National Neonatal Audit Programme (NNAP)

The National Neonatal Audit Programme (NNAP) has been established with the aim of informing good clinical practice in aspects of neonatal care by auditing national standards.

The  NNAP Annual Report 2012(PDF) covers 2011 data from 171 (95.9%) English neonatal units. The methodology used is outlined in a Data Analysis (PDF, 161KB, 20 pages) document.

The extended on-line version (PDF, 4.4MB) of the report contains additional information and analyses.

The Annual Report findings for Parents and Carers summarises those areas which parents and carers might find most interesting.

The Quality Improvement (PDF, 105KB, 6 pages) document is available which outlines performance indicators, the detection and management of outlier units and how the audit will monitor change. 

Audit aims
Audit update
Audit questions and data set
Two year follow up
Transparency agenda
Resources
Contact us

Audit aims

NNAP was established in January 2006 and is currently funded until March 2014 by the Healthcare Quality Improvement Partnership (HQIP). The audit addresses eleven questions and collects data on every baby admitted to a neonatal unit. From October 2008 units are named in all NNAP reports.

The overall aims of the audit are:

• to assess whether babies requiring specialist neonatal care receive consistent high quality care across England and Wales in relation to the audit questions;
• to identify areas for improvement in relation to service delivery and the outcomes of care.

AdiAuAuAudit Audit update

This year's NNAP/NDAU Collaborators Meeting took place on 5 February 2013. The event provided an overview of the progress to date, current work and gave delegates the opportunity to contribute to the future of the National Neonatal Audit Programme.

Presentations from the day can be found here

The eighth NNAP newsletter is now available:

• Newsletter - January 2013 (PDF, 232KB, 2 pages)

166 (100%) units in England are now submitting data to the audit:

• Neonatal Units List (PDF, 308KB, 3 pages)

Units wishing to report amendments to this list, which also appears on the NDAU website, should contact the NNAP Project Administrator.

Audit questions and dataset

Questions for the 2013 audit can be found below:

• Audit Questions 2013(PDF, 309KB, 2 pages)
• Parent Reported Experience Measure 2013 (PREM) (PDF, 126KB, 2 pages)

We have produced NNAP Data Entry Guidelines which outlines the data items on the BadgerNet PDF, 3.98MB, 40 Pages) and Badger3(Neonatal.net) (PDF 3.37MB, 38 Pages) patient record systems which will be used in NNAP analyses from 1 January 2013.

The full data set can be found on the NDAU website.

Two-year follow up

NNAP is auditing the health status of babies <30⁺⁰ weeks gestation at birth. The electronic form available on the Neonatal.net is the preferred method, but if a paper version is required, it can be downloaded here:

• NNAP two-year outcome form (PDF, 63KB, 2 pages)

NNAP and the transparency agenda

NNAP was identified as an eligible audit in Prime Minister David Cameron's transparency agenda. See the NNAP - transparency and open data page for more information. 

Resources

We have produced the following leaflets for use on the neonatal unit:

• Guide for Parents and Carers 2013 (PDF, 958KB, 4 pages)
• Neonatal Unit Staff Leaflet 2013(PDF, 330KB, 4 pages)

Please email NNAP if you would like a supply of these leaflets to be sent to your unit.

Contact us

For further details please contact NNAP