National Neonatal Audit programme (NNAP)

The NNAP was established in 2006 to support professionals, families and commissioners in improving the provision of care provided by neonatal services which specialise in looking after babies who are born too early, with a low birth weight or who have a medical condition requiring specialist treatment.

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The NNAP 2016 Annual Report on 2015 data has been published

The National Neonatal Audit Programme (NNAP) 2016 Annual Report on 2015 data was published on 27 September 2016 and is now available to view or download from the reports section of the NNAP webpages along with ‘NNAP Online’, the new reporting tool for the audit which allows users to view and compare NNAP audit report results in a more interactive way.
An updated version of ‘Your Baby’s Care’, (PDF, 1.9MB, 20 pages) the NNAP booklet for parents and carers, has also been updated for 2016 and has been published alongside the annual report.

Project background

The NNAP is commissioned by the Healthcare Quality Improvement Partnership (HQIP), funded by NHS England, the Scottish government and the Welsh Government and is delivered by the RCPCH.

Approximately 750,000 babies are born each year in England, Scotland and Wales and of these nearly 1 in 8, or more than 95,000 will be admitted to a Neonatal Unit (NNU) which specialises in looking after babies who are born too early, with a low birth weight or who have a medical condition requiring specialist treatment.

Monitoring the standard of care provided by specialist neonatal units is essential to informing efforts to give all babies the best possible chance of surviving and reaching their full potential. The RCPCH does this through the National Neonatal Audit Programme (NNAP) which encourages individual NNU, regional networks and the nation as a whole, to deliver the very highest levels of care to babies and families by measuring against standards described by professional organisations.

The NNAP measures care based on data provided annually by all three levels of neonatal unit (Special Care Unit, Local Neonatal Unit, and Neonatal Intensive Care Unit). By identifying the areas which require improvement, the audit informs action planning at a unit and network level, whilst helping hospital management, commissioners and policymakers to prioritise future funding and support.

Overall aims of the audit 

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

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



For NNAP queries please email or call the Project Administrator on 0207 092 6170