National Paediatric Diabetes Audit (NPDA) national reports

Our national reports highlight the main findings on the quality of care for children and young people with diabetes mellitus in England and Wales. You can download our latest and previous 'Care processes and outcomes' reports, plus those especially for parents and carers.

National reports: Care processes and outcomes

2017-18 report

We have been given a provisional launch date for the 2017-18 report of Thursday 9 May 2019. On the same day that we publish this report, we will make available unit, regional, and CCG (clinical commissioning group) results on our interactive tool, NPDA Results Online, and a summary results generator (as a PDF) on this page.

2016-17 report

You can download the full national report for 2016-17. Our key messages from the report:

  • National diabetes management had 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 persisted 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. We noted that attention and resources needed 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 had increased from 35.5% in 2015-16 to 43.5% in 2016-17. This was an excellent result, but there was 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 had increased although the gap between usage amongst those living in the least and most deprived areas had widened.

Previous years' reports

We have been running the audit since 2010-11. You can download reports from previous years.

    Parents and carers reports

    These provide a summary of the findings from the NPDA national reports especially for parents and carers.

    You can download our 2016-17 parents and carers report in both England and Welsh languages, as well as those reports from previous years. 

    Individual unit level reports

    You can access individual unit level reports from 2014 onwards 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. Note: You will need Microsoft Excel and Word versions 2007 or above to run this application.

    Additional data files

    As part of our commitment to open data, we have made available our data files on specific measures from the audit

    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

    You can read more about the audit and what we measure.