Helen Thornton on behalf of the RCPCH NPDAClinical Nurse Specialist for Children & Young People with Diabetes

St Helens & Knowsley Teaching NHS Trust.

The National Paediatric Diabetes AuditNorth West 2014

2003/4 2004/5 2005/6 2006/7 2007/8 2008/9 2009/10 2010/11 2011/12 2012/130

7500

15000

22500

30000

Registrations England and Wales

Type 1 diabetes incidence rates 2012-13

Understanding which data used :- care process

• Over 12 years at beginning of year of audit• Have completed a year of care• Glycated Haemoglobin A1c (HbA1c)• Body Mass Index (BMI) (both height and weight being

recorded)• Blood pressure• Urinary albumin• Cholesterol• Eye screening• Foot examination

7

ST HELENS AND KNOWSLEY

TAMESIDE

COUNTESS OF CHESTER

EAST CHESHIRE

TRAFFORD

CENTRAL MANCHESTEREAST LANCASHIRE

WRIGHTINGTON, WIGAN AND LEIGH

WARRINGTON AND HALTON

STOCKPORT

SOUTHPORT AND OMSKIRK

UNIVERSITY HOSPITAL OF SOUTH MANCHESTER THE PENNINE ACUTE

HOSPITALS NHS TRUST

BLACKPOOL, FYLDE AND WYRE HOSPITALS NHS TRUST

ALDER HEY CHILDREN'S NHS FOUNDATION TRUST

MID CHESHIRE HOSPITALS NHS TRUST

UNIVERSITY HOSPITALS OF MORCAMBE BAY NHS FOUNDATION TRUST

LANCASHIRE TEACHING HOSPITALS NHS

FOUNDATION TRUST

WIRRAL

SALFORD ROYAL NHS FOUNDATION TRUST

BOLTON

Understanding which data:- HbA1c

• Excludes HbA1c within first year of diagnosis • Excludes HbA1c without valid date in audit

year• Have completed a year of care• Have at least one HbA1c in the audit year• Multiple HbA1c were included if available

10

Percentage achievement of HbA1c target of <58 mmol/mol by PDU 2012-13

ST HELENS AND KNOWSLEY

TAMESIDE

COUNTESS OF CHESTER

EAST CHESHIRE

TRAFFORD

CENTRAL MANCHESTER

EAST LANCASHIRE

WRIGHTINGTON, WIGAN AND LEIGH

WARRINGTON AND HALTON

STOCKPORT

SOUTHPORT AND OMSKIRK

UNIVERSITY HOSPITAL OF SOUTH MANCHESTER

THE PENNINE ACUTE HOSPITALS NHS TRUST

BLACKPOOL, FYLDE AND WYRE HOSPITALS NHS TRUST

ALDER HEY CHILDREN'S NHS FOUNDATION TRUST

MID CHESHIRE HOSPITALS NHS TRUST

UNIVERSITY HOSPITALS OF

MORCAMBE BAY

LANCASHIRE TEACHING HOSPITALS NHS

FOUNDATION TRUST

WIRRAL

SALFORD ROYAL NHS FOUNDATION TRUST

BOLTON

Median HbA1c England & Wales

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-1366.3

67.5

68.8

70.0

71.3

72.5

73.8

72 72 72 72

73

72

70

69

73

72 72

73

72

70 70 70

England Wales

Me

dia

n H

bA

1c

(m

mo

l/mo

l)

?

Median HbA1c by Unit (North West) 2012-13

8.6%

20

How can we improve?

• Understand what is analysed• Use a database • Review data collection regularly • Understand data extraction• Timely submission • Review data quality report • Resubmit if necessary but be aware of

overwriting of cvs files21

More Data will be analysed in 2013-2014 report

• Thyroid• Coeliac screening• Smoking status• Structured education • Psychology assessment • Insulin regimes

22