NHS England has been directed by the Secretary of State for Health and Social Care to establish and operate a system for the collection and analysis of the National Diabetes Audit (NDA) including the National Diabetes Audit Core Audit, which is part of the NDA programme of clinical audits.
People with diabetes should receive annual care checks each year and should be achieving a target for their blood glucose, cholesterol and blood pressure values; these annual checks and targets are outlined in the National Institute for Health and Care Excellence (NICE) Clinical Guidelines and Quality Standards.
The main National Diabetes Audit, known as the Core Audit, collects information from general practices and specialist diabetes out-patient services to look at whether people with diabetes are:
- receiving their annual care checks
- achieving their treatment targets
- achieving expected health outcomes
- being offered and attending structured education
From 2023, NDA Core Audit has been extended to include specialist monogenic diabetes data for England from the Royal Devon University Healthcare NHS Foundation Trust. Monogenic diabetes data (diagnostic codes generated from the UK NHS diagnostic testing service for monogenic diabetes hosted by the Royal Devon University Healthcare NHS Foundation Trust) will be linked to the NDA to allow care process and treatment outcomes from the audit to be used to assess the care of people with monogenic diabetes.
NHS England will publish the audit outputs in the form of interactive dashboards; annual state of the nation summary reports; bespoke reporting tailored to different audiences (including commissioning bodies, people with diabetes and clinicians) and summary infographics.