Growth Assessment Protocol (GAP)              

The Perinatal Institute offers GAP as a comprehensive program with a service level agreement which can be viewed here: GAP SLA

Our Terms of Service are set out here.

GAP Guidance

The GAP Care Pathway is aligned with and complementary to the Fetal Growth element of the NHS Saving Babies Lives' Care Bundle v3.
It is available here: GAP Guidance

See also our FAQ pages

GAP E-Learning

To access the E-Learning portal please use the following link:   GAP-Elearning

Dashboard - National and Trust data

Data entered on GROW 2.0 is available to all users for monitoring and benchmarking.
See introductory video and interactive app with simulated data for individual trust and national averages.
To view your Trusts data and benchmark against national data please login to GROW 2.0 and use 'Dashboard' icon on the landing page.

GAP is based on the following key elements:

  1. Evidence based care pathway and risk assessment algorithms
  2. Training and accreditation of all staff involved in clinical care
  3. Implementation of customised GROW chart and audit tool
  4. Rolling audit, reporting and benchmarking of performance

 

Resources

GAP training:  dates of forthcoming workshops are listed here.

SFH - Standardised fundal height measurement video. 

GROW 2.0:  Upgrade to electronic chart and recording system

ONS stillbirth rates in England

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According to ONS figures, stillbirth rates in England have fallen consistently
for 9 years to their lowest point of 3.80/1000 in 2020. This represents a 29.0% reduction from the 2000-09 (10 year) average of 5.35, and equates to 1,022 babies saved per year.

Our 10 year, unit level analysis (doi.org/10.1002/uog.22187) showed

  • an overall decline, associated with better protocols and awareness;
  • Trusts that fully implemented the GAP programme achieved a larger reduction; and
  • the steepest drop was observed in GAP units with the highest SGA detection rates

There was a flattening of the downward trend during the pandemic in 2020 and a sharp increase in 2021. Since then, stillbirth rates have started to reduce again, towards levels reached before the pandemic.