This template supports comprehensive antenatal care in line with:
GP Contractual obligations for shared maternity care
NICE guideline NG201 on antenatal care
Maternity Enhanced Services, where commissioned
Accurate antenatal documentation ensures safe multidisciplinary care and enables timely referrals, safeguarding, and coding for maternity indicators.
This template supports:
Recording of initial pregnancy notifications
Documentation of key antenatal checks
Capture of screening, immunisation, and safeguarding
Timely referral to midwifery services
While there is no direct QOF payment, this data is essential for both care quality and maternity service coordination.
Record:
Last menstrual period (LMP)
Estimated date of delivery (EDD) (based on LMP or scan)
Gestation at first contact
Tickbox to confirm if:
Patient has been booked with midwife
Referral to maternity services has been made
Option to upload or reference booking documentation
Prompt for:
Antenatal bloods (FBC, group, antibodies, HbSAg, HIV, syphilis)
Screening consent
First scan attendance
Downโs / Edwards / Patau screening discussed
Record discussion/offers of:
Flu vaccination
Pertussis vaccination (from 16 weeks)
COVID-19 vaccination
Space to note:
Social support
Housing/financial issues
Domestic violence
Safeguarding concerns
Can be linked to wider safeguarding templates
Record:
Smoking status and cessation advice
Alcohol or substance misuse
Weight and dietary advice
Document early contact: first antenatal contact before 10 weeks supports continuity of care targets
Use this template at both first contact and any GP follow-ups during pregnancy
Clearly code pregnancy diagnosis to trigger system alerts (e.g. for medication contraindications)
If the patient declines referral or screening, use the appropriate decline codes
This form integrates well with child health, safeguarding, and postpartum planning templates