National Neonatal Audit Programme Annual Report 2017 - on 2016 data

This report highlights the key findings and recommendations from the analysis of the data provided by neonatal units on the admissions of 99,849 babies for neonatal care in England, Scotland and Wales in 2016.

The NNAP 2018 report on 2017 data, expected to launch on 28 September 2018, is currently undergoing final sign off with NHS England.

Key findings and recommendations

Launched in September 2017, the key findings and recommendations are based on the analysis of the data provided by 181 neonatal units on the care provided to 99,849 babies admitted to eligible neonatal units and discharged from neonatal care in England, Scotland and Wales during the calendar year of 1 January to 31 December 2016.

The NNAP focused on the following areas of neonatal care in 2016:

  • Antenatal steroids
  • Magnesium sulphate
  • Temperature on admission
  • Consultation with parents
  • Encephalopathy
  • Bronchopulmonary dysplasia (BPD)
  • Measuring rates of infection on neonatal units
  • Retinopathy of prematurity (ROP) screening
  • Mother’s milk at discharge
  • Clinical follow-up at two years of age

Impact and engagement

The NNAP has progressed over the years from an audit focusing only on neonatal units in England to the inclusion of units in Wales in 2012 and Scottish neonatal units in 2015. The RCPCH was delighted to have been commissioned by the Healthcare Quality Improvement Partnership (HQIP) to deliver the NNAP for a further four years from April 2017.

Data completeness

Data completeness for the majority of the NNAP audit measures is now at an extremely high level which means that the report outputs produced by the audit are able to provide a trusted source of information upon which to identify quality improvement opportunities.

At a project board level, since September 2015 the experience of the parents of babies admitted to neonatal care has been reflected by the parent representatives, who play a key role in challenging the clinical members of the board to ensure that the work of the audit remains focused on babies and their families.

Your Baby's Care

The production of the 'Your Baby’s Care' information booklet in 2015, with updates in 2016 and 2017, is a testament to the positive influence on the audit of the parent representatives. They have helped to raise awareness of the importance of the audit and ensure that it is relevant to the needs of babies and families.

Unit-specific NNAP Results posters

The neonatal nursing, parent and Bliss representatives on the NNAP project board have played a key role during the past year in helping to develop the NNAP poster initiative. Under this initiative an additional function has been added to NNAP Online which allows neonatal units to produce unit-specific posters which display their own 2016 NNAP results in comparison to the national average.

The function also allows units to produce a second poster onto which they can add details of the actions that they have taken, or plan to take, in order to address their NNAP results. These can be seen on NNAP Online.