National Diabetes Audit
National Diabetes Audit
The National Diabetes Audit (NDA) is the one of the largest annual clinical audits in the world, integrating data from both primary and secondary care sources, making it the most comprehensive audit of its kind.
National Diabetes Audit - 2015-2016: Report 1, Care Processes and Treatment Targets is now available!
The National Diabetes Audit 2015-2016 Report presents the key findings and recommendations for completion of care processes and treatment target achievement from 2015-2016 in England and Wales along with information on offers and attendance for structured education places.
This year, for the first time information is reported on people with diabetes that also have a learning disability. A separate national report published alongside Report 1 presents the key findings and recommendations.
The reports and supporting documentation can be found here
The audit team would like to thank everyone who participated or supported participation in the audit and because of all the hard work participation in the audit has increased. National participation results for the National Diabetes audit 2015-16 were published in November 2016. 82.4 per cent of general practices in England and Wales participated in the 2015-2016 National Diabetes Audit.
The next collection
The team are now planning for the 2016-17 collection of the NDA which will be taking place later in 2017. So the team can keep you up to date with the latest information about the audit and how to participate or support your practices to participate. You can register your contact details with the NDA team ahead of the next collection of the audit. Please include the following in your email: - name, email address, job title, practice name/CCG name, practice code/CCG code, clinical system (if applicable).
What does it measure?
The National Diabetes Audit is a major national clinical audit, which measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards, in England and Wales. The NDA collects and analyses data for use by a range of stakeholders to drive changes and improvements in the quality of services and health outcomes for people with diabetes.
The National Diabetes Audit (NDA) answers four key questions:
- Is everyone with diabetes diagnosed and recorded on a practice diabetes register?
- What percentage of people registered with diabetes received the nine NICE key processes of diabetes care?
- What percentage of people registered with diabetes achieved NICE defined treatment targets for glucose control, blood pressure and blood cholesterol?
- For people with registered diabetes what are the rates of acute and long term complications (disease outcomes)?
Aims and Objectives
The NDA supports improvement in the quality of Diabetes care by enabling participating NHS services and organisations to:
- assess local practice against NICE guidelines
- compare their care and care outcomes with similar services and organisations
- identify gaps or shortfalls that are priorities for improvement
- identify and share best practice
- provide comprehensive national pictures of diabetes care and outcomes in England and Wales
Through participation in the audit, local services are able to benchmark their performance and identify where they are performing well, and improve the quality of treatment and care they provide.
A Quality Improvement Toolkit has been developed in collaboration with the RCGP to help practices use their diabetes data to improve services http://www.rcgp.org.uk/clinical-and-research/toolkits/quality-improvement-toolkit-for-diabetes-care.aspx
Who manages the audit?
The National Diabetes Audit (NDA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit Programme (NCA) and delivered by the Health and Social Care Information Centre in partnership with Diabetes UK and the National Cardiovascular Intelligence Network (part of Public Health England). The NDA receives expert input from clinicians and people with diabetes across England and Wales
Analysing your data
A series of reports are available in the catalogue that will provide you with information on:
- Audit participation in primary and secondary care
Data tables with information:
- care processes (percentage recorded)
- HbA1c results
- patient age distribution
- average age and BMI
- diabetes type distribution
- ketoacidosis episodes
Further in-depth analysis at a national and local level on:
- registration and prevalence
- care processes
- treatment targets
Data Access Requests
If you require access to the NDA dataset please complete the data request form below. This form should be used when applying for the National Diabetes Audit data and should be completed alongside the data access request form which is available from the Healthcare Quality Improvement Partnership website http://www.hqip.org.uk/national-programmes/a-z-of-nca/audits-and-data-gov-uk/
Please submit completed forms to email@example.com. If you would like to discuss your application before you submit please contact the NDA team. You can email firstname.lastname@example.org or telephone 0300 303 5678 and ask to speak to a member of the NDA team.
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.
Guidance for patients
Access the audit reports
Guidance for GP Practices
- NDA GP Letter [143kb]
- Further Information for GPs [25kb]
- Poster for Practices [161kb]
- Fair Processing [2Mb]
- 10 reasons why GP practices should participate in the NDA [181kb]
- Primary Care Extraction Specification v11.1 [633kb]
- Read Codes for Dissent and Structured Education v1.0 [279kb]
- MIQUEST queries information
Guidance for Specialist Services
- How to register or check an Open Exeter account v1.0 (PDF) [371kb]
- Open Exeter Registration_Trust Form (PDF) [58kb]
- Secondary Care Specification 2015-2016 [188kb]
- Poster for Clinics [160kb]
- 10 reasons why your clinic should participate in the NDA [182kb]
Guidance for CCGs and Clinical Networks
- Lessons Learned from 2013-2015 and Plans for Improvement in England [678kb]
- Summary of lessons learned from 2013-2015 [889kb]
- Maximising participation in the NDA - CCG guidance [289kb]
- Healthcare Quality Improvement Partnership (HQIP) (external)
- Diabetes UK (external)
- Association of British Clinical Diabetologists (ABCD) (external)
- Royal College of Paediatrics and Child Health (through the National Diabetes Paediatric Audit (external)
- National Diabetes Information Service (external)