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National Diabetes Audit - 2015-2016: Report 1, Care Processes and Treatment Targets

Publication date: 00:00 January 31, 2017

Summary

The National Diabetes Audit (NDA) continues to provide a comprehensive view of Diabetes Care in England and Wales and measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards, in England and Wales.

This national report presents the key findings and recommendations on care processes and treatment target achievement rates from 2015-2016 in all age groups in England and Wales along with information on offers and attendance for structured education places.

This year, for the first time information is reported on the number of people with diabetes who also have a learning disability and completion of care processes and treatment target acheivement. A separate national report presents the key findings and recommendations; The Learning Disability - Supplementary Information report has also been developed as a power point presentation.

As with last year's publication the main report contains information on the national key findings and recommendations and has also been developed as a power point presentation, along with slides highlighting the national findings there is also space to allow the incorporation of locally produced slides using the tables and charts from the interactive spreadsheets. We hope that users will find this beneficial to help disseminate the results of the audit locally.

Supplementary data for England and Wales are contained in the excel spreadsheets. There are 6 excel spreadsheets; two spreadsheets contains the tables and charts in the national report and learning disability report along with some supplementary national figures, a further spreadsheet provides all 8 care process completion and all 3 treatment target achievement for CCGs/LHBs by age group.

There are also 3 interactive excel spreadsheets which allow users to select the CCG/GP practice (England only), Local Health Board (Wales only) or Secondary Care Service (England only) of choice, information for the chosen site is then displayed in tables and charts.

Please note that the interactive excel spreadsheets are large files (approximately 12MB) and may take some time to open.

This report was updated on 09/02/17. The following amendments have been made to the report:

The CCG/GP spreadsheet was updated as some of the CCGs/general practices were not available in the interactive aspect. We have also added a reference table for practice codes and names. All the data for care processes and treatment targets was correct in the supporting data tables.

The spreadsheet report for Wales and LHBs has been amended. A practice wrongly appeared in a LHB, this practice has now been assigned to the correct LHB which has changed the results for LHB 7A2 and 7A3.

The specialist service spreadsheet has been updated as the interactive aspect was not working for all hospitals. This does not change the results for specialist services.

Both the CCG/GP and LHB spreadsheets have been updated for structured education offered and attendance. This has changed the results for individual CCGs/Practices and LHBs but not the national results.

We have updated the methodology documentation for structured education to explain more fully how we have analysed and reported on the structured education data for the 2015-16 audit report.

We have also added a link, which can be found below in resources, to our interactive dashboard for the 2015-16 report. This dashboard provides CCGs, LHBs and GPs (England only) with an alternative way to view their data for completion of all 8 care process and achievement of all 3 treatment targets as well their data on registrations by age, sex, deprivation and ethnicity.


Key Facts

Participation

  • Participation increased to 82.4 per cent from 57.3 per cent in 2014-15

Annual Care Processes

  • The 2013-14 drop in Body Mass Index (BMI) checks and the 2014-15 drop in Urine Albumin to Creatinine Ratio (UACR) measurement (the check for early kidney disease) have not recovered
  • Even when case-mix adjusted (banded) the variation is striking

Structured Education

  • The progressive rise in offers continues
  • Recording of attendance is still inconsistent

Achievement of the Treatment Targets (HbA1c, BP, Cholesterol

  • Variation is notable among Clinical Commissioning Groups (CCGs) and Local Health Boards (LHBs), specialist and GP services for both Type 1 and Type 2 and other diabetes
  • Variation is not explained by case-mix
  • Those aged under 65 do worst (both Type 1 and Type 2 and other)

Learning Disabilities (LD)

  • People with diabetes who have a LD have similar care process and treatment target results to their peers without a learning disability.

Coverage

Date Range: 01 January 2015 to 31 March 2016
Geographical coverage: England and Wales
Geographical granularity: NHS Trusts, Primary Care Organisations, Hospital Trusts, NHS Health Boards, Clinical Commissioning Groups

Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

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