National Diabetes Audit Programme Update LONDON REGION DIABETES EVENT 18 JULY 2017

Transcription

1 National Diabetes Audit Programme Update LONDON REGION DIABETES EVENT 18 JULY 2017

2 NDA Reports NDA Insulin Pump Audit NDA Complications and Mortality : Standard analysis Longitudinal analysis (new) NDFA Hospital Admissions (new)(oct - tbc) NPID audit 2016 (Oct) NDA Care Processes and Treatment Targets (Dec tbc)

3 Insulin Pump Audit key findings and recommendations Key findings: More people starting pump treatment to lower glucose levels than reduce hypoglycaemia 62% are achieving pump treatment goals Pump users more likely to achieve all their treatment targets and, on average, have a lower HbA1c than non-pump users Recommendations: More people should be considered for pump treatment Ten-fold variation in pump use between specialist services should be investigated

4 NDA Complications and Mortality Key findings and recommendations Diabetes remains responsible for a large number of additional deaths Deaths in people with diabetes >80yrs more often due to CVD than general population Relative risk of CVD in people with diabetes is increasing People with diabetes account for one quarter to one third of hospital admissions for CVD Recommendation: Include assessment of CVD risk and prevention within every annual care planning review

5 NDA Complications and Mortality CCG level data Lewisham CCG Islington CCG

6 NDA Complications and Mortality DKA - London

7 NDA Complications and Mortality Report 2b: Key findings and recommendations 7 year longitudinal analysis of NDA data found association between consistent healthcare attendance and better outcomes: Lower mortality Reduced progression to Heart Failure Reduced progression to Renal Replacement Therapy Recommendation Providers should be aware of the correlation between regular review and good long term health

8 NDA Data 6am on Thursday, 13 July (No TPP) Across London 44%

9 NDA Data submission Data submission deadline for GP practices and secondary care, including insulin pump clinics Friday, 21 July Submissions will remain open till Friday, 28 July 2017 Key messages: TPP practices MiQuest queries EMIS/Vision practices must submit all 7 files. Follow-up with practices with none/partial submissions If hospitals are struggling to submit all data, they can submit NHS numbers only NDA Data Collection webpage

10 National Diabetes Footcare Audit (NDFA) 2017 deadline for submissions 31 July 2017 NDFA Structures Audit deadline was 7 July 2017 Are the following nationally recommended care structures in place for the management of diabetic foot disease? o Training for routine diabetic foot examinations o An established Foot Protection Service Pathway o An established New Foot Disease Pathway which can allow referral within 24 hours ndfa@nhs.net Removal of need for consent from 1 August 2017

11 NDFA participation submitted data Barts Health NHS Trust Homerton University Hospital NHS Foundation Trust Kingston Hospital NHS Trust The Hillingdon Hospitals NHS Foundation Trust Croydon Health Services NHS trust Imperial College Healthcare NHS Trust Healthshare London Guy's and St Thomas' NHS Foundation Trust King's College Hospital NHS Foundation Trust Lewisham Healthcare NHS Trust North East London NHS Foundation Trust North Middlesex University Hospital NHS Trust North West London Hospitals NHS Trust Royal Free London NHS Foundation Trust The Whittington Hospital NHS Trust University College London Hospitals NHS Foundation Trust St George's Healthcare NHS Trust

12 NDFA participation no submissions Barking, Havering and Redbridge University Hospitals NHS Trust Barnet, Enfield And Haringey Mental Health NHS Trust Camden and Islington NHS Foundation Trust Central and North West London NHS Foundation Trust Central London Community Healthcare NHS Trust Chelsea and Westminster Hospital NHS Foundation Trust East London NHS Foundation Trust Hounslow and Richmond Community Healthcare NHS Trust West Middlesex University Hospital NHS Trust Your Healthcare CIC Bexley Care Trust Ealing Hospital NHS Trust

13 National Pregnancy in Diabetes Audit NPID audit publication 12 October 2017 Quality improvement project (Oct 2017) recruitment of sites Deadline for 2017 submissions end January 2018 Removal of consent

14 National Diabetes Inpatient Audit Audit week September 2017 Continuous harms collection, commences 2018 Pilot of electronic collection in 2018 Scoping inclusion of mental health and community hospitals

15 Thank you Any questions?