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National Pregnancy in Diabetes Audit (NPID) newsletter January 2020

As we approach the new audit year, the NPID team thought it would be fitting to update you on certain key topics, which include:

  • CGM guidance for type 1 diabetes in pregnancy
  • Clinical Audit Platform (CAP) – Terms and conditions/user group
  • audit impacts
  • diabetes UK professional conference
  • Quality Improvement Collaborative
  • percentages and your service level report
  • new Advisory Group chair

As usual, we welcome any feedback on any newsletter items and suggestions for future topics.

CGM guidance for Type 1 diabetes in pregnancy

The NHS Long Term Plan states: that ‘by 2020/21, all pregnant women with type 1 diabetes will be offered continuous glucose monitoring, helping to improve neonatal outcomes. 

This recommendation is based on data from the CONCEPTT trial that real-time Continuous Glucose Monitoring (CGM) is associated with improved maternal glucose control and reductions in neonatal complications. Importantly, the benefits of CGM are comparable in women using pumps and multiple daily injections.

A technology appraisal demonstrated that newborns of mothers using real-time CGM has fewer and shorter neonatal intensive care admissions, resulting in NHS cost-savings.

The NPID data collection forms have been updated to record which women are offered and accept either Flash and/or CGM. Diabetes and maternity clinical networks will be responsible for supporting local maternity services to develop and deliver local plans for CGM training and roll out for pregnant women with type 1 diabetes.

 

Clinical Audit Platform (CAP) terms and conditions

The functionality within Clinical Audit Platform (CAP) has been developed and now requires users to accept terms and conditions before being able to access CAP. 

The terms and conditions have now been published on our website and are set to go live within the near future.

Please find below a summary of the changes you will see after logging onto CAP after it has been released.  A screenshot of what users will see on screen also provided.

  • all users will be asked to accept CAP specific terms and conditions before they proceed to using CAP
  • users will only be required to accept them once, unless we make an update to them and in which case, users will be prompted to accept them again
  • CAP will maintain a record of which users have accepted them and which version 
  • the ‘terms and conditions’ link in the footer on each page of CAP will be updated to direct to the new terms.


clinical audit platform terms and conditions screen

Clinical Audit Platform (CAP) user group

The CAP user group meets annually and plans to engage more throughout the year. The user group is an opportunity to find out about changes to CAP and feedback any areas you feel could be improved. If you would like to join this group, please email npid@nhs.net

Audit impacts

Have you used your NPID data/results at a local or national level?

Please get in touch and let us know how you used the data. We would be very interested in seeing any papers or posters developed. No prizes, but we may be able to share them on the NHS Digital NPID audit website.

Quality improvement collaborative

Since 2018, 20 team from across England and Wales have been part of a Quality Improvement Collaborative focused on improving pre-conception care for women with diabetes. Each NPID QIC team identified and tested interventions to achieve their aims of increasing the proportion of women being well prepared for pregnancy. Broadly, these interventions fell into six main types:

  • Educational approaches for health care professionals
  • Use of clinical IT systems
  • Educational approaches for women with diabetes
  • Collaborative working
  • Building capacity
  • Use of technology

Find out more about the interventions tested, the teams’ successes and lessons learnt by reading the the full NPID Quality Improvement collaborative report.

Data quality reports

You will have received a bulletin, inviting you to register the preferred contact within your organisation, to receive your organisations Data Quality Report and we have been busy processing all your replies.  If you have not received an invitation, or if you have any questions, please contact a member of the NPID team by emailing npid@nhs.net or calling 0300 303 5678 and asking to speak to a member of the team.

New Advisory Group Chair

The NPID Advisory Group, patient representatives and all at Diabetes UK and NHS Digital, send their sincerest thanks to Dr Nick Lewis-Barned for leading the audit from strength to strength. Nick will continue to contribute as a senior member of the NPID advisory group while passing the Chair to Professor Helen Murphy.

Percentages and your service level reports

We have had a few queries from units regarding percentages in the service level report. We would like to remind users of the service level report 2018 that all percentages are based on numerators and denominators which have had disclosure control applied. This text appears at the top of the report pages in red:

Where numerators and denominators are small, this can produce percentages which are quite different than would be produced using the unrounded numbers. For example, a numerator of 7 and a denominator of 14 would give a percentage of 50% (7/14) before rounding, but a percentage of 33.3% (5/15) after rounding. If you think the percentages in the service level report are incorrect, please take time to round numerators and denominators before calculating percentages. If you still think the percentages in the report are not correct, please do not hesitate to qurery this by emailing npid@nhs.net.

Diabetes UK professional conference

This year’s conference will take place between Wednesday 18 and Friday 20 March 2020 at the SEC Centre in Glasgow.  Diabetes UK Professional Conference 2020 

Last edited: 1 December 2020 9:31 am