Reports by topic

Reports, infographics, recommendations and more from HQIP’s national improvement programmes and wider work.

Please note that some reports fall under more than one category.

Cardiovascular disease – annual report 2025
  • CVDPREVENT (National Audit of Cardiovascular Disease Prevention in Primary Care), workstream 3

CVDPREVENT, which aims to support quality improvement in the prevention of cardiovascular disease (CVD) in primary care in England, has published its latest annual audit report. Cardiovascular disease remains the leading cause of premature mortality in England Based on data up to March 2025, it contains key findings relating to…

Acute limb ischaemia
  • Medical and Surgical Outcome Review Programme

The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has published Risking Life and Limb, a review of the quality of the care provided to adults with acute limb ischaemia (ALI)*. Delays occurred due to acute limb ischaemia not being recognised and the underuse of vascular networks The study…

Paediatric diabetes – care and outcomes 2024/25
  • National Paediatric Diabetes Audit (NPDA)

This report from the National Paediatric Diabetes Audit (NPDA) finds that the number of children and young people receiving care from a paediatric diabetes unit rose to 35,801 in England,…

Type 2 diabetes – spotlight audit 2023/24
  • National Paediatric Diabetes Audit (NPDA)

The National Paediatric Diabetes Audit (NPDA) has published a report on the care provided to children and young people (CYP) with Type 2 diabetes by paediatric diabetes units (PDUs) in…

Patients who do not undergo an emergency laparotomy 
  • National Emergency Laparotomy Audit (NELA)

Based on patients admitted to hospitals in England, Wales and Northern Ireland between 24 April 2024 and 31 March 2025, this report is an audit of the standards of care for patients who do not undergo an emergency laparotomy (‘NoLap’ cohort).  The inclusion of NoLap patients enables valuable insights into variations in clinical care and outcomes for high-risk patients managed without surgery This report is focussed on patients presenting with radiological and/or clinical suspicion of…

Perinatal Mortality Surveillance – State of the Nation report 
  • Maternal, Newborn and Infant Clinical Outcome Review (MBRRACE-UK)

Known as MBRRACE-UK, this outcome review programme’s latest report focuses on UK perinatal deaths of babies born in 2024, finding that rates of baby death continued to decrease in that…

Multiple births outcomes of maternity care
  • National Maternity and Perinatal Audit (NMPA)

This report, from the National Maternity and Perinatal Audit (NMPA), is based on multiple births in NHS maternity services in England, Scotland and Wales during 2023. Of the 600,907 babies…

Paediatric critical care – State of the Nations report 2025
  • Paediatric Intensive Care Audit Network (PICANet)

The Paediatric Intensive Care Audit Network (PICANet) has released a paediatric critical care summary report, based on data collected between January 2022 and December 2024. The report describes key metrics and…

Induction of labour snapshot audit
  • National Maternity and Perinatal Audit (NMPA)

Based on births in NHS maternity services in England, Scotland and Wales during 2023, this report from the National Maternity and Perinatal Audit (NMPA) finds that one in three women…

Suicide – annual report 2026 (2013-2023 data)
  • Mental Health Clinical Outcome Review (NCISH)

This latest report from the National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) found that there were 18,602 suicides by patients in the UK and Jersey over…

Eating disorders – service mapping report 2025
  • National Audit of Eating Disorders (NAED)

This report shares the first findings from the new National Audit of Eating Disorders (NAED), detailing data provided about services in England between January and May 2025. In its first…

Suicide and safety in mental health
  • Mental Health Clinical Outcome Review (NCISH)

The National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) has published its annual report 2025, which is based on UK patient and general population data from 2012-2022….

Annual report: Steps to fracture liaison service effectiveness
  • Falls and Fragility Fracture Audit (FFFAP), incl National Hip Fracture Database (NHFD)

The Fracture Liaison Service Database (FLS-DB), part of the Falls and Fragility Fracture Audit, has published a new report: Steps to fracture liaison service effectiveness: importance of treatment recommendations. Based…

National Joint Registry (NJR) annual report 2025
  • National Joint Registry (NJR)

The 22nd Annual Report from the National Joint Registry (NJR), which is hosted by HQIP, covers the period from 1st April 2024 to 31st March 2025. Available online, via the…

Inpatient falls – Stepping towards improvement
  • Falls and Fragility Fracture Audit (FFFAP), incl National Hip Fracture Database (NHFD)

The National Audit of Inpatient Falls (NAIF), part of the Falls and Fragility Fractures Audit Programme (FFFAP), has published Stepping towards improvement, an analysis of 2024 inpatient falls audit data….

Dementia – Survey of Memory Assessment Services 
  • National Audit of Dementia (NAD)

The National Audit of Dementia (NAD) has published a report on the Service Mapping Exercise carried out across Memory Assessment Services in England and Wales, plus Jersey, in 2025. The…



Stroke – State of the Nation report 2025
  • Sentinel Stroke National Audit Programme (SSNAP)

This report from the Sentinel Stroke National Audit Programme (SSNAP) is based on 92,414 patients who were admitted across 250 hospitals, 195 community services and 184 six-month follow-up providers in…



Epilepsy – combined organisational and clinical audits
  • Epilepsy12 (National Clinical Audit of Seizures and Epilepsies for Children and Young People)

Epilepsy12 (delivered by the Royal College of Paediatrics and Child Health) has published a report about the first year of care for children and young people (CYP) following a first…


National Maternity and Perinatal Audit – NHS Maternity care for women with a Body Mass Index (BMI) of 30 or above
  • National Maternity and Perinatal Audit (NMPA)

This report focuses on the maternal and neonatal outcomes of pregnant women with body mass index (BMI) of 30 or above who gave birth between 1 April 2015 and 31 March 2017, compared with those of women with BMI in the range 18.5–24.9. Women with BMI of 30 or above have a higher risk of complications antenatally, intrapartum and postnatally than women with a BMI in the healthy range. Nevertheless,…

Perinatal Mortality Surveillance – State of the Nation report 
  • Maternal, Newborn and Infant Clinical Outcome Review (MBRRACE-UK)

Known as MBRRACE-UK, this outcome review programme’s latest report focuses on UK perinatal deaths of babies born in 2024, finding that rates of baby death continued to decrease in that year. Since MBRRACE-UK began, the number of babies who died shortly before, during, or soon after birth has been falling…

Respiratory care – State of the Nation 2026 report 
  • National Respiratory Audit Programme (NRAP)

This report is a longitudinal overview of respiratory care across England and Wales, using data from people admitted to hospital with COPD and asthma (adults and children and young people), and people assessed for pulmonary rehabilitation between April 2021 and March 2025. Service participation continues to increase with 676 participating…

Asthma & COPD – Wales primary care 
  • National Respiratory Audit Programme (NRAP)

This report is an analysis of adult and Children and Young people’s (CYP) asthma and chronic obstructive pulmonary disease (COPD) primary care data in Wales. Data were obtained from 371 general practices in Wales in August 2025, and captured activity between 1 August 2023 and 31 July 2025.  Almost one in four people wait 5 years or more…

Paediatric diabetes – care and outcomes 2024/25
  • National Paediatric Diabetes Audit (NPDA)
Emergency paediatric surgery
  • Child Health Clinical Outcome Review Programme
Respiratory care – State of the Nation 2026 report 
  • National Respiratory Audit Programme (NRAP)

This report is a longitudinal overview of respiratory care across England and Wales, using data from people admitted to hospital with COPD and asthma (adults and children and young people), and people assessed for pulmonary rehabilitation between April 2021 and March 2025. Service participation continues to increase with 676 participating sites across the workstreams in 2023/24 increasing to 690 in 2024/25 Encouraging trends are emerging within COPD, children and young…

Patients who do not undergo an emergency laparotomy 
  • National Emergency Laparotomy Audit (NELA)

Based on patients admitted to hospitals in England, Wales and Northern Ireland between 24 April 2024 and 31 March 2025, this report is an audit of the standards of care for patients who do not…

Emergency paediatric surgery
  • Child Health Clinical Outcome Review Programme

The Child Health Clinical Outcome Review Programme (delivered by NCEPOD) has released Right Place, Right Time, Right Team, which is a review of the quality of the care provided to…

Acute limb ischaemia
  • Medical and Surgical Outcome Review Programme

The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has published Risking Life and Limb, a review of the quality of the care provided to adults with acute limb…

Adults with a learning disability when admitted to hospital acutely unwell 
  • Medical and Surgical Outcome Review Programme

The Medical and Surgical Outcome Review Programme, delivered by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD), has published Learning Together, a review of the quality of care provided to adults with a learning disability who were admitted to hospital acutely unwell. Recognising that a patient has a learning disability is a vital first step towards providing appropriate care It includes calls for better use of terminology and…