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Guidance: Fetal anomaly screening programme handbook

Nhs England

February 19
15:20 2024

This handbook provides practical guidance to support healthcare professionals and stakeholders in providing the NHS fetal anomaly screening programme (FASP) screening pathways. It includes:

Contact the screening helpdesk with any queries about this publication, making sure you include its full title.

Published 9 July 2015
Last updated 19 February 2024 +show all updates
  1. Updated reference of PHE to NHS England

  2. Changed contact email.Added wording to provide clarity on IVF pregnancies and age of donorAdded information on measurements for combined and quadruple tests in twin pregnanciesAmended wording for the 20-week screening scan. Amended wording for completing the 20-week screening scan to provide clarity to when the rescan should be offered.

  3. Minor amends made to a few pages in the Screening for Downs syndrome, Edwards syndrome and Pataus syndrome HTML piece and a revised edition of the Request form and data fields required for Downs syndrome, Edwards syndrome and Pataus syndrome screening form.

  4. Updated links in all sections. Additional information on the quadruple test (screening for Down's, Edward's and Patau's section). Updated information on the PND procedure timeframe (prenatal diagnosis section). Clarification of the image review process (section 4.1 of the quality assurance section). Updates to sections 2.1 and 2.1 of the data section.

  5. Updated education and training chapter, templates for induction of qualified staff (no DQASS report in last 6 months and concerns identified), and template for trainee ultrasound practitioners. Includes new information following the introduction of reporting spread on DQASS feedback plots.

  6. Added more information about annual audit of samples in chapters 2 and 5.

  7. Added lower chance result letter templates.

  8. Added new html version of the screening handbook.

  9. Updated edition of programme handbook valid from August 2018.

  10. First published.

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