National Diabetes Audit Report 1: Care Processes and Treatment Targets

The National Diabetes Audit (NDA) measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards, in England and Wales. This short report details the top-level findings for the 2018-19 audit.

Key facts

• GP practice participation in England and Wales stands at 98.0 per cent for 2018-19.

• Diabetes specialist service participation increased from 101 in 2017-18 to 112 in 2018-19.

• In England, the percentage of people who had all eight care process checks during 2018-19 stands at 40.8 per cent for people with Type 1 diabetes (42.9 per cent in 2017-18) and 54.3 per cent for people with Type 2 and other diabetes (58.8 per cent in 2017-18).

• In Wales, the percentage of people who had all eight care process checks during 2018-19 stands at 23.3 per cent for people with Type 1 diabetes (24.7 per cent in 2017-18) and 44.7 per cent for people with Type 2 and other diabetes (45.9 per cent in 2017-18).

• In England, the percentage of people who met the new all three treatment targets during 2018-19 stands at 19.6 per cent for people with Type 1 diabetes (18.9 per cent in 2017-18) and 40.5 per cent for people with Type 2 and other diabetes (40.2 per cent in 2017-18).

• In Wales, the percentage of people who met the new all three treatment targets during 2018-19 stands at 15.1 per cent for people with Type 1 diabetes (15.2 per cent in 2017-18) and 33.6 per cent for people with Type 2 and other diabetes (35.0 per cent in 2017-18).

Full detail at NHS Digital

 

National Pregnancy in Diabetes Audit

National Pregnancy in Diabetes (NPID) audit report 2018 | The Healthcare Quality Improvement Partnership

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The National Pregnancy in Diabetes (NPID) audit measures the quality of antenatal care and pregnancy outcomes for women with pre-gestational diabetes.

This is the first year that a Quality Improvement Collaborative (QIC) has been incorporated into the NPID programme for 2018/19 with the aim of focusing on improvement activity.

Some of the key findings include:

  • Overall 7 out of 8 women were not well prepared for pregnancy
  • There has been an increase in the rate of admissions with hypoglycaemia for women with type 1 diabetes
  • Almost one in two babies had complications related to maternal diabetes which is mostly the result of large for gestational age (LGA) babies
  • Admissions to neonatal units are more common than in the general population.

Full report: National Pregnancy in Diabetes (NPID) Audit Report 2018

See also: NHS Digital resources

National Diabetes Audit – Care Processes and Treatment Targets, Third Quarter, January 2018 to December 2018

NHS England | July 2019 | National Diabetes Audit – Care Processes and Treatment Targets, Third Quarter, January 2018 to December 2018

NHS England has released the first quarterly release of data from the National Diabetes Audit (NDA) This is the quarter three mid-year data release for the 2018/19 NDA. It shows progress to date covering the period 1 Jan 2018 to 31 Dec 2018

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Source: NHS England 
National Diabetes Audit-  Third Quarter, January 2018 to December 2018, England 

National Diabetes Audit

The following reports have been published relating to the National Diabetes Audit (NDA):

National Diabetes Audit

The National Diabetes Audit (NDA) 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.

This report details the findings for the 2017-18 audit. The audit collected data during May and June 2018, for the period 01 January 2017 to 31 March 2018 and contains the full key findings, recommendations and new analysis relating to cardiovascular disease (CVD) risk, including new treatment targets showing statin prescriptions for CVD risk reduction.

Full detail at NHS Digital

National diabetes audits

The Healthcare Quality Improvement Partnership has published the results of the following audits relating to diabetes:

NPDA
Image source: http://www.hqip.org.uk

  • National Paediatric Diabetes Audit: annual report 2017-18: care processes and outcomes – provides an analysis of data for children and young people with diabetes including information on prevalence of diabetes, diabetes-related outcomes and complications, compliance with health care checks and recommendations for improvements in care
  • National Diabetes Inpatient Audit – measures the quality of diabetes care provided to people with diabetes while they are admitted to hospital.  The results are presented in two reports covering the hospital characteristics survey and serious inpatient harms

Additional links: NHS Digital – National Diabetes Inpatient Audit (NaDIA) – 2018 | NHS Digital National Diabetes Inpatient Audit – Harms, 2018

Additional link: NHS Digital – National Diabetes Foot Care Audit, 2014-2018

National Diabetes Transition Audit 2011-2017

Health Quality Improvement Programme | January 2019 | National Diabetes Transition Audit 2011-2017

National Diabetes Transition Audit 2011-2017 is a new report from Health Quality Improvement Programme (HQIP). This report examines care provision during the period when young people with Type 1 diabetes move from paediatric to adult-based clinical care in England and Wales. The findings of the report point to deterioration in annual care process completion, achievement of treatment targets and higher rates of diabetic ketoacidosis (DKA) when young people transition from paediatric to adult services, with considerable local service variation.

The report sets out recommendations for local specialist services, clinical commissioning groups and health boards (Source: HQIP).

National Diabetes Transition Audit 2011-2017

National Diabetes Audit Report 1- Findings and Recommendations 2016-17

NHS Digital | November 2018 | National Diabetes Audit Report 1- Findings and Recommendations 2016-17

This report details the findings for the 2016-17 audit. The audit collected data during the Summer of 2017, for the period 1 January 2016 to 31 March 2017 and contains the full key findings, recommendations, results of analysis for multiple readings, and information for learning disability and severe mental illness.

See NHS Digital for details 

National Diabetes Inpatient Audit 2017

Diabetes UK,  Health Quality Improvement Partnership, Public Health England & NHS Digital  | March 2018  | National Diabetes Inpatient Audit 2017

The National Audit  measures the quality of diabetes care provided to people with diabetes while they are admitted to hospital, by answering the following questions:

  • Did diabetes management minimise the risk of avoidable complications?
  • Did harm result from the inpatient stay?
  • Was patient experience of the inpatient stay favourable?
  • Has the quality of care and patient feedback changed since NaDIA 2010, 2011, 2012, 2013, 2015 and 2016?

Inpatient audit
Image source: digital.nhs.uk

Key facts:

  • Bedside data on 16,010 inpatients was submitted, 200 more than NaDIA 2016
  • Around 1 in 6 hospital beds are occupied by a person with diabetes (18 per cent). 1 in 15 of the total population have diabetes (7 per cent)
  • More than a quarter of hospital sites report no dedicated diabetes inpatient specialist nurses (DISNs) (28 per cent)
  • One fifth of hospital sites do not have a multi-disciplinary footcare team (MDFT) (20 per cent), though this proportion has reduced from 42 per cent in 2011
  • Almost one third of inpatients with diabetes have a medication error during their hospital stay (31 per cent)

 

The one page summary can be downloaded here

The full report can be read here at NHS Digital 
Alternatively, the report is also available as a PowerPoint presentation, it can be accessed here

 

National Diabetes Audit 2016-2017 full report – Care Processes and Treatment Targets

Health Quality Improvement Partnership | March 2018 |  National Diabetes Audit, 2016-17 Report 1: Care Processes and Treatment Targets|

The National Diabetes Audit  (NDA) provides a comprehensive view of diabetes care in England and Wales and measures the effectiveness of  diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards.

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The audit asked five focused questions:

  1. Is everyone with diabetes diagnosed and recorded on a practice diabetes register?
  2.  What percentage of people received the NICE key processes of diabetes care?
  3.  What percentage of people achieved NICE defined treatment targets for glucose
    control, blood pressure and cholesterol?
  4. What percentage of people are offered and attend a structured education course?
  5. For people with registered diabetes what are the rates of acute and long term
    complications (disease outcomes)?

 

Key findings

  • 7375 GP practices provided a full submission to the NDA,  meaning primary care participation was 95.3 per cent which is an increase from 82.4 per cent in 2015- 16. 99 specialist services also participated.
  • There was more than 10 per cent  improvements in HbA1c for Type 1 diabetes and blood pressure for Type 2 diabetes over the 6 years between 2011-12 to 2016-17.
  • Young people are almost half as likely to achieve treatment targets as their older counterparts.

 

Its four key recommendations are:

  1. Develop and implement systems for GP practices that clarify who has attended patient education courses.
  2.  Reduce variation; every service and locality has results that are significantly poorer than their peers.
  3. Seek new approaches to improving management for those overall doing worst – people of working age and younger.
  4. People with diabetes should review these results and consider asking questions locally if their CCG/LHB, GP or specialist service appears to be performing poorly.

(HQIP)

The full report, National Diabetes Audit 2016-2017 full report – Care Processes and Treatment Targets is available from NHS Digital

Related materials :

A shorter version of the report was published in November 2017, it can be accessed here

A one page summary is available from Health Quality Improvement Partnership (HQIP) here 


There are additional materials on severe mental illness (SMI) and Learning Disability with Diabetes available here

National Diabetes Footcare Audit: Third Annual Report 2014-2017
This document presents findings on care structures, patient management and outcomes of care for people with active diabetic foot ulcers.

National Diabetes Inpatient Audit, England and Wales 2017
Measures the quality of care diabetes inpatients received, to support quality improvement