NCAPOP Programme Summaries

HQIP commissioned projects have been summarised and grouped into categories based on location of care and clinical subject area. Each 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. Projects are included in all groupings where they fit and as such, may appear more than once. All individual summaries are farther down on this page.

Location of care

1. Acute Care

This includes HQIP commissioned projects that cover topics related to acute 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. Please scroll down to find individual programme summaries.

  • Falls & Fragility Fracture Audit
  • Medical & Surgical Clinical Outcome Review Programme
  • National Asthma and COPD Audit Programme
  • National Audit of Care at the End of Life
  • National Audit of Dementia
  • National Cardiac Audit Programme
  • National Diabetes Audit (inpatient)
  • National Early Inflammatory Arthritis Audit
  • National Emergency Laparotomy Audit
  • National Vascular Registry
  • Sentinel Stroke National Audit Programme
2. Community Care

This includes HQIP commissioned projects that cover topics related to community 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 (Pulmonary Rehab)
  • National Audit of Care at the End of Life
  • National Clinical Audit of Psychosis
3. Mental Health organisations

This includes HQIP commissioned projects that cover topics related to 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.

  • Falls & Fragility Fracture Audit
  • Medical & Surgical Clinical Outcome Review Programme
  • Mental Health Clinical Outcome Review Programme
  • National Audit of Care at the End of Life
  • National Clinical Audit of Psychosis
4. Primary Care

This includes HQIP commissioned projects that cover topics related to primary 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 (Wales only)
  • National Diabetes Audit

Clinical Areas

1. Cardiovascular disease and Stroke care

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 Cardiac Audit Programme
  • National Vascular Registry
  • Sentinel Stroke National Audit Programme
2. Cancer

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
3. Children and Young People (excluding mental health)

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
4. Diabetes

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
5. End of Life/Palliative care

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
6. Maternity and neonatal services

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. 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
7. Mental Health - Children and Young People

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
8. Mental Health - Adults

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
9. Respiratory disease

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

Individual programme summaries

National Audit of Care at the End of Life (NACEL)

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.

 

Measures: Summary scores methodology based on “One Chance to Get it Right” has been developed using data from organisational audit, Case Note Review, a Quality Survey completed by the bereaved person and Staff Reported Measures.
Data: Hospitals have bespoke dashboards online which are accessible by your local hospital palliative care or contact [email protected] for more information.
QI support: A best practice resource is available online by the local hospital palliative care team or contact [email protected] for more information.
UPCARE Link NACEL UPCARE
Child Health Clinical Outcome Review Programme

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.

 

Measures: These vary from report to report depending on the subject.
Data: Data is only available in aggregate form and is not reported by organisation.
QI support: Each NCEPOD report includes resources such as slide sets, fishbone diagrams, and an audit tools. Look on the NCEPOD website under the individual report tabs.

NCEPOD invite poster presentations at their conferences that outline best practice and how organisations and clinical teams have implemented recommendations and improvements in care. These are available on the NCEPOD website under events.

UPCARE Link To be added at a later date.
Epilepsy12 Audit

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).

 

Measures: Children and young people who have a first paediatric assessment for epilepsy covering measures such as specialty clinician input, referral, access to treatment and assessment, diagnosis and care planning.
Data: Live dashboard reports showing individual Health Board/Trust, regional network and national level benchmarking and performance, data quality and completeness.
QI support: RCPCH Epilepsy Quality Improvement Programme (EQIP). A comprehensive QI programme, EQIP has supported paediatric epilepsy teams to work together to test and implement improvements in their local service provision.
UPCARE Link Epilepsy12 UPCARE document
Falls & Fragility Fracture Audit (FFFAP)

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.

 

Measures: The audit collects organisational, process and outcome measures.
Data: NHFD provides real time feedback through online benchmarking data and run charts for their hospital/region as well as annual ‘state of the nation’ reports for England and Wales. NAIF provides slide sets of benchmarking data.
QI support: FFFAP provides online training materials in data interpretation and QI tools, specific clinical resources/tools, QI workshops and opportunities for collaboratives.
UPCARE Link FFFAP UPCARE
Maternal, Newborn and Infant Clinical Outcome Review Programme

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

 

Measures: Mortality rates per trust, CCG, STP, health authority and associated risk factors
Data: Perinatal mortality– real time data and annual trust level reports (contact your trust MBRRACE lead for login details or email the team at [email protected]).
QI support: The programme invites poster submissions annually and runs annual conferences.
UPCARE Link To be added at a later date.

 

* 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

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.

 

Measures: These vary from report to report depending on the subject.
Data: Data is only available in aggregate form and is not reported by organisation.
QI support: Each NCEPOD report includes resources such as slide sets, fishbone diagrams, and an audit tools. Look on the NCEPOD website under the individual report tabs.

 

NCEPOD invite poster presentations at their conferences that outline best practice and how organisations and clinical teams have implemented recommendations and improvements in care. These are available on the NCEPOD website under events.

UPCARE Link To be added at a later date.

* 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

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).

 

Measures: Demographics, psychosocial history, physical illness, lifetime history, recent experiences, treatment and details of suicide.
Data: NCISH data is not available online. Each trust in England is sent a ‘safety scorecard’ once a year – this is sent to the trust Medical Director.
QI support: The programme have toolkits available to self-assess organisations against evidence/standards.
UPCARE Link NCISH UPCARE
National Asthma and COPD Audit Programme (NACAP)

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.

 

Measures: The audit collects organisational, process and outcomes measures for asthma and COPD delivered in secondary care services, pulmonary rehabilitation and primary care asthma.
Data: NACAP provides comparative performance data for clinical services through reports and online data visualisations, and can be accessed by work stream.
QI support: The audit has regional QI workshops and has dedicated QI resources such as driver diagrams and run charts available.
UPCARE Link NACAP UPCARE
National Audit of Breast Cancer in Older Patients (NABCOP)

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.

 

Measures: Measures examine the care pathway from initial diagnosis to the end of primary treatment.
Data: Cancer stats online portal.

Clinicians and trusts/health boards can access comprehensive online annual reports and tables.

QI support: The audit has links to QI resources available.
UPCARE Link NABCOP UPCARE
National Audit of Dementia (NAD)

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)

 

Measures: Under review as part of the major piloting work.

Previously was grouped into themes including carer rating of patient care, assessment, information and communication, staffing and training, nutrition, discharge and governance.

Data: Previous rounds of audit data are available including data tables, interactive maps as well as regional and local reports.
QI support: Under review as part of the major piloting work.
UPCARE Link NAD UPCARE
National Cardiac Audit Programme (NCAP)

National Cardiac Audit Programme: https://www.nicor.org.uk/national-cardiac-audit-programme/
Delivered by National Institute for Cardiovascular Outcomes Research (NICOR), hosted by Barts Health NHS Trust

The National Cardiac Audit Programme (NCAP) team checks that the care received by heart disease patients meets good practice standards. They do this by conducting clinical audit and by comparing patient outcomes, such as case mix-adjusted survival and readmission rates.

The programme has 6 work streams:

  1. Adult cardiac surgery – All adult patients undergoing major heart surgery
  2. Cardiac interventions – All adult patients on whom a percutaneous cardiovascular intervention procedure is performed
  3. Cardiac rhythm management (CRM) – All adult patients with implanted devices or receiving interventional procedures for management of cardiac rhythm disorders
  4. Congenital heart disease – All cardiac or intrathoracic great vessel procedures carried out in patients under the age of 16 years, and all adult congenital cardiac procedures performed for a cardiac defect present from birth
  5. Heart failure – All patients with an unscheduled admission to hospital with heart failure
  6. MINAP – All adult patients with heart attack or unstable angina.

 

Measures: Measures cover process, outcome and organisational / structure metrics.
Data: Clinical outcomes by hospital

Clinical outcomes by surgeon

Non mortality outcome data

QI support: Post procedural care and sharing of learning between hospitals through peer networks and workshops
UPCARE Link NCAP UPCARE
National Child Mortality Database

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.

 

Measures: The programme collects data found in Child Death Reviews (CDRs).
Data: Data is available in reports and includes downloadable excel tables.
QI support: The programme collects and shares case studies.
UPCARE Link To be added.
National Clinical Audit of Psychosis (NCAP)

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.

 

Measures: Key performance areas include the assessment and treatment of physical health, health promotion, prescribing practice, use of evidence-based psychological treatments and access to services at times of crisis.
Data: The audit has produced data tables at the local and regional levels. Local reports are provided to individual organisations.
QI support: NCAP ran five regional QI webinars in 2020 which were recorded and are available to view. The focus of these webinars was on ‘outcome measurement’ from the EIP audit, what is being measured and why, and how data can be used to review and improve EIP team quality and individual care.
UPCARE Link NCAP UPCARE
National Diabetes Audit (NDA)

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)

 

Measures: The audit collects structure, process and outcome measures.
Data: National Diabetes Core Audit (NDA core)

National Pregnancy in Diabetes Audit (NPID)

National Diabetes Footcare Audit (NDFA)

National Inpatient Diabetes Audit

National Diabetes In-patient Audit – Harms (NaDIA-Harms)

QI support: A Quality Improvement Toolkit has been developed to help GP practices use their diabetes data to improve services. Diabetes UK manages Quality Improvement Collaboratives (QIC) which set local aims to improve diabetes care.
UPCARE Link NDA UPCARE
National Early Inflammatory Arthritis Audit (NEIAA)

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.

 

Measures: Measures include assessing waiting times, time to treatment, clinical response to treatment, provision of education and patient-reported outcomes.
Data: Data is available under ‘resources’ on the NEIAA webpage – 2021 data, 2020 data
QI support: Editable driver diagrams are available to support quality improvement activities as well as clinic prompts to support decision-making (see section on ‘Supporting units’).
UPCARE Link NEIAA UPCARE
National Emergency Laparotomy Audit (NELA)

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.

 

Measures: NELA collects process and outcome measures.
Data: Hospitals can download their own report.
QI support: The audit runs QI workshops, produced QI videos.  There are also posters that share best practice and QI.
UPCARE Link NELA UPCARE
National Gastro-Intestinal Cancer Audit Programme (GICAP)

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.

 

Measures: Process and outcomes measures including 1) 90-day post-operative mortality, 2) 30-day unplanned readmission and 3) Length of stay.

A description of each NBOCA performance indicator and its mapping to national guidelines is available.

Data: Hospital data is available online.
QI support: The audit has QI resources available online.
UPCARE Link GICAP UPCARE
National Lung Cancer Audit (NLCA)

National Lung Cancer Audit (NLCA): https://www.rcplondon.ac.uk/projects/national-lung-cancer-audit
Delivered by the Royal College of Physicians

The audit aims to review the quality of lung cancer care and to identify areas for improvement and reduce variation in practice including: annual clinical audit, organisational audit and one-off, spotlight audits on specific clinical topics (e.g. curative intent treatments, molecular testing in advanced lung cancer).

 

Measures: A detailed list is on the provider website. This includes demographics, process, diagnosis, treatment and pathology measures.
Data: Data is obtained from Cancer Outcomes and Services Dataset (COSD)

The CancerStats portal (N3 connection required) is available to clinical teams. This includes a dedicated area showing NLCA benchmarked results for data completeness and local performance.

QI support: The audit has held QI workshops and these are available online.
UPCARE Link NLCA UPCARE
National Maternity and Perinatal Audit (NMPA)

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.

 

Measures: A range of care processes and outcomes for NHS maternity services across England, Scotland and Wales, focusing on mothers and babies
Data: An interactive online facility where results of the clinical audit and organisational surveys can be viewed and downloaded in a range of formats, including interactive tables and graphs by site, trust/health board, region and country.
QI support: This is currently being developed by the audit.
UPCARE Link NMPA UPCARE
National Paediatric Diabetes Audit (NPDA)

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.

 

Measures: The audit collects demographics, process data on completion of health checks and outcomes. This includes prevalence and incidence of diabetes, associated complications, and completion of health checks (care processes) by age group, gender, type of diabetes, deprivation, region and country.
Data: Data files available as well as NPDA results online. Also downloadable unit level results.
QI support: The audit is connected to the RCPCH National Diabetes Quality Programme.
UPCARE Link NPDA UPCARE
National Prostate Cancer Audit (NPCA)

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.

 

Measures: The audit collects organisational, process and outcome measures such as availability of facilities, treatments and support services, as well as treatments provided.
Data: Provider level data is available online.
QI support: QI resources are available including QI workshops, blogs and case studies.
UPCARE Link NPCA UPCARE
National Vascular Registry (NVR)

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.

 

Measures: Demographics, where and when the patient was admitted, indications for surgery, the severity of a patient’s vascular disease, and other co-existing conditions, the type and timing of surgery received, and the care received after surgery in hospital.
Data:
  1. Available within NVR IT system – can only be accessed from N3 network. Instructions available.
  2. Also has downloadable excel files with organisational data from annual report.
QI support: Vascular Services Quality Improvement Programme has several QI resources for professionals.
UPCARE Link NVR UPCARE
Neonatal Audit Programme (NNAP)

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.

 

Measures: Operational clinical data on neonatal services who look after babies born too early, with a low birth weight or who have a medical condition requiring specialist treatment.
Data: NNAP Online is an interactive reporting tool that allows users to view and compare the audit’s results for a specific neonatal unit or network for results since 2014.
QI support: NNAP works closely with the British Association of Perinatal Medicine (BAPM) and they offer several quality improvements toolkits to improve practice. There is also a series of case studies to illustrate how hospitals have used the audit to identify and implement quality improvement activities – and improve patient care.
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Paediatric Intensive Care Audit Network (PICANet)

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.

 

Measures: Demographic and clinical data on all critically ill children admitted to paediatric intensive care units (PICUs).
Data: Data is available in excel on the PICANet website.
QI support: None currently available.
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Perinatal Mortality Review Tool (PMRT)

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)

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).

 

Measures: The audit collects organisational measures, process metrics and outcome metrics.
Data: Data includes 1) acute teams – summary spreadsheet, full results portfolio and slide deck showing changes over time, 2) Community teams – a full results portfolio and slide deck showing changes over time, 3) regional, CCG and Health Board results portfolio, summary and slide deck.

Data links

QI support: The audit has dedicated QI resources including online indicators, root cause analysis and health economics tools. The audit has case studies that demonstrate good practice.
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