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Publication, Part of

National Diabetes Inpatient Audit (NaDIA) - 2011

Audit
Publication Date:
Geographic Coverage:
England, Wales
Geographical Granularity:
NHS Trusts, Hospital Trusts
Date Range:
03 Oct 2011 to 16 Oct 2011

Summary

The National Diabetes Inpatient Audit (NaDIA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and delivered by the Health and Social Care Information Centre, working with Diabetes UK.

The National Diabetes Inpatient Audit is a snapshot audit of diabetes inpatient care in England. The audit is set out to answer the following questions:

  • Did diabetes management minimise the risk of avoidable complications?
  • Did harm result from the inpatient stay?
  • Was patient experience of the inpatient stay favourable?
  • Has the quality of care and patient feedback changed since NaDIA 2010?

The NaDIA was previously funded and managed by NHS Diabetes and formed part of the suite of tools which operates under the sponsorship of the National Diabetes Information Service.

The first NaDIA in 2009 was run as a pilot and was used to raise the awareness of diabetes inpatient care and engaging the clinical community. Feedback from the pilot was utilised to improve the process for the 2010 audit which resulted in 93 per cent of eligible trusts in England participating.

These previous reports are available at the links below on this page 

Key Facts

  • Deficiencies in referral processes - of those patients requiring diabetes team referral just over half were actually seen.

  • Diabetes consultant availability has reduced as acute general medicine demands have increased.

  • Small improvements in average amount of diabetes specialist nurse time per inpatient but just under one third of sites still have no specific Diabetes Inpatient Specialist Nurses (DISN).

  • Significant reduction in specialist inpatient dietetic time allocated to diabetes.

  • Insulin infusions continue to generate unnecessary risk due to inappropriate, over lengthy and inadequately monitored use.

  • Assessments of inpatient foot risk still confined to a minority of patients with no improvement from the previous audit.

Resources

Related Links

Last edited: 8 February 2019 2:35 pm