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National Pregnancy in Diabetes Audit

The National Pregnancy in Diabetes (NPID) Audit aims to support clinical teams to deliver better care and outcomes for women with diabetes who become pregnant.

Information about the National Diabetes Audit Programme and the NPID audit

The National Diabetes Audit (NDA) Programme has moved to being a directed programme by NHS England. The National Pregnancy in Diabetes (NPID) Audit is part of this wider programme and therefore the guidance agreed for the NDA also applies to NPID.

The collection and submission of the audit data will remain the same, the only change being that in time you will no longer have to gain consent from patients in order to use their data, however we have to continue to be transparent with patients about the data collection.

We will advise participation services when we can start to move away from consent for this audit but please until you are advised keep gaining consent from your patients.

Latest Report

The National Pregnancy in Diabetes Audit Report 2015 was published on 21 October 2016 and includes pregnancies with a  recorded outcome from 1 January to 31 December 2015. The 2015 audit report:

The report can be found here. Previous reports for the audit can be found here

2016 annual report

Data for the 2016 annual report (pregnancies with a recorded outcome between 1 January 2016 and 31 December 2016) has now been submitted. The submission deadline for data to be entered into the online tool was Friday 10 February 2017.The 2016 annual report will be published in the autumn of 2017.

Contact Us

If you have any questions or would like to be added to our distribution list for the audit so that you receive updates directly, please email

How can I participate in this audit?

  • This audit is a patient consented audit meaning that you need to gain consent from your patients before information about their care can be included in this audit. The Participant Information Leaflet and the Participant Consent Form can be found on the right hand side of this page under user documents
  • Once consent is gained record information on each pregnancy using the pdf icon NPID data collection form [371kb]
  • If the pregnancy resulted in more than one baby e.g. twins please use the pdf icon Additional baby sheet [257kb] to record the additional outcomes
  • Register to submit data using the word icon NPID User Registration Form [66kb]. Once registered submit your data into the online tool for the audit which can be found here

For more details on how to participate, please refer to the NPID Guidance notes.

All necessary documentation can be downloaded from the right hand side of this webpage.

As one of the audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP), participation in the National Pregnancy in Diabetes is a requirement in the NHS standard contract for acute hospitals with obstetric services.

If you are unsure if you are eligible please contact the team at

Data Collection

NPID is a continuous data collection therefore you can enter data at any time during the year. You should collect information on all women with diabetes who become pregnant (subject to their consent). Data is to be routinely recorded during the pregnancy using the data collection forms. Once complete, the data must then be submitted online using the NHS Digital secure, online tool. For details on how to submit your data, please refer to the NPID Guidance notes (see User Documents), which outline the submission process in detail.

The deadline for data to be included in the 2016 Annual Report was 10 February 2017, for all pregnancies ending on or before 31 December 2016.

What does it measure?

The National Pregnancy in Diabetes (NPID) Audit measures the quality of pre-gestational diabetes care against NICE guideline based criteria and the outcomes of pre-gestational diabetic pregnancy. It will answer the following three key questions

  • Were women with diabetes adequately prepared for pregnancy?
  • Were appropriate steps taken during pregnancy to minimise adverse outcomes to the mother?
  • Did any adverse outcomes occur

Who manages the audit?

The National Pregnancy in Diabetes (NPID) Audit is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP), and delivered by NHS Digital, working in collaboration with Diabetes UK and supported by Public Health England.

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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