveillance

Following publication of NHS England’s Saving Babies’ Lives Care Bundle version 2 (CBv2) earlier this year, the Perinatal Institute has consulted on how to align and adapt it for NHS Trusts in the GAP programme, while maintaining the benefits of a tried and tested protocol that has been credited as a main factor in the recent reduction of stillbirth rates in England.

Following concerns about the ultrasound and Doppler capacity demands of CBv2, we conducted, in association with the British Medical Ultrasound Society (BMUS), a national survey which has confirmed that most ultrasound services in the NHS cannot currently meet these requirements. The report from this survey is available here.

We have therefore developed a Care Pathway which can be implemented in two phases, according to Trust capacity. Phase I should be achievable with current resources, while sonographic services seek to acquire the additional training and resources required for Phase II. The algorithm together with explanatory notes, has now been completed following extensive consultation and is available here:

The care pathway will be launched on the 11th March 2020 for preliminary programme see: GAP 2020 Vision.