Maternity Care Intelligence
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The LSSI4 Maternity Intelligence Framework
AI‑Driven Healthcare Insights
The discussion documents provided through this service are generated by a specialised AI engine designed to interrogate selected MSDS data focussing on 4 specific LSSI Indicators. The system automatically surfaces what is working well, highlights areas requiring attention, flags emerging risks, and uncovers hidden trends.
Maternity Care Early Warning Programme
The LSSI4 Version 2 framework has been developed as a national maternity early warning system, designed to identify where services are under pressure today, where they are beginning to deteriorate, and where support is needed next — enabling earlier, targeted intervention before risks escalate.
It moves beyond traditional retrospective reporting by helping NHS systems answer a critical strategic question:
Where are maternity services likely to come under pressure next?
The framework is built around four clinically credible indicators drawn from national maternity safety datasets
- Severe Perineal Trauma — CQIMTears
- Postpartum Haemorrhage — CQIMPPH
- FGR Surveillance Compliance — Saving Babies' Lives (SBL) Element 2
- Emergency Caesarean Rate — Mode Caesarean Emergency
Each metric is recognised within established national maternity safety frameworks, and together they provide a stable, comparable and improvement-oriented index for benchmarking, system support and longitudinal monitoring.
Crucially, LSSI4 Version 2 has not been designed as a performance ranking, league table or regulatory judgement. Instead, it has been built from the outset as:
- A clinically meaningful intelligence framework
- A transparent and improvement-focused methodology
- A policy-aligned, ICB-level system support tool
The strategic intent is not to judge organisations, but to anticipate pressure earlier — so that support can be targeted before risk becomes critical.
Background:
LSSI4-Version2 Framework - From Insight to Early Warning and Action
“LSSI4 Version 2 is a national maternity early warning system that identifies where services are under pressure today, where they are beginning to deteriorate, and where support is needed next—enabling earlier, targeted intervention before risks escalate.”
1. Executive Summary
The LSSI4-Version2 framework has been developed as a national maternity early warning system, designed to:
- Identify current areas of risk
- Detect early signs of deterioration
- Support timely and targeted intervention
It moves beyond traditional reporting by answering a critical question:
“Where are maternity services likely to come under pressure next?”
Access the SIA Power BI Models
LSSI4 Stakeholder Briefing Documents
Trust Stakeholder Discussion Reports
LSSI4 Maternity Leadership & System Stress Intelligence Service
The LSSI4 Maternity Leadership & System Stress Intelligence Service transforms complex national maternity performance data into simple, actionable intelligence that helps NHS organisations identify emerging risks, recognise best practice, and prioritise improvement activity.
Using nationally available maternity datasets, the service analyses four key indicators associated with maternity system performance and reliability:
- Emergency Caesarean Sections
- Post-Partum Haemorrhage (PPH)
- Third- and Fourth-Degree Perineal Tears
- Fetal Growth Restriction (FGR) Risk Assessment and Surveillance
Rather than producing another dashboard or league table, the service applies a structured leadership-focused methodology that evaluates:
- Current position
- Direction of travel
- Stability over time
- Emerging risk signals
- Improvement opportunities
- Comparative national positioning
The outputs are translated into concise Trust, ICB and National briefing reports that can be understood by clinicians, managers, executives and boards without requiring specialist analytical expertise.
By converting thousands of rows of maternity performance data into clear narrative intelligence, the service helps organisations answer critical questions such as:
- Are we improving or deteriorating?
- Which areas require attention first?
- Which indicators are driving concern?
- Are recent changes likely to represent genuine improvement?
- Which organisations appear to demonstrate stronger performance that may offer learning opportunities?
Importantly, the service is designed as an early warning and improvement support framework, not a judgement or performance management tool. It aims to identify where additional review, collaboration, support or learning may deliver the greatest benefit for mothers, babies and maternity teams.
The result is a practical intelligence service that helps NHS leaders move from simply reporting maternity metrics to understanding what those metrics may be signalling about system performance, operational pressure, clinical reliability and opportunities for improvement.
"We turn national maternity performance data into practical leadership intelligence that helps NHS organisations identify risks earlier, understand performance trends and target improvement activity where it is likely to have the greatest impact."