The National Clinical Audit Programme
- Falls and Fragility Fracture Audit (includes the Hip Fracture Database) (FFFAP)
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The Falls and Fragility Fracture Audit has been managed as a programme (FFFAP) designed to audit the care that patients with fragility fractures and inpatient falls receive in hospital and to facilitate quality improvement initiatives.
- National Adult Diabetes Audit (NDA)
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Diabetes is a chronic condition affecting over two million people in England and Wales. It is caused by an inability to use or produce the hormone insulin and leads to a rise in blood glucose. The National Diabetes Audit is considered to be the largest annual clinical audit in the world, providing an infrastructure for the collation, analysis, benchmarking and feedback of local data across the NHS.
- National Audit of Cardiovascular Disease Prevention in Primary Care (CVDPrevent) Workstream 3
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The National Audit of Cardiovascular Disease Prevention in Primary Care (CVDPrevent) Workstream 3 is being carried out by the NHS Benchmarking Network. HQIP commissioned this workstream on behalf of NHS England in 2020 to support professionally-led quality improvement in primary care for the prevention of cardiovascular disease (CVD) in England.
- National Audit of Care at the End of Life (NACEL)
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The audit looks at the quality and outcomes of care experienced by those in their last admission in acute, community and mental health hospitals throughout England and Wales. Outputs from this project will be of interest to those who deliver and commission care, and to those in the final stages of life and their families.
- National Audit of Dementia (NAD)
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The National Audit of Dementia examines aspects of the care received by people with dementia in general hospitals in England and Wales. It is managed by the Royal College of Psychiatrists’ Centre for Quality Improvement. It builds upon earlier rounds of the audit going back to 2010 which were also managed by the Royal College of Psychiatrists.
- National Audit of Eating Disorders (NAED)
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The National Audit of Eating Disorders seeks to drive improvement of the identification and appropriate management of eating disorders and the quality and consistency of services for children and young people (CYP), adults of working age and older adults.
- National Audit of Metastatic Breast Cancer (NAoMe)
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This audit will look at the care that patients are receiving for metastatic (secondary) breast cancer in England and Wales, in order to identify any shortfalls, and try to work out how to improve them. One of the challenges involved in gathering data on metastatic breast cancer is that these patients are not automatically recorded on the national cancer registries.
- National Audit of Primary Breast Cancer (NAoPri)
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More than 55,000 people are diagnosed with a new primary breast cancer every year in the UK. Enormous amounts of data on these patient are generated but these data are often collected in different silos. The national audit will take advantage of these valuable data resources and bring the information all together for the first time, for a comprehensive analysis of all aspects of breast cancer care in England and Wales, whilst protecting patient anonymity.
- National Bowel Cancer Audit (NBoCA)
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The bowel cancer programme audit is delivered jointly by the Royal College of Surgeons (RCS) Clinical Effectiveness Unit, and the Association of Coloproctology of Great Britain and Ireland (ACPGBI). The RCS provides project management and technical infrastructure, while the ACPGBI provides clinical leadership and direction.
- National Cancer Audit Collaborating Centre
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Programme Overview The National Cancer Audit Collaborating Centre will deliver six new national cancer audits:
- National Cardiac Audit Programme (NICOR)
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National Cardiac Audit Programme (NICOR)
- National Clinical Audit of Psychosis (NCAP)
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Schizophrenia affects almost 300,000 people in the UK. The National Clinical Audit of Psychosis audit will focus on key concerns about treatment of people with severe mental illness including: access to services; delivery of evidence-based pharmacological and psychological therapies; quality of physical health care; and social exclusion. It aims to increase the quality of care that NHS Mental Health Trusts in England and Health Boards in Wales provide to people with psychosis.
- National Early Inflammatory Arthritis Audit (NEIAA)
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The National Early Inflammatory Arthritis Audit (NEIAA) is being carried out by the British Society for Rheumatology, with support from Kings College London and Netsolving. It’s aim is to improve the quality of care for people living with inflammatory arthritis across England and Wales.
- National Emergency Laparotomy Audit (NELA)
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This audit of a high mortality (c 15%) emergency surgery specifically seeks to improve the key determinants of outcome which are all underpinned by professional standards such as those detailed by NCEPOD, the Department of Health and Royal College of Surgeons. It focusses on systematic pre-op prioritisation based on formal risk assessment, pre-op imaging and antibiotics, timely access to theatre and critical care and appropriate input from consultant surgeons and anaesthetists.
- National Epilepsy 12 Audit
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The audit aims to enable improvement in the quality of and outcomes from care provision for children and young people with epilepsy or suspected epileptic seizures
- National Kidney Cancer Audit (NKCA)
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Kidney cancer is the seventh most common type of cancer in the UK and there have been some important advances in its treatment over the last few years. The results generated by this new audit will help the audit team to deliver further improvements successfully across the country. The audit process will look at diagnosis and treatment, and how patients are managed. For more information please see the audit website link above.
- National Lung Cancer Audit (NLCA)
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The National Lung Cancer Audit (NLCA) was developed in response to the finding in the late 1990s that outcomes for lung cancer patients in the UK lagged behind those in other westernised countries, and varied considerably between organisations within the UK. The audit began collecting data nationally in 2005, and since then has become an exemplar of national cancer audit. In 2015 the Royal College of Physicians won the tender to run the audit for the next three-to-five years.
- National Maternity and Perinatal Audit (NMPA)
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Using timely, high quality data, the National Maternity and Perinatal Audit (NMPA) aims to improve the treatment of mothers and babies during their stay in a maternity unit by evaluating a range of care processes and outcomes in order to identify good practice and areas for improvement in the care of women and babies looked after by NHS maternity services.
- National Neonatal Audit Programme (NNAP)
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Established in 2006 to assess whether babies admitted to neonatal units in England and Wales receive consistent and high-quality care as measured by adherence to a set of agreed professional guidelines and standards. The audit aims to identify areas for quality improvement in NNUs in relation to the delivery and outcomes of care.
- National Non-Hodgkin Lymphoma Audit (NNHLA)
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More than 14,000 people are diagnosed with Non-Hodgkin Lymphoma in the UK every year, and the audit will analyse data looking into their diagnosis and treatment in detail. The aim is to feed results back to individual cancer services and hospitals, as well as to the NHS at a national level in England and Wales. Timely results will be published every three or four months in order to produce continuous improvement for patients diagnosed with Non-Hodgkin Lymphoma. For more information please see th
- National Obesity Audit
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Programme overview Nearly two-thirds of adults in England are living with overweight or obesity. A third of children leaving primary school are living with overweight or obesity.
- National Oesophago-Gastric Cancer Audit (NOGCA)
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Oesophago-gastric (OG) cancer is the fifth most common cancer in the UK, affecting around 16,000 people each year. The audit analyses prospective data on all adult patients diagnosed in England and Wales with either invasive epithelial cancer of the oesophagus, gastro-oesophageal junction (GOJ) or stomach.
- National Ovarian Cancer Audit (NOCA)
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More than 7,000 women in the UK are diagnosed with ovarian cancer every year, but we know that outcomes vary considerably across the country. This new audit, drawing on the work of a feasibility pilot audit which began in 2019, will produce granular information on diagnosis, treatment and surgery, to allow the audit team to assess how to improve care in England and Wales, and create better results for patients. For more information please see the audit website link above.
- National Paediatric Diabetes Audit (NPDA)
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Diabetes is a chronic condition affecting over two million people in England and Wales. It is caused by an inability to use or produce the hormone insulin and leads to a rise in blood glucose. This clinical audit aims to improve the care, outcomes and experiences of children and young people with all types of diabetes treated within NHS Paediatric Diabetes Units (PDU) until the age of 24 years.
- National Pancreatic Cancer Audit (NPaCA)
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Pancreatic cancer is one the least survivable cancers, with virtually no improvement seen in survival rates in the UK over 40 years from the 1970s. This audit will be a really important tool, helping the audit team to accelerate national efforts to improve the care and treatment of patients diagnosed with pancreatic cancer.
- National Prostate Cancer Audit (NPCA)
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Prostate cancer is the most common solid cancer in men with 40,000 new cases diagnosed each year in the UK and its incidence is increasing. The Royal College of Surgeons’ Clinical Effectiveness Unit (CEU) was awarded the contract for the audit, which started on the 1 April 2013, and is managed as a partnership between a team of clinical, cancer information and audit experts.
- National Respiratory Audit Programme (NRAP)
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Programme overview The National Respiratory Audit Programme (NRAP) for England and Wales aims to improve the quality of care, services and clinical outcomes for patients with respiratory diseases, including asthma (adult; children and young people) and chronic obstructive pulmonary disease (COPD).
- National Vascular Registry (NVR)
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The National Vascular Registry audits the care provided by NHS vascular units in England and Wales, and reports on the process and outcomes of care for: Patients undergoing carotid endarterectomy; Patients undergoing abdominal aortic aneurysm (AAA) repair; and Patients undergoing a revascularisation procedure (angioplasty/stent or bypass) or major amputation for lower limb peripheral arterial disease (PAD)
- Paediatric Intensive Care Audit Network (PICANet)
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PICANet was established in 2002 and aims to continually support the improvement of paediatric intensive care provision throughout the UK by providing detailed information on paediatric intensive care activity and outcomes. This audit collects personal, organisational and clinical data on all children with a clinically determined need for paediatric intensive care. It audits the quality of care delivered against the Paediatric Intensive Care Society (PICS) standards.
- Sentinel Stroke National Audit Programme (SSNAP)
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This audit assesses the quality of the organisation and delivery of multi-disciplinary inpatient stroke health services in England, Wales and Northern Ireland. It audits the care provided for patients during and after they receive inpatient care following a stroke.