We aimed to assess the sensitivity and predictive values of using Knox scoring in the United Kingdom, in order to reduce unnecessary hospital referral. One hundred and sixty-six pregnant women were assessed at booking by the current antenatal scoring as well as by Knox scoring and then the same women were reassessed at 36 weeks' gestation. At booking Knox scored 11.7% of women as high risk while the current antenatal system scored 48.9%. At 36 weeks' gestation Knox scored 1.4% of the same pregnant women as high-risk when our scoring system identified 37.9% as high-risk women. We had one case of perinatal death and nine cases of perinatal morbidity. Knox scoring showed a higher positive predictive value (17.6% vs. 12.1%) but less sensitivity (30% vs. 90%) than the current scoring system. That will lead to dramatic reduction of hospital referral at the booking visit from 48.9% to 11.7% and late in pregnancy from 37.9% to 1.4%.

Pegasus is an initiative aimed at getting a greater level of career education and personal skill development work into the academic experience of the student in higher education. It is designed for undergraduates in the central and final years of their studies. Building on work already developed and well advanced in some institutions, it aims to respond to the concerns of employers that graduates often lack a sense of direction or identity in terms of their careers, and in selection and interview often fail to demonstrate well developed personal skills or self-confidence. The project therefore draws upon, and overlaps with, such activities as study skills programmes, the fostering of enabling skills within the academic course, and workshops and informational sessions traditionally offered by the Careers Service.

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