My breast cancer story: From heartbreak to hope

1 Oct 2026

As part of Breast Cancer Awareness Month, patient representative, advocate and author of ‘Why Me? My Fight for Life From Heartbreak to Hope’, Sharon-Ann, talks to HQIP about her breast cancer journey, sharing her thoughts about the value of data and patient involvement in the design and delivery of breast cancer care.

“Although my breast cancer was diagnosed in 2020, my cancer journey started five years earlier. At that time, for around a year, I had been repeatedly misdiagnosed. Eventually, through the NHS Choose and Book system, I chose to go to St George’s in Tooting, where they identified what had previously been missed, and I was diagnosed with multiple myeloma and associated cardiac amyloid. One hospital sadly failed me, while another saved my life. During my subsequent treatment, my heart became severely damaged, leading to stage 2 heart failure and, at one point I was given just six months to live.

By 2020, my multiple myeloma was in remission but, during lockdown, I found a lump. In fact, I was prompted to check by Breast Cancer Awareness Month, and so I went to my GP. They referred me to a hospital within the necessary time frame and that was quickly followed by a lumpectomy, chemotherapy and radiotherapy. Thankfully, since entering the breast cancer pathway, everything has gone extremely well, and I’m pleased to say that I’m now cancer free. They took into consideration my background and heart failure. I felt as if my patient care and worries were noted pretty much throughout, and the overall care has been extremely good; the treatment was rapid. 

From patient to patient advocate  

As a result of my multiple myeloma, I wrote a book in 2018, to talk about the effects of misdiagnosis, as well as other factors such as (for me, at that time) issues around support given by a clinical consultant versus a Clinical Nurse Specialist (CNS). However, since then, I have contributed regularly to nurse training at St George’s over several years; and I have subsequently seen first-hand how things have changed for the better (when accompanying someone else who had been diagnosed with lymphoma on a hospital visit). With my multiple myeloma, the whole experience was very clinical; but 11 years on, the change was amazing. The consultant explained everything, and then she gave us time with the CNS for as long as we needed, in a separate room.

Since writing my book, I have acted as a patient advocate, raised significant funds for Macmillan Cancer Support, and worked as an insights panellist for a number of organisations. In 2025, I started a Community Interest Company (CIC), Heartbreak to Hope, which grew out of my book and my own experiences. Through the CIC, I support people affected by serious illness, loss and major life changes, with a focus on early awareness, prevention and health inequalities. 

The importance of patient voice AND data 

I believe that data is extremely important in improving patient care and outcomes, because it shows what’s working and what isn’t. But, speaking to patients tells you something else; it tells you what it feels like. I think that it’s so important to have both, in order to improve care. I feel like I can be the person behind the numbers. 

Personally, I’ve always questioned pretty much everything that I’ve been told. I was advised to have a mastectomy and, for me, it wasn’t what I wanted. I was supported in that decision by my consultants, and we went down a different pathway. While the doctors can give you medical advice, as patients, we know ourselves. It’s important that the patient is involved in their own healthcare.

As a Black woman, I’m also very conscious of inequalities in healthcare, with people having spoken to me about differences in their experiences of care. I think this is another area where data is important, because it can help us see where those differences exist. But we need to use that information, alongside what patients are telling us, to make changes.  

Treat the person, not the condition 

With my breast cancer care, I had multiple additional issues that needed to be taken into consideration. As mentioned, I was in remission for multiple myeloma, and had severe heart failure. So, for a long period, I was navigating different cancer teams as well as the cardiac team. And they don’t necessarily fit into any one pathway. Therefore, I think we need to look at the whole person, because they are often juggling so many different things. Again, we need the data to steer treatment; but it needs to be more joined up. 

Breast Cancer Awareness Month: early detection saves lives 

Finally, I’d like to encourage everyone to know what is normal for their breasts, and check themselves regularly this Breast Cancer Awareness Month, and every month! Finding a problem early can mean prompt diagnosis and treatment (one of the slogans for 2026 is Early detection saves lives). That was certainly the case with my breast cancer. I saw something on social media during the campaign that reminded me that we need to check ourselves, and that’s how I found the lump. It’s so important to use these awareness events to encourage people to check themselves. I do it on a monthly basis, but October is a good opportunity to remind everyone. If I didn’t find the lump when I did, I probably wouldn’t be here today. Self-detection does indeed save lives.

Further resources

Patient story: Sharon

World Patient Safety Day 2026: Using data to deliver safer care 

17 Sep 2026

17 September 2026 marks World Patient Safety Day, a global campaign led by the World Health Organisation to raise awareness of patient safety and promote action to reduce avoidable harm in healthcare. This year, the focus is on safe care for non-communicable diseases, highlighting the importance of delivering effective, coordinated, and evidence-based care for people living with long-term conditions.  

At HQIP, patient safety is at the heart of everything we do. Through the commissioning and oversight of national clinical audits, clinical outcome review programmes and registries, we help ensure that healthcare teams have access to robust data and evidence that can identify risks, reduce variation, support improvement, and ultimately improve outcomes for patients. As highlighted on our new patient safety insight hub, learning from audits and registries plays an essential role in helping healthcare services identify where harm may occur and take action to build safer systems of care.  

Patient Safety resources from HQIP 

NEW Article – Spotlight on stroke: From data to safer care  

Stroke provides a powerful example of why improving the safety of care for non-communicable diseases matters. Earlier this month, HQIP published From data to safer care: The role of stroke audit in improving quality of care, in partnership with Patient Safety Learning, highlighting how the Sentinel Stroke National Audit Programme (SSNAP) uses national audit data to support safer, more effective stroke care.  

Stroke remains one of the leading causes of death and disability, with more than 92,000 people admitted to hospital with stroke between April 2024 and March 2025. Ensuring patients receive rapid assessment, timely treatment, and effective rehabilitation is critical, with delays often having significant consequences for outcomes and recovery. 

SSNAP demonstrates how national clinical audit can help address these challenges. By measuring care across the entire stroke pathway and benchmarking performance against evidence-based standards, the programme provides actionable insight that supports quality improvement and patient safety. Recent findings show improvements in access to timely brain imaging and increases in the use of life-saving treatments such as thrombolysis and thrombectomy, illustrating how data can help drive meaningful improvements in care.

Clinical Audit Awareness Week: Patient Safety webinar recording and case study

During Clinical Audit Awareness Week 2026, patient safety was one of the campaign’s five featured themes – including a webinar that brought together expert speakers from across the healthcare system to explore how data can support safer care. The webinar recording and presentations remain available, providing a valuable opportunity to revisit the discussions and share learning more widely. 

The 2026 campaign week also showcased numerous examples of how audit can improve patient safety in practice via the Excellence in Clinical Audit Awards. For example, the runner-up of the Evidence into Practice category explored the impact of improved clozapine monitoring in medium secure services and demonstrated how audit findings can be translated into practical improvements that strengthen monitoring processes and support safer prescribing, reducing risk for patients receiving clozapine treatment.

A dedicated resource for patient safety 

HQIP has recently launched a new patient safety section of our website, bringing together resources, articles, case studies, and examples from across our programmes in one easily accessible place.

Further resources from HQIP  

Quality Improvement Week 2026: Quality data is the bedrock of robust QI

14 Sep 2026

As Quality Improvement Week (14-18 September 2026) begins, healthcare organisations across the country are coming together to share learning, celebrate success, and explore how evidence can be translated into better care for patients. 

The week comes at a pivotal time for the NHS. The Government’s 10 Year Health Plan sets out an ambition for a health service that is more preventative, more community-based and more digitally enabled. Delivering those ambitions will require more than policy change alone. It will require a culture of robust continuous improvement. To achieve that, the healthcare sector will need high-quality data and insights that highlight what is working (and what is not), where variation exists, and where change will have maximum impact. 

The key role of national data 

Data from national clinical audits, clinical outcome reviews, and registries has a critical role to play in the transformation of our healthcare services. Evidence from HQIP’s programmes enables healthcare teams to understand performance, identify opportunities for improvement and ultimately achieve better outcomes for patients. As NHS services continue to evolve, ensuring that data is used not only for assurance, but also for learning and improvement, has never been more important. Indeed, there is growing recognition that its greatest value lies not simply in measuring performance, but in driving targeted improvement. 

Quality improvement resources from HQIP 

This week, we take the opportunity to share some of HQIP’s resources that are publicly available, to support QI in healthcare. In addition to reports and infographics from our programmes – which span a multitude of conditions – our website offers a range of resources, including guidance, case studies, benchmarking tools, and more. Find below some key resources that are relevant to QI Week. 

Article: Healthcare data – the key to improvement and efficiency 

HQIP’s Chair and former NHS England deputy Medical Director, Dame Celia Ingham Clark, features in BMJ Leader, sharing why clinical audit must play a key role in designing an NHS that is “Fit for the Future”: www.hqip.org.uk/news/bmj-leader-3dec25 

Benchmarking data to drive QI 

HQIP’s National Clinical Audit Benchmarking (NCAB) website provides an interactive visualisation of metric results from across our programmes, searchable by audit, topic, keyword and healthcare provider: www.hqip.org.uk/programmes-data/benchmarking 

NHS Best practice guide: Clinical audits and registries 

This guidance sets out a unified approach for commissioning and overseeing clinical audits and registries across the NHS in England and within the audit and registry community: www.england.nhs.uk/long-read/clinical-audits-registries-best-practice-guide 

Article: Integrating clinical audit and quality improvement to deliver impact for patients 

HQIP Associate Director, Dr Iain Smith discusses the subject of integrating clinical audit and quality improvement to deliver impact for patients: www.hqip.org.uk/news/bmjleader-ca-for-patient-impact 

Clinical Audit Awareness Week resources 

Designed to celebrate the critical role of clinical audit and data-driven healthcare improvement, the campaign explored how insight becomes action across five themed days, and generated a wealth of resources: www.hqip.org.uk/news-and-articles/clinical-audit-awareness-week-2026 

Find out more about QI Week 2026: QI Week | The Academy of Research and Improvement 

Further resources from HQIP 

Benchmarking data published

9 Jul 2026

The following datasets were recently published on the National Clinical Audit Benchmarking (NCAB) website, HQIP’s online portal which provides access to national audit performance data:

In addition, NCAB is awaiting corrected data for Fracture Liaison Service Database metric 1 ‘Case identification of all non-spine fractures (KPI 2)’, as an error has been identified in the previously published data. Until the corrected data is loaded, please review results for this metric, here.

NCAB is an online portal, hosted by HQIP, which provides access to national audit performance data. Users do not need to register, and can access audit benchmarked data searchable by trust, hospital or unit. For all datasets currently published, go to the NCAB site.

Position statement: Audit & QI in postgraduate training

1 Jul 2026

HQIP has shared a position statement on resetting audit and quality improvement in UK postgraduate medical training and specialty selection.

This statement sets out HQIP’s recommended approach to how clinical audit and quality improvement should be taught, supported, assessed, and rewarded across UK postgraduate medical training. It is designed to be endorsed by the Medical Royal Colleges and used to influence postgraduate curricula, workplace learning, and specialty selection frameworks.

HQIP logo

Clinical Audit Awareness Week 2026 – all you need to know

29 Jun 2026

Clinical Audit Awareness Week, hosted by HQIP, took place from 22-26 June 2026, and what a week it was!

Under the theme Improving Lives with Healthcare Data, the week showcased how insight can be turned into meaningful action and improvement, with a vibrant programme spanning five themed days. With a packed agenda, the campaign included daily thought-provoking webinars, discussions, and online events announcing the Excellence in Clinical Audit Awards winners. The topics covered ranged from improvement delivery through to strategic impact – and much, much more:

  • Turning Strategy into Reality: Exploring how clinical audit supports strategic and national priorities
  • Patient Involvement and Care Equity: Focusing on patient voice, community engagement, and tackling inequalities
  • Innovation and Transformation: Showcasing cutting-edge approaches, including AI, open source software, and data analytics
  • Patient Safety: Demonstrating how audit data directly improves safety and outcomes
  • Data-Informed Improvement: Looking at how we can turn insight into measurable impact.

The recordings and slides for all events are expected to be made available on HQIP’s dedicated #CAAW26 webpage over the next couple of weeks (we will also endeavour to cover some of the questions we weren’t able to answer during the sessions here). More about the campaign, and the events, can also be found here in the meantime: www.hqip.org.uk/caaw26.

The campaign has been hailed as the “best yet”, bringing together healthcare professionals, patients, and partners to champion the transformative impact of clinical audit and data-driven improvement across the NHS. With unprecedented engagement on social media and event attendee numbers, it was a truly collaborative affair. However, this was evident beyond HQIP-hosted activities. A key part of the success of #CAAW26 was the engagement of those involved in improving healthcare. From anaesthetists to vascular specialists, and from auditors and patients to healthcare leaders, we could not have run this campaign without you. We are grateful to everyone who took part, whether that’s coming to HQIP-hosted events or running your own activities, up and down the country.

Excellence in Clinical Audit Awards

A major highlight of the week was the Excellence in Clinical Audit Awards, celebrating outstanding individuals and teams who are transforming healthcare through audit and evidence-based improvement. Find below a summary of the winners:

  • Strategic Impact Award – Winner: Dr Aicha Bouraoui and the Adolescent and Young Adult Rheumatology Team, University College London Hospitals
  • Equity and Patient Involvement Award – Winner: CAMHS Link Worker Team, West London NHS Trust
  • Innovation Award – Winner: Data Science and Infection Prevention and Control Team, Newcastle upon Tyne Hospitals NHS Foundation Trust
  • Patient Safety Award – Winner: Dermatology Department, Sandwell and West Birmingham NHS Trust
  • Evidence into Practice Award – Joint Winners: Dr Inderpal Singh OBE, Fracture Liaison Service, Aneurin Bevan University Health Board; and the Urology Prostate Cancer Pathway Team, Ashford and St. Peter’s Hospital NHS Foundation Trust.

In addition, two additional commendations recognised excellence in the use of national clinical audit data and effective communication for impact, further underlining the importance of collaboration and sharing learning across the system.

Details of all award winners, as well as runners-up, can be found here: Excellence in Clinical Audit Awards.

Congratulations to all participants, winners, and contributors who made this week such a success!

More from HQIP

Clinical Audit Awareness Week 2026 not only celebrated achievements, but also reinforced a clear message: data, when used effectively, can change lives. Did you know that HQIP’s website is a central hub for data, reports and further resources to support healthcare improvement:

In addition, you can also find information about particular clinical, and other topics (such as health inequalities) by using the ‘Topics’ drop-down menu across the top of this site, for example, the Maternity, perinatal & neonatal page contains information about programmes, reports and other updates relating to those areas.

Stay up-to-date: To find out the latest about #CAAW26, such as when event recordings are being shared, as well as other data-informed improvement news, sign up to HQIP’s mailing list.

CAAW website news post

CAAW26 Use of National Clinical Audit winners announced

26 Jun 2026

We are delighted to share that the winners of the Using National Clinical Audit commendation (part of the Excellence in Clinical Audit Awards 2026 during Clinical Audit Awareness Week) have been announced!  

This is an additional award given to projects that demonstrate excellence in the use of data from the HQIP-commissioned National Clinical Audit and Patient Outcomes Programme (NCAPOP), to deliver improvements in healthcare. Many congratulations to:  

Dr Singh

This project aimed to strengthen secondary fracture prevention by improving fragility fracture identification and management, using data from the Falls and Fragility Fracture audit (FFFAP). The team designed and implemented a digitally enabled model that replaced multi-step referrals with a streamlined, system-wide automated identification process. With poor case ascertainment at the outset (22.7% in 2021), identification rose to 80% (3,015 cases) in 2025, double the national benchmark of 40% (and achieved five years earlier than planned).

ELHT A Thorpe J Gaskell photo NCAPOP commendation joint winner

This project used data from the National Audit of Care at the End of Life (NACEL) to drive improvements, including care planning and communication with patients and their families. Analysis of results from 2019 to 2025 demonstrated sustained improvement across key NACEL indicators and patient experience measures, with the Trust moving from one of the lowest ranked in 2019 to exceeding all NACEL key indicators in 2025. 

NPDA-logo

This project made extensive use of data from the National Paediatric Diabetes Audit (NPDA), enabling real-time monitoring of uptake, equity, outcomes, and service variation. By integrating a variety of datasets from across the system, the programme created a comprehensive national view of diabetes care for children and young people. It led to substantial improvements in access to diabetes treatments without increasing data burden for clinical teams.

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

CAAW26 Communicating for Impact winners announced

26 Jun 2026

We are delighted to share that the winners of the Communicating for Impact commendation (part of the Excellence in Clinical Audit Awards 2026 during Clinical Audit Awareness Week) have been announced!  

This is an additional award given to projects that demonstrate excellence in effective communication of the impact of clinical audit and/or improvement projects. Many congratulations to:  

Reaching the Unreached: Transforming Child Mental Health Access in Diverse Communities is a data-informed quality improvement approach to building trust, awareness, and culturally responsive involvement. The project communicated its impact through strong community engagement, data transparency, and collaborative learning. Using messaging that was accessible, culturally relevant and trusted, it utilised a combination of data, storytelling and community-based communication to ensure that the project’s impact was widely understood.

The team communicated through a coordinated, multi-audience approach designed to reach patients, families, carers and healthcare professionals. A suite of patient-focused resources was developed, enabling easy discovery and trust, in addition to tailored implementation packs for healthcare professionals. Clear analytics, user feedback and real patient experiences have consistently been used to evidence reach, engagement and value, ensuring the project’s impact is visible, credible and compelling to all stakeholders. 

This quality improvement project was designed to evaluate and improve the outcomes and experiences of patients attending the Dental Drop-in Clinic for Birmingham’s homeless community. Using effective communication through multidisciplinary partners, staff training and patient communications, feedback, complaints and incident data were all used alongside qualitative quotations to reinforce a patient-centred narrative and improve care.

The SGS delivers gambling disorder treatments across a population of 9.4 million people in the South of England. They work with their lived experience group to ensure that their work is co-produced and informed by need and impact for all people with gambling disorders, for example working with them on scientific journal publications, poster presentations and conference attendance. They are also working with NHS England and others, to lead and promote similar work at a national level.

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

CAAW26 Evidence into Practice award winners announced

26 Jun 2026

We are delighted to share that the winners of the Evidence into Practice category of the Excellence in Clinical Audit Awards 2026, which are part of Clinical Audit Awareness Week, have been announced!  

This award recognises clinical audits and evidence-informed improvement projects that have resulted in clear and impactful change to the delivery of services. These evidence-based projects have resulted in practical action on the ground, helping teams and systems to deliver meaningful change and improve care for patients. Many congratulations to:  

Dr Singh

This project aimed to strengthen secondary fracture prevention by improving fragility fracture identification and management, using audit. The team designed and implemented a digitally-enabled model that replaced multi-step referrals with a streamlined, system-wide automated identification process. With poor case ascertainment at the outset (22.7% in 2021), identification rose to 80% (3,015 cases) in 2025, double the national benchmark of 40% (and achieved five years earlier than planned).

Service Redesign and Capacity Improvement Through Nurse Practitioner Role Expansion in the Prostate Biopsy Pathway

This project (Service Redesign and Capacity Improvement Through Nurse Practitioner Role Expansion in the Prostate Biopsy Pathway) uses audit to address critical delays between clinic review and LATP biopsy, and improve outcomes for prostate cancer patients. The result was an increase in clinic capacity by 33.3% and biopsy capacity by 37.5%, without requiring additional consultant sessions or theatre lists; maximising the use of limited resources and demonstrating evidence into practice. 

This project was designed as a structured, multi-cycle clinical audit to evaluate compliance with policy and guidelines of Clozapine, an antipsychotic medication with risk of fatal side effects. It combined robust quantitative monitoring with multidisciplinary qualitative analysis, enabling clear identification of issues, to deliver a strong foundation for evidence-informed change. Across the three cycles, the audit demonstrated transformational improvements and sustained adoption.

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

CAAW26 Patient Safety award winners announced

25 Jun 2026

We are delighted to share that the winners of the Patient Safety category of the Excellence in Clinical Audit Awards 2026, which are part of Clinical Audit Awareness Week, have been announced!  

This award recognises clinical audits and evidence-informed improvement projects that have a primary focus on improving patient safety. Many congratulations to:  

Patient Safety winner team photo

This project was designed to monitor skin cancer Multidisciplinary Team (MDT) outcome compliance using audit data, since failure to implement MDT decisions pose significant patient safety risks. The first cycle demonstrated 74% compliance, which was lower than before the Covid-19 pandemic; so multiple interventions were introduced. A re-audit, six months later, demonstrated improved compliance with MDT outcomes up to 92%.

Breaking the Fall was developed to reduce harm from inpatient falls, since variation in practice and limited reliability of preventative interventions were a significant patient safety concern. By taking a robust, data-driven improvement approach using clinical audit principles and quality improvement methodology, the team delivered safer care through system redesign, staff engagement, and continuous learning. 

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories.  

Register NOW: Find out more about, and register for, HQIP’s free online events, to find out about all the winners of the Excellence in Clinical Audit Awards and hear more about the Clinical Audit Awareness Week topics: 

  • Friday 26 June, 10am-12pm: Data-Informed Improvement (morning webinar) REGISTER HERE
  • Friday 26 June, 1-3pm: Data-Informed Improvement (afternoon webinar) – with Evidence into Practice award announcement REGISTER HERE. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

Nottingham maternity report published, featuring audit data

24 Jun 2026

The Ockenden independent report into maternity services at Nottingham University Hospitals NHS Trust has been published today. The biggest maternity inquiry of its kind, the report investigates the quality of care relating to newborn, infant and maternal harm at the Trust; and presents findings, conclusions and essential actions.

The report draws on findings from multiple HQIP-commissioned national clinical audits and outcome reviews, highlighting the importance of these programmes:

MBRRACE-UK (Maternal, Newborn and Infant Clinical Outcome Review)

Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (known as MBRRACE-UK) is mentioned several times, including:

“Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) highlighted that inadequate care during the latent phase of labour is a significant issue contributing to adverse outcomes.” (page 154)

“The MBRRACE-UK perinatal surveillance programme has provided comparison of perinatal and neonatal mortality rates across hospitals since 2013, using stabilised and adjusted rates that account for maternal age, socio-economic deprivation, baby’s sex and ethnicity, multiplicity and gestational age at birth.” (page 188) The 2026 report can be found here: Perinatal Mortality Surveillance report  – HQIP

National Maternity and Perinatal Audit (NMPA)

The National Maternity and Perinatal Audit (NMPA) is utilised for data on maternal critical care:

“Research suggests that for every maternal death, 70–90 women experience severe morbidity, and approximately 2.4 per 1,000 births result in a critical care admission (The National Maternity and Perinatal Audit Maternity Admissions study into intensive care in England, Wales and Scotland 2019).” (page 180) This report can be found here: NMPA Intensive Care Report – HQIP

National Neonatal Audit Programme (NNAP)

The National Neonatal Audit Programme (NNAP), referred to as the National Neonatal Audit Project in the report, is also mentioned:

“NNAP collects data from all neonatal units in England, Scotland and Wales on agreed quality improvement measures and enables benchmarking against other units. All available NNAP data for the period 2012 to 2025 was reviewed.” (page 188)

The report goes on to state that “All neonatal units must use national neonatal audit programme (NNAP) (RCPCH 2026) outcomes and GIRFT (NHSE 2026) reviews to focus quality improvement work and drive improvements in those areas identified as negative outliers with an emphasis on close to real time quality surveillance alongside the use of audit data” as part of its Immediate and Essential Actions to Improve Care and Safety in Maternity Services Across England (page 331)

Once again, this underlines the importance of data, not only in understanding what is happening, but also in driving improvement that has a meaningful impact on the lives of patients and their families.

The Ockenden Review worked with more than 2,500 families, and over 800 current and former staff; we wish to offer our condolences to everyone involved.

More data and resources from HQIP relating to maternity care

gov.uk logo maternity

CAAW26 Innovation award winners announced

24 Jun 2026

We are delighted to share that the winners of the Innovation category of the Excellence in Clinical Audit Awards 2026, which are part of Clinical Audit Awareness Week, have been announced!  

This award recognises clinical audits and evidence-informed improvement projects that use healthcare data in new or creative ways to improve care. This may include novel uses of data, digital tools, technology, analytics, or artificial intelligence. Many congratulations to:  

This project involved the creation of a Reproducible Analytical Pipeline for Rapid, Sustained and Statistically-Significant Improvement in MRSA Admission Screening Compliance, using open-source software. It integrated electronic patient record and laboratory data, to identify screening-eligible inpatients and determine compliance status, enabling targeted interventions where they were needed most.

Read the case study

Transforming End of Life Care: A Champion-Led Quality Improvement Approach was designed to address limited specialist capacity, using audit results. With multiple interventions and a monthly dashboard to track progress and sustain improvement, this innovative project used co-produced stories to explain why care mattered, helping to shift learning from passive compliance to reflective practice. The result was measurable improvements in end-of-life care and staff confidence, and increased positive feedback from bereaved families. 

Read the case study

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories.  

Register NOW: Find out more about, and register for, HQIP’s free online events, to find out about all the winners of the Excellence in Clinical Audit Awards and hear more about the Clinical Audit Awareness Week topics: 

  • Thursday 25 June, 10.30am-12pm: Patient Safety REGISTER HERE
  • Thursday 25 June, 12.45-1.30pm: Lunchtime Sharing Session – with Patient Safety award announcement REGISTER HERE
  • Friday 26 June, 10am-12pm: Data-Informed Improvement (morning webinar) REGISTER HERE
  • Friday 26 June, 1-3pm: Data-Informed Improvement (afternoon webinar) – with Evidence into Practice award announcement REGISTER HERE. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

CAAW26 Equity and Patient Involvement award winners announced

23 Jun 2026

We are delighted to share that the winners of the Equity and Patient Involvement category of the Excellence in Clinical Audit Awards 2026, which are part of Clinical Audit Awareness Week, have been announced!  

This award recognises This award recognises clinical audits and evidence-informed improvement projects that put patients at the centre of care, by effectively engaging them, carers and communities, and/or helping to address healthcare inequalities. Many congratulations to:  

CAMHS Link Worker Team - Equity & patient involvement & communication commendation winner

Reaching the Unreached: Transforming Child Mental Health Access in Diverse Communities is a data-informed improvement approach to building trust, awareness, and culturally responsive engagement. It combines clinical audit principles, community insight, and co-production to address inequities in access to mental health services; and saw referrals from underrepresented communities increase by 30% overall, with peaks reaching 84% above baseline.

NPDA-logo

The NPDA’s Youth Voice Communications Project was developed to improve how national audit findings are communicated to children and young people living with diabetes. It demonstrates how patient involvement can strengthen the impact of audits by ensuring that findings are not only reported to services, but also communicated in ways that are meaningful and empowering for the people whose care they reflect. 

Dr Hemavathy Palanyiaya & Danielle Ashley

From Fragmentation to Integration is a multi-component quality improvement programme that addresses health inequalities for young people with complex physical and learning disabilities who are transitioning to adult services. By delivering safer, more coordinated and equitable transitions, it improves lifelong health trajectories. Participants recorded improved preparedness for adulthood (97%), high satisfaction (100%), and stronger engagement with primary care overall, with estimated savings exceeding £500k annually.

My Voice Matters is a multi-agency quality improvement initiative addressing a critical inequity in safeguarding, namely children’s inability to fully participate in child protection medical assessments due to reliance on verbal communication.  With a co-produced toolkit, this intervention enables children to tell, draw or show their experiences using images, symbols and choice-led interaction; delivering measurable improvements in both patient experience and safeguarding outcomes.

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories.  

Register NOW: Find out more about, and register for, HQIP’s free online events, to find out about all the winners of the Excellence in Clinical Audit Awards and hear more about the Clinical Audit Awareness Week topics: 

  • Tuesday 23 June, 2-3pm: Patient Involvement and Care Equity: Maternity and Healthcare Inequalities (afternoon webinar) REGISTER HERE
  • Wednesday 24 June, 10am-12pm: Shaping the Future Together – featuring Sir James Mackey, Chief Executive, NHS England REGISTER HERE
  • Wednesday 24 June, 12.45-1.30pm: Lunchtime Sharing Session – with Innovation award announcement REGISTER HERE
  • Thursday 25 June, 10.30am-12pm: Patient Safety REGISTER HERE
  • Thursday 25 June, 12.45-1.30pm: Lunchtime Sharing Session – with Patient Safety award announcement REGISTER HERE
  • Friday 26 June, 10am-12pm: Data-Informed Improvement (morning webinar) REGISTER HERE
  • Friday 26 June, 1-3pm: Data-Informed Improvement (afternoon webinar) – with Evidence into Practice award announcement REGISTER HERE. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

CAAW26 Strategic Impact award winners announced

22 Jun 2026

We are delighted to share that the winners of the Strategic Impact category of the Excellence in Clinical Audit Awards 2026, which are part of Clinical Audit Awareness Week, have been announced!  

This award recognises clinical audits and evidence-informed improvement projects that use healthcare data to support the delivery of national or strategic priorities, leading to a sustainable healthcare service that ensures resources are used where they benefit patients most. Many congratulations to:  

The Pathway to Equity Project (PEP) is an award-winning improvement initiative that uses a systems thinking approach to address hospital appointment non-attendance (DNA) among young people aged 16 to 24; an issue resulting in losses of millions of pounds. Using data and machine learning to identify key predictors of DNA, this project offers a scalable model for equitable, community-focused care – so offers an innovative, yet simple, way to support the Core20PLUS5 strategic aims.

Thrombolysis in Acute Stroke Collaborative (TASC) is a national, data-driven improvement programme designed to improve the safe and timely delivery of thrombolysis for acute stroke patients. Quantitative data was complemented by qualitative evidence and a range of quality improvement initiatives, to demonstrate clear and sustained improvement (thrombolysis rates improved nationally from 10.7% to 14.9% for the first time in 10 years) – and so directly supports the NHS Long Term Plan’s ambition to improve outcomes for its six named conditions. 

This project (Service Redesign and Capacity Improvement Through Nurse Practitioner Role Expansion in the Prostate Biopsy Pathway) uses audit to address critical delays between clinic review and LATP biopsy, and improve outcomes for prostate cancer patients. The result was an increase in clinic capacity by 33.3% and biopsy capacity by 37.5% without requiring additional consultant sessions or theatre lists; maximising the use of limited resources and supporting both the National Cancer Plan and the 10 Year Health Plan.

Who are the other winners? 

This award is one of five main, and two additional commendation, categories in this year’s Excellence in Clinical Audit Awards. The winners are announced at a series of daily online events from 22-26 June 2026, which are run alongside a series of themed webinars, aligned to the award categories.  

Register NOW: Find out more about, and register for, HQIP’s free online events, to find out about all the winners of the Excellence in Clinical Audit Awards and hear more about the Clinical Audit Awareness Week topics: 

  • Tuesday 23 June, 10.30-11.30am: Patient Involvement and Care Equity (morning webinar) REGISTER HERE
  • Tuesday 23 June, 12.15-1pm: Lunchtime Sharing Session – with Equity and Patient Involvement award announcement REGISTER HERE
  • Tuesday 23 June, 2-3pm: Patient Involvement and Care Equity: Maternity and Healthcare Inequalities (afternoon webinar) REGISTER HERE
  • Wednesday 24 June, 10am-12pm: Shaping the Future Together – featuring Sir James Mackey, Chief Executive, NHS England REGISTER HERE
  • Wednesday 24 June, 12.45-1.30pm: Lunchtime Sharing Session – with Innovation award announcement REGISTER HERE
  • Thursday 25 June, 10.30am-12pm: Patient Safety REGISTER HERE
  • Thursday 25 June, 12.45-1.30pm: Lunchtime Sharing Session – with Patient Safety award announcement REGISTER HERE
  • Friday 26 June, 10am-12pm: Data-Informed Improvement (morning webinar) REGISTER HERE
  • Friday 26 June, 1-3pm: Data-Informed Improvement (afternoon webinar) – with Evidence into Practice award announcement REGISTER HERE. 

All award winners announced so far can be found here: Excellence in Clinical Audit Awards.


Clinical Audit Awareness Week 2026 

A week-long national campaign that aims to improve and save lives by promoting and celebrating the critical role of clinical audit and data-driven healthcare improvement. Join in the fun by sharing online, using #CAAW26! 

Find out more: Clinical Audit Awareness Week 2026 

Clinical Audit Awareness Week 2026 is here!

22 Jun 2026

The wait is over; we are celebrating the critical role of clinical audit and data-driven healthcare improvement, with Clinical Audit Awareness Week (22-26 June 2026).

Across five themed days, this week-long campaign explores how insight becomes action, showcasing practical examples, innovation, and collaboration to support improvement across healthcare.

With a packed agenda, it includes thought-provoking webinars and lunchtime events announcing the Excellence in Clinical Audit Awards winners.

All you need to know can be found using the links below:

CAAW website news post