National Neonatal Audit Programme 2020 Annual Report

Reports | Published: 12 Nov 2020

1 in 7 babies have too low a birth weight or have a medical condition that requires specialist treatment. In this report the National Neonatal Audit Programme (NNAP) focuses on key measures of the care provided to babies in 2019 in the 181 neonatal services in England, Wales, Scotland and the Isle of Man.

The NNAP uses routine data collection to report on a range of care processes and outcomes throughout the pathway of neonatal care, from antenatal interventions to follow-up of developmental outcomes after discharge from neonatal care.  This report includes network level reporting of mortality until discharge from the neonatal unit, and adherence to neonatal nurse staffing standards, for only the second time. For the first time, the report describes the rates of maternal breastmilk feeding at 14 days of age.

Update April 2021: Version 2 of the NNAP 2020 Annual Report on 2019 data was published in April 2021. This version corrects two analytical errors. The first relates to antenatal steroids, magnesium sulphate, normal temperature on admission, and bronchopulmonary dysplasia results for two hospitals, and was caused by the incorrect assignation of a maternity location. There is no impact on the overall result for these measures. The second applies a minor analytical revision made to the measure normal temperature on admission, which treats unrecordable temperatures as low, as intended in the NNAP methodology. This affects the results for 21 hospitals, and has a minimal impact on the overall result for this measure. These corrections do not affect the conclusions or the recommendations made in this report.

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National Neonatal Audit Programme 2020 Annual Report