National Paediatric Diabetes Audit (NPDA) national reports

Highlighting the main findings on the quality of care for children and young people with diabetes mellitus in England and Wales. Our 2016-17 national report is now published - you can download this and all previous reports below.

NPDA 2016-17 national report

Key messages

  • National diabetes management has improved for the seventh consecutive year, with increasing numbers of children and young people with Type 1 diabetes regarded as achieving “excellent” control.
  • Inequalities in diabetes management persist between units and between different patient groups, with non-white ethnicity, female gender, adolescence and living in a deprived area associated with suboptimal diabetes management. Attention and resources need to be provided to understanding and responding to these variations in outcomes.
  • The proportion of children and young people with Type 1 diabetes aged 12 recorded as receiving all seven key healthcare checks has increased from 35.5% in 2015-16 to 43.5% in 2016-17. This is an excellent result, but there is variation in completion rates between units, with some without a single patient receiving all recommended checks within the audit year.
  • Usage of insulin pumps to deliver insulin therapy in Type 1 diabetes has increased although the gap between usage amongst those living in the least and most deprived areas has widened.

Download full report (PDF)

Background and audit aims

NPDA was established to compare the care and outcomes of all children and young people with diabetes receiving care from Paediatric Diabetes Units (PDUs) in England and Wales. The audit is commissioned by the Health Quality Improvement Partnership (HQIP), funded by NHS England and the Welsh Government, and is managed by the Royal College of Paediatrics and Child Health.

Our aims:

  • Monitor the incidence and prevalence of all types of diabetes amongst children and young people receiving care from a PDU in England and Wales
  • Establish which key care processes are being received by children and young people with diabetes
  • Enable benchmarking of performance against standards of care specified by the National Institute for Health and Care Excellence (NICE) guidance at PDU and national level
  • Determine the prevalence and incidence of diabetes-related complications amongst children and young people with diabetes

Previous NPDA national reports

All previous versions of the NPDA national report, from 2010-11, can be downloaded below.

Parents and carers reports

These provide a summary of the findings from the NPDA national reports. Our latest Parents and Carers Report 2016-17 is available for download below in English and Welsh, along with those from previous years. 

Individual unit level reports

Individual unit level reports from 2014 onwards can be accessed on our interactive tool, NPDA Results Online.

The 2010-13 individual unit level reports can be accessed via a Microsoft Excel spreadsheet. You can download this and a user guide below. Microsoft Excel and Word versions 2007 or above required are required to run this application.

Additional data files

You can find additional documents, including data files, for the NPDA.