National Diabetes Audit
National Diabetes Audit
The National Diabetes Audit (NDA) is the largest annual clinical audit in the world, integrating data from both primary and secondary care sources, making it the most comprehensive audit of its kind. The audit is now CLOSED for submissions for the 2013-2014 collection and will reopen during July 2015 for the 2014-15 collection.
National Diabetes Audit collection 2014-2015
Primary Care Submissions - General Practice and Secondary Care Submissions
|Audit Year||Data Collection Period|
|2014-2015 (1st January 2014 to 31st March 2015)||During July 2015 to Mid-August 2015|
How to Participate
The audit collection will reopen during July for the 2014-15 data collection
Revised information on how to participate will be updated shortly
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 based on the diabetes National Service Framework (NSF):
- 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 aims to improve the quality of patient care by enabling NHS organisations to:
- compare their outcomes of care with similar NHS organisations
- identify and share best practice
- identify gaps or shortfalls in commissioning services
- assess local practice against NSF for diabetes and NICE guidelines and drive service improvement
- provide a more comprehensive picture 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. On a national level, wide participation in the audit also provides an overview of the quality of care being provided in England and Wales.
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
Please submit NDA data access requests to the audit commissioner, HQIP, using the following link:
Clinical Audit Documentation
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.
Access the audit reports
- NDA 2013 - 2014 Primary Care Extraction Specification v9.0 [520kb]
- NDA 2013 - 2014 Secondary Care CSV Specification v7.2 [320kb]
- Diabetes - CCG Form [60kb]
- Diabetes - LHB Form [60kb]
- Diabetes - GP Practice Form [59kb]
- Diabetes - Trust Form [58kb]
- NDA 2013 - 2014 CSV template v7.1 [41kb]
- NDA GP Letter [240kb]
- MiQUEST Query Information
- Primary Care Participation Instructions [124kb]
- EMIS Web Data Landing User Guide for Registrations and Submitting Data v1.0 [705kb]
- Registering for an account with Open Exeter for the NDA v1.1 [21kb]
- Exporting NDA 2013-14 data from EMIS Web v1.0 [524kb]
- National Diabetes Audit - FAQs [208kb]
- Information for People with Diabetes [1Mb]
- Healthcare Quality Improvement Partnership (HQIP) (external)
- Diabetes UK (external)
- NHS Diabetes (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)