National Diabetes Inpatient Audit, England and Wales 2017

Reports | Published: 14 Mar 2018

The National Diabetes Inpatient Audit (NaDIA) measures the quality of diabetes care provided to people with diabetes while they are admitted to hospital whatever the cause, and aims to support quality improvement. Data is collected and submitted by hospital staff in England Wales.

National Diabetes Inpatient Audit 2017 shows that, since the audit began in 2010, there have been very impressive improvements in many aspects of inpatient diabetes care, including reductions in medication errors, severe hypoglycaemia and hospital-acquired diabetic foot lesions.

However, the rate of two important and life-threatening harms remain unchanged:

Hospital-acquired diabetic ketoacidosis (DKA); and
Hospital-acquired hyperosmolar hyperglycemic state (HHS)
DKA and HHS are preventable and should not occur during a hospital admission.

The audit sets out to measure the quality of diabetes care provided to people with diabetes while they are admitted to hospital, by answering the following questions:

  • Did diabetes management minimise the risk of avoidable complications?
  • Did harm result from the inpatient stay?
  • Was patient experience of the inpatient stay favourable?
  • Has the quality of care and patient feedback changed since NaDIA 2010 – 2016

The report will be of interest to the public, especially to people with diabetes. Health planners and policymakers, as well as acute NHS Trusts, Clinical Commissioning Groups, Local Health Boards, Sustainability and Transformation Partnerships, Clinical Networks (CNs; formerly Strategic Clinical Networks or SCNs) and other providers and commissioners of specialist diabetes services will also make use of the information in this report.

To download, the full and summary report click on the links below.

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National Diabetes Inpatient Audit, England and Wales 2017