NCAPOP Programme Summaries

This includes HQIP commissioned projects that cover topics related to cardiovascular disease and stroke care. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Vascular Registry
• Sentinel Stroke National Audit Programme

This includes HQIP commissioned projects that cover topics related to cancer care. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Audit of Breast Cancer in Older Patients
• National Gastro-Intestinal Cancer Audit Programme
• National Lung Cancer Audit
• National Prostate Cancer Audit

This includes HQIP commissioned projects that cover topics related to infant and child health. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• Child Health Clinical Outcome Review Programme
• Epilepsy12 Audit
• National Asthma and COPD Audit Programme
• National Cardiac Audit Programme
• National Child Mortality Database
• National Paediatric Diabetes Audit
• Neonatal Audit Programme
• Paediatric Intensive Care Audit Network

This includes HQIP commissioned projects that cover topics related to diabetes care. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Diabetes Audit
• National Paediatric Diabetes Audit

This includes HQIP commissioned projects that cover topics related to end of life/palliative care This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Audit of Care at the End of Life

This includes HQIP commissioned projects that cover topics related to maternal, perinatal and infant health. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Recommendations are informed by CREATED SMART and the MTP Recommendations Registry. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• Maternal, Newborn and Infant Clinical Outcome Review Programme
• National Child Mortality Database
• National Diabetes Audit (pregnancy)
• National Maternity and Perinatal
• Neonatal Audit Programme
• Paediatric Intensive Care Audit Network
• Perinatal Mortality Review Tool

This includes HQIP commissioned projects that cover topics related to children and young people’s mental health. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• Epilepsy12 Audit
• Mental Health Clinical Outcome Review Programme
• National Asthma and COPD Audit Programme
• National Paediatric Diabetes Audit

This includes HQIP commissioned projects that cover topics related to adult mental health. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Audit of Dementia
• Mental Health Clinical Outcome Review Programme
• National Clinical Audit of Psychosis

This includes HQIP commissioned projects that cover topics related to respiratory disease/care. This summary is intended to provide a brief overview of the remit of each project, information on data available (other than that found in reports) and a summary of quality improvement resources. It also includes a link to the project’s UPCARE-tool, which is a “one-stop” summary of the key features of the project.

All programmes produce regular reports that include recommendations to improve care that are collated into a central repository of recommendations. Trusts may also be interested in the National Clinical Audit Benchmarking project (NCAB) that provides a visual snapshot of individual Trust audit data set against individual national benchmarks.

• National Asthma and COPD Audit Programme

Care at the End of Life (NACEL): https://www.nhsbenchmarking.nhs.uk/nacel
Delivered by NHS Benchmarking Network

The National Audit of Care at the End of Life Audit aims to improve the quality of care of adults (18+) at the end of life in acute, mental health inpatient facilities and community hospitals.

Child Health Clinical Outcome Review Programme: https://www.ncepod.org.uk/index.html
Delivered by NCEPOD

The programme uses case note review to examine issues in child health. The current topic is transition and will focus on the interface between different care settings (e.g. primary/secondary care and health/social care) and the quality of care provision.

Epilepsy12 Audit: https://www.rcpch.ac.uk/work-we-do/quality-improvement-patient-safety/epilepsy12-audit
Delivered by the Royal College of Paediatrics and Child Health

Epilepsy12 measures the quality of care for children and young people with seizures and epilepsies. This includes an organisational audit (service descriptor), clinical care audit and patient reported experience measures (PREM).

Falls & Fragility Fracture Audit (FFFAP): https://www.fffap.org.uk/
Delivered by the Royal College of physicians

The care that patients receive is measured through a number of elements that run in parallel within the three key work streams:

1. The National Hip Fracture Database (NHFD), a continuous national clinical audit of acute hip fracture care
2. The Fracture Liaison Service Database (FLSDB), a continuous national clinical audit of secondary fracture and falls prevention
3. The National Audit of Inpatient Falls (NAIF), a clinical audit of falls prevention in hospitals.

Maternal, Newborn and Infant Clinical Outcome Review Programme: https://www.npeu.ox.ac.uk/mbrrace-uk
Delivered by MBRRACE-UK collaborative

Programme consists of these elements:

1. Perinatal mortality (stillbirths and neonatal deaths up to 28 days after birth)
2. Confidential enquires* in perinatal and maternal mortality. Full information on previous and upcoming reports can be found in a table at the bottom of this page
3. Maternal mortality and morbidity – national data available in annual reports

* A confidential enquiry is a systematic process of multi-disciplinary, anonymous review of case notes. The aim is to assess the quality of care provided in each case to inform future practice and improvements in care which may make a difference to future outcomes.

Medical & Surgical Clinical Outcome Review Programme: https://www.ncepod.org.uk/index.html
Delivered by NCEPOD

The programme reviews the management of patients by undertaking confidential enquiries* (case note reviews) to review the care provided against standards. For a full list of topics go to the reports page.

* A confidential enquiry is a systematic process of multi-disciplinary, anonymous review of case notes. The aim is to assess the quality of care provided in each case to inform future practice and improvements in care which may make a difference to future outcomes.

Mental Health Clinical Outcome Review Programme: https://sites.manchester.ac.uk/ncish/
Delivered by the National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) at the University of Manchester

The programme collects information on all suicides in the UK and in-depth information on patient suicides (people who had contact with mental health service in the 12 months preceding their death). They produce an annual report and regular topic-specific reports on general population issues (e.g. middle-aged men, nurses, risk assessment).

National Asthma and COPD Audit Programme (NACAP): https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap
Delivered by the Royal College of Physicians

The audit aims to improve the quality of care, services and clinical outcomes for patients with asthma (adult and children and young people) and chronic obstructive pulmonary disease (COPD), which reduces variation in care, and improves outcomes.

National Audit of Breast Cancer in Older Patients (NABCOP): https://www.nabcop.org.uk/
Delivered by the Royal College of Surgeons of England

This audit evaluates the quality of care provided to women aged 70 years or older. It explores why older women with breast cancer appear to have worse outcomes than younger women and investigate apparent differences in the patterns of care delivered to older women, compared to women 50-69.

National Audit of Dementia (NAD): https://www.rcpsych.ac.uk/improving-care/ccqi/national-clinical-audits/national-audit-of-dementia/nad-reports-and-resources/data-tables
Delivered by the Royal College of Psychiatrists

The audit aims to review the quality of care received by people with dementia and is conducting pilot work on changing its methodology and content, one aim being to move to more rapid and regular reporting (more information on the audit website). In addition, it includes one-off spotlight audits on specific clinical topics (e.g. community based memory assessment services, psychotropic medication)

National Child Mortality Database: https://www.ncmd.info/
Delivered by the University of Bristol

The National Child Mortality Database (NCMD) records comprehensive, standardised information collected by local the Child Death Overview Panels (CDOPs) as part of the Child Death Review (CDR) process. The data is combined with data from other sources and then analysed and reported to ensure that deaths are learned from, that learning is widely shared and that actions are taken, locally and nationally, to reduce the number of children who die.

National Clinical Audit of Psychosis (NCAP): https://www.rcpsych.ac.uk/improving-care/ccqi/national-clinical-audits/national-clinical-audit-of-psychosis
Delivered by the Royal College of Psychiatrists

The audit measures care provided to people with psychosis. The scope of the audit includes both inpatient and community care provided for people with a broader group of severe mental health problems. The first year of the audit looked at care being provided to people with a psychosis by inpatient and outpatient services. From year two, the audit has focused on the quality of care provided by Early Intervention in Psychosis (EIP) teams.

National Diabetes Audit (NDA): https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/national-diabetes-audit

Delivered by NHS Digital

The National Diabetes Audit assesses local practice against guidelines and compares care and outcomes with similar services and organisations.

The audit is made up of 4 core modules:

• National Diabetes Core Audit (NDA core)
• National Pregnancy in Diabetes Audit (NPID)
• National Diabetes Footcare Audit (NDFA)
• National Inpatient Diabetes Audit, including National Diabetes In-patient Audit – Harms (NaDIA-Harms)

National Early Inflammatory Arthritis Audit (NEIAA): https://www.rheumatology.org.uk/practice-quality/audits/neiaa
Delivered by British Society for Rheumatology

The NEIAA audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments in England and Wales.

National Emergency Laparotomy Audit (NELA): https://www.nela.org.uk/

Delivered by the Royal College of Anaesthetists

The aim of the audit is to enable the improvement of the quality of care for patients undergoing emergency laparotomy. In addition to an annual report that benchmarks hospital performance, NELA also produces quarterly benchmarking reports for each hospital that enables them to monitor their performance across the key recommended standards of care on a more frequent basis.

National Gastro-Intestinal Cancer Audit Programme (GICAP)

National Bowel Cancer Audit: https://www.nboca.org.uk/

National Oesophago-Gastric Cancer Audit: https://www.nogca.org.uk/
Delivered by the Royal College of Surgeons

The National Gastro-Intestinal Cancer Audit Programme (GICAP) comprises both the National Bowel Cancer Audit and the National Oesophago-Gastric Cancer Audit. These national clinical audits evaluate the quality of care and outcomes for patients diagnosed with bowel, oesophageal or gastric cancer.

National Lung Cancer Audit (NLCA):
Delivered by the Royal College of Surgeons of England since 1 February 2022.

The audit aims to review the quality of lung cancer care and to identify areas for improvement and reduce variation in practice.

National Maternity and Perinatal (NMPA): https://maternityaudit.org.uk/pages/home
Delivered by the Royal College of Obstetricians and Gynaecologists

The audit consists of three elements: organisational survey of maternity and neonatal care provision, and services available to women; annual clinical audit to identify unexpected variation between maternity services and periodic ‘sprint’ audits on specific topics.

National Obesity Audit (NOA):
https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/national-obesity-audit 
Delivered by NHS Digital

NOA will bring together comparable data from the different types of adult and children’s weight management services across England in order to drive improvement for the benefit of those living with overweight and obesity.

National Paediatric Diabetes Audit (NPDA): https://www.rcpch.ac.uk/work-we-do/quality-improvement-patient-safety/national-paediatric-diabetes-audit/data-files
Delivered by the Royal College of Paediatrics and Child Health

The audit assesses the health checks (care processes) and outcomes for children and young people with diabetes attending Paediatric Diabetes Units (PDUs) in England and Wales.

National Prostate Cancer Audit (NPCA): https://www.npca.org.uk/
Delivered by the Royal College of Surgeons

The aim of the NPCA is to assess the process of care and its outcomes in men diagnosed with prostate cancer, allowing hospitals to assess their care against national standards/clinical guidance and the performance of other trusts.

National Vascular Registry (NVR): https://www.vsqip.org.uk/
Delivered by the Royal College of Surgeons

The National Vascular Registry (NVR) audits the care provided by NHS vascular units in England and Wales, and reports on the process and outcomes of care for: (i) patients undergoing a revascularisation procedure (angioplasty/stent or bypass) or major amputation for lower limb peripheral arterial disease (PAD), (ii) patients undergoing carotid endarterectomy, and (iii) patients undergoing abdominal aortic aneurysm (AAA) repair.

Neonatal Audit Programme (NNAP): https://www.rcpch.ac.uk/work-we-do/quality-improvement-patient-safety/national-neonatal-audit-programme
Delivered by the Royal College of Paediatrics and Child Health

The NNAP assesses whether babies admitted to neonatal units receive consistent high quality care. They identify areas for quality improvement in relation to the delivery and outcomes of care.

Paediatric Intensive Care Audit Network  (PICANet): https://www.picanet.org.uk/
Delivered by the University of Leeds

PICANet collects data on all children admitted to paediatric intensive care units (PICUs). This dataset provides an important evidence base on outcomes, processes and structures that permits planning for future practice, audit and interventions. The core dataset allows comparison of PICU activity at a local level with national benchmarks such as PIC Standards.

Perinatal Mortality Review Tool (PMRT): https://www.npeu.ox.ac.uk/pmrt
Delivered by the MBRRACE-UK collaborative

The national Perinatal Mortality Review Tool (PMRT) aims to support an objective, robust and standardised review to provide answers for bereaved parents about why their baby died and ensure local and national learning to improve care and prevent future deaths. It reports national learning annually. The tool does not collect measures, but instead leads multidisciplinary teams through a review of a baby’s death. Information at an organisational level is not available.

Sentinel Stroke National Audit Programme (SSNAP): https://www.strokeaudit.org/
Delivered by Kings College London

The aim of SSNAP is to provide timely information on how well stroke care is being delivered. SSNAP measures both the processes of care (clinical audit), as well as the structure of stroke services (organisational audit).