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National Diabetes Footcare Audit (NDFA)

The National Diabetes Footcare Audit (NDFA) enables all diabetes footcare services to measure their performance against NICE clinical guidelines and peer units, and to monitor adverse outcomes for people with diabetes who develop diabetic foot disease.


The National Diabetes Footcare Audit (NDFA) is a continuous collection so please keep collecting and entering your data into the online data collection tool.

The annual Structures Survey will be sent via email to CCG Commissioners in late September 2016. Responses to the survey will form part of the second annual report. The Structures Survey questions will be unchanged from last year. You can view the questions here pdf icon NDFA Structure Survey Questions [100kb]

The first annual and local reports for the NDFA were published in March 2016. This included all foot ulcers where the first assessment was prior to 10 April 2015. The reports can be viewed here

The second annual report will include all foot ulcers where the first assessment was prior to 8 April 2016. We have now taken an extract of the data for this time period which will be used in the second annual report due for publication in spring 2017. If you have patients that relate to this time period and you have not yet entered them into the online data collection tool you can still do so, they will not be included in the second annual report, but they will be included in future reports.

If your Footcare Service has not yet registered to take part in the NDFA but would like to do so, or you would like to add new submitters for the data collection tool you can find more information further down this page in the 'How to participate' section.

If you would like any further information about this, please contact the NDFA team at

What does it measure?

National Diabetes Footcare Audit (NDFA) looks at the following key areas:

  1. Structures: are the nationally recommended care structures in place for the management of diabetic foot disease?
  2. Processes: does the treatment of active diabetic foot disease comply with nationally recommended guidance?
  3. Outcomes: are the outcomes of diabetic foot disease optimised?

Who manages the audit?

The National Diabetes Footcare Audit (NDFA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) following advice to the Department of Health from the National Advisory Group on Clinical Audit and Enquiries (NAGCAE).

The NDFA is delivered by NHS Digital (previously known as 'the Health and Social Care Information Centre, HSCIC'), in partnership with Diabetes UK and the National Cardiovascular Intelligence Network (part of Public Health England).

How to participate

1. Step 1: Identify an audit lead for your Organisation or Treating Service.

2. Step 2: Start data collection using the pdf icon NDFA Data Collection Form [280kb] in 'User Documents on the right hand side of this page.

3. Step 3: Register all staff who will submit NDFA data by completing the word icon NDFA Hospital User Registration Form [68kb] in 'User Documents' on the right hand side of this page.

4. Step 4: Submit data using the secure online submission tool - this can only be done by staff once they are confirmed as registered.

When to collect data?

The NDFA is a continuous collection and data can be collected throughout the year. Data can be input at any time during the year into the online collection tool. The data items to collect can be found in the 'NDFA Hospital User Registration Form' in 'User Documents' on the RHS of this page. A cut of the data is taken each year to include in the annual report, the audit team will announce the cut off data each year for foot ulcers to be included in the next annual report.

· The 1st Annual Report included all foot ulcers where the first assessment took place prior to 10th April 2015

· The 2nd Annual report will include all foot ulcers where the first assessment took place prior to 8th April 2016

The NDFA is a consented audit, therefore please only enter data into the online data collection tool where patients have consented to take part in the audit. Consent can be gained at any time during the care of the foot ulcer, but data must not be entered into the online collection tool until consent has been provided.

Data Collection Tool Update

We have made a small change to the data collection form and the online data collection tool with effect from Wednesday 13 September 2016. 'SECTION B: OUTCOME' on the form now includes a 'Lost to follow-up' check box, to flag that the patient is no longer under your care at week 12 or week 24.

You will be able to choose from the Services that your organisation has registered for the audit as before, but the first time that the episode details are saved by clicking 'Submit' within the episode data entry screen, the Service will become fixed for that episode. This will prevent the Service accidentally being changed, for example if a second Service enters 12 and 24 week outcome data where they have taken over the patient care from the Service that first assessed the foot ulcer.

If you do enter the wrong Service for a record at any time and need to change this after you have saved the episode details, you will need to delete the episode and re-enter the details, as you will not be able to amend the Service.


Local and national level results are available on the right of this page under 'Access the audit report' 

If you are interested in finding out more about the audit please email the audit team at

Use of Audit Tools and Documentation Outside of the Clinical Audit 

You hereby agree that in downloading or using the documents or tools on this web page for any use outside of the project for which it was developed, you are entering into a royalty free, non-exclusive, licence agreement with the Healthcare Quality Improvement Partnership under the following Terms and Conditions:
All information, software, products and related graphics contained in the audit tool or data collection form are provided for non commercial purposes  "as is" without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights. In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the audit tool or form. HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the audit tool or forms. HQIP reserves the right to make improvements, changes or updates to forms or tools at any time without notice.

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