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National Pregnancy in Diabetes Audit
The National Pregnancy in Diabetes (NPID) Audit aims to support clinical teams to deliver better care and outcomes for women with diabetes who become pregnant.
National Diabetes Audit Integrated Specialist Survey
Find out more about the National Diabetes Audit Integrated Specialist Survey (NDA ISS).
Information about the National Diabetes Audit Programme and the NPID audit
The National Diabetes Audit (NDA) Programme has moved to being a directed programme by NHS England. The National Pregnancy in Diabetes (NPID) Audit is part of this wider programme and therefore the guidance agreed for the NDA also applies to NPID.
Consenting patients for the NPID audit
All services in England no longer have to consent patients before entering their data.
Services in Wales and the Isle of Man must still complete a consent form before a patient's data can legally be recorded.
Consent and entering data on the CAP system
All services must choose ‘yes’ for consent in order to enter a record – regardless of location.
This is an interim measure whilst some services are still required to consent.
Report information and updates
The National Pregnancy in Diabetes Audit is a continuous collection so please keep collecting and entering your data into the online data collection tool.
The fifth annual report was published on 10 October 2019 and includes all pregnancies from January 2017 – December 2018 that were inputted into the online clinical audit platform before 15 February 2019.
Dates for your calendar
Submission deadline: 12 February 2021
Summary tables have now been added to the Clinical Audit Platform. These summary tables allow users to check on their performance as soon as their completed records are entered. This will enable participants to regularly check and improve on their audit results throughout the year and make changes to their practices without waiting for the annual report. The tables will reflect ‘live’ data entered and therefore encourage the prompt entry of patient data to obtain instant results.
The tables will act as an important quality improvement tool and will empower users to ask questions of their results and rectify anomalies earlier than was previously allowable.
If your service has not yet registered to take part in the NPID but would like to do so, or you would like to add new users for the data collection tool you can find more information further down this page in the ' How can I participate in this audit' section.
If you have any questions or would like to be added to our distribution list for the audit so that you receive updates directly, please contact the NPID team at firstname.lastname@example.org
How can I participate in this audit?
As of 1 January 2018, the NPID audit only requires explicit signed consent for patients being treated in Welsh healthcare services and any participating services in the Isle of Man. Patients being seen in English healthcare services do not need to fill out a consent form.
Patients who do not wish to participate can either inform their Clinician, who can remove the record from the data base, or inform NHS Digital by e-mail, post or telephone (proof of identity will be required). Contact details can be found at the bottom of this page.
Following the change in consent, all the patient material has been updated and is available to download at the bottom of this page
- All information for each pregnancy should be recorded on the NPID data collection form.
- If the pregnancy resulted in more than one baby e.g. twins please use the Additional baby sheet to record the additional outcomes
- Register to submit data using the NPID User Registration Form. Once registered submit your data into the online tool for the audit, the Clinical Audit Platform.
For more details on how to participate, please refer to the NPID Guidance notes.
All necessary documentation can be downloaded from the bottom of this webpage.
As one of the audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP), participation in the National Pregnancy in Diabetes is a requirement in the NHS standard contract for acute hospitals with obstetric services.
If you are unsure if you are eligible please contact the team at email@example.com
NPID is a continuous data collection therefore you can enter data at any time during the year. You should collect information on all women with diabetes who become pregnant. Data is to be routinely recorded during the pregnancy using the data collection forms. Once complete, the data must then be submitted online using the NHS Digital secure, online tool. For details on how to submit your data, please refer to the NPID Guidance notes (see User Documents), which outline the submission process in detail.
What does it measure?
The National Pregnancy in Diabetes (NPID) Audit measures the quality of pre-gestational diabetes care against NICE guideline based criteria and the outcomes of pre-gestational diabetic pregnancy. It will answer the following three key questions
- Were women with diabetes adequately prepared for pregnancy?
- Were appropriate steps taken during pregnancy to minimise adverse outcomes to the mother?
- Did any adverse outcomes occur?
Who manages the audit?
The National Pregnancy in Diabetes Audit (NPID) is a workstream of the National Diabetes Audit (NDA) and is managed by NHS Digital under an agreement with the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England and the Welsh Government. The NDA is delivered by NHS Digital (previously known as 'the Health and Social Care Information Centre, HSCIC'), in partnership with Diabetes UK and the National Cardiovascular Intelligence Network (part of Public Health England).
Use of audit tools and documentation outside of the clinical audit
You hereby agree that in downloading or using the documents or tools on this web page for any use outside of the project for which it was developed, you are entering into a royalty free, non-exclusive, licence agreement with the Healthcare Quality Improvement Partnership under the following Terms and Conditions:
All information, software, products and related graphics contained in the audit tool or data collection form are provided for non commercial purposes "as is" without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights. In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the audit tool or form. HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the audit tool or forms. HQIP reserves the right to make improvements, changes or updates to forms or tools at any time without notice.
Access the audit reports
- National Pregnancy in Diabetes Audit Implementation Guidance v4.0
- NPID Participant Information Leaflet_Wales_v2
- NPID Participant Information Leaflet_England_v6
- NPID Poster
- NPID Data items and sources
- Participant Consent Form v5
- NPID Data Collection Form v10
- NPID Data Collection Form v10 No Consent
- Additional baby sheet v2
- NPID User Registration Form v2.6
- NPID English Hospital FAQs V1.9
- NPID Welsh Hospital FAQs V1.7
- NPID Data Flow Diagram 2018 v1.0
- NPID Summary Tables Guidance v1.0
- NPID Summary Tables - an introduction
- NPID Accessing Clinical Audit Platform reports guidance v1.1
- FINAL report of the NPID Quality Improvement Collaboratives
- NPID January 2020 AB
- Access the Data Submission Portal (Opens in a new window)
- Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study (Opens in a new window)
- Diabetes UK (external) (Opens in a new window)
- Diabetes Health Intelligence (as part of Yorkshire and Humber Public Health Observatory (external) (Opens in a new window)
- Association of British Clinical Diabetologists (external) (Opens in a new window)
- Healthcare Quality Improvement Partnership (external) (Opens in a new window)
- Royal College of Physicians
- Royal College of Obstetricians and Gynaecologists
- Royal College of Midwives
- NICE guidelines NG3
Why and how we process your data in the National Pregnancy in Diabetes (NPID) Audit system, and your rights.