We measure every maternity service in England every month. Ask Mia what it shows about yours.

Trusts improve maternity care when boards review outcomes monthly against similar trusts, act where variation is widest and check whether each action moved the measure. Strasys Maternity Index analysis of 118 English trusts finds severe haemorrhage varies 2.9-fold across the middle 90%, and case-mix explains only about 7% of it.

Much of the method needs no product: read data as a trend over time, use statistical process control charts in place of red-amber-green ratings, track a monthly recommendation score from women, and break every key measure down by ethnicity and deprivation. The SMI does this for every trust, every month.

Boards should see the same monthly picture as their regulators: where the service stands against trusts of a similar size, which measures are improving or worsening, whether the data is complete, and whether past actions moved the measures they targeted. The SMI provides this from the national Maternity Services Data Set for all 118 maternity trusts in England, with no new data collection.

We read the national Maternity Services Data Set for every NHS trust in England that provides maternity care, every month, and compare each trust with the national picture and with trusts of a similar size. Thirteen outcome and care measures are scored into one SMI indicator, every rank carries a 95% range so that small differences are not over-read, and more than 100 measures in all are shown for context. No patient-level data is needed from trusts.

MOSS, NHS England's Maternity Outcomes Signal System, raises a signal when rates of serious outcomes such as stillbirth and neonatal death rise. The SMI reads more than 100 routine measures each month and shows how care is changing across outcomes, care processes and data quality. A board can use a MOSS signal as a trigger and the SMI to understand what sits behind it.

Each trust is compared with trusts of a similar size, and every rank carries a 95% range, so a board can tell a real difference from noise. Thirteen measures are scored, across neonatal outcomes, maternal outcomes and care delivery. Caesarean, induction and instrumental birth rates are not scored. They are shown against the range most trusts sit in, for clinicians to interpret. A gap in a trust’s data can never lift its score: a figure above the national centre fades back to it, and one below is carried forward for up to a year. A trust is not scored when the SMI receives too little usable data for part of the index, and that says nothing about the quality of its care. In August 2026, 105 of 118 trusts were scored. National scores use public data only, so a subscription never changes a trust’s score.

Mia, the Maternity Intelligence Agent, is the first live part of SIA, the Strasys Intelligence Agent. You ask questions in plain English and Mia answers from your trust's data, benchmarked nationally, with every figure traced to its source. Mia says when evidence is too thin to call. It does not make clinical decisions or trigger clinical actions. Those stay with the clinicians and board accountable for care.

Yes. The measures map to the Immediate and Essential Actions from the Ockenden review of maternity services at Shrewsbury and Telford (2022), the CNST maternity incentive scheme safety actions and CQC Well-Led. CQC maternity ratings and Maternity Survey results sit beside each trust's scores, so a board can explain its position as it appears in national data.

The Strasys Maternity Index (SMI) reads published national maternity data, principally the Maternity Services Data Set, for every NHS trust in England that provides maternity care, and recalculates each trust's position every month. Thirteen outcome and care measures are scored and combined into one SMI indicator, weighted 40% to neonatal outcomes, 30% to maternal outcomes and 30% to care delivery. Many measures use rolling periods so that a single month cannot swing them, and every trust's rank carries a 95% range. The remaining measures are shown for context and variation without being scored. No patient-level data is needed from trusts.

The SMI is comparative: it shows where a trust sits against other trusts in England, which is a different thing from an absolute standard of safe care. It relies on published national data, which describes months already past (publication runs about 50 days behind month end) and depends on what each trust submits. It shows patterns and direction of travel, and explaining why a pattern exists needs local investigation and clinical review. Its job is to support clinical judgement, local intelligence and regulatory assessment.

SIA is the AI agent that runs across the Strasys Decision Intelligence platform, answering questions in plain English from the data each product holds. Mia, inside the Strasys Maternity Index, is its first live capability. SIA for workforce, clinical productivity, governance, value and service review is coming soon.

The national action plan will follow Baroness Amos's investigation, which called for national standards and a unified national dataset to monitor trends and performance. The SMI already gives every trust, ICB and region the same monthly view from national maternity data, so a board can show where its service stands and which way it is moving before the plan sets new expectations.

They measure different things at different times. A CQC rating records an inspection on a particular day, and many ratings still standing date from 2024 or earlier, while the SMI reads routine outcome and care measures every month. Across 117 trusts in May 2026, a CQC maternity rating and the SMI ranked a pair of trusts the same way round 52% of the time, close to a coin toss. Inspection sees things data cannot, such as culture, so a board needs both.

The SMI uses published, aggregate national data: the Maternity Services Data Set, which is published with counts rounded to the nearest five, alongside CQC ratings and survey results. It needs no patient-level data from trusts, and national scores use public data only. Any local data a trust chooses to add stays in a store only that trust can see. How we govern AI and data.

Most maternity dashboards show one trust's own figures, built locally and read a month at a time. The SMI reads every trust in England on one published method, shows which way each measure is moving and whether a change is statistically real, flags weak or incomplete data, and lets a board ask Mia in plain English why a figure moved.

As a subscription web application with a secure log-in and monthly data refreshes. There is nothing to install and no new data to collect. It can be set up for a single trust, a provider group, an ICB, a region or a national body.

Yes. The SMI runs on national data today, and the same engine can take your anonymised local data, such as ATAIN reviews, perinatal event notifications, incidents, workforce and patient experience. Each source is mapped to the same themes and appears in Mia and the Board Pulse. It stays in a store that only your trust can see.