Annual report 2017-18: Care processes and outcomes
Published in May 2019, our 2017-18 report covers the health checks (care processes) and outcomes for children and young people with diabetes who have attended PDUs (paediatric diabetes units) from 1 April 2017 to 31 March 2018.
The report aims to address a series of questions relating to paediatric diabetes care, which include:
- What proportion of children and young people with diabetes are reported to be receiving key age-specific processes of diabetes care, as recommended by NICE?
- How many achieve outcomes within specified treatment targets?
- Are children and young people with diabetes demonstrating evidence of small vessel (microvascular) disease and/or abnormal risk factors associated with large vessel (macrovascular) disease prior to transition into adult services?
Update to 2017-18 report
Version 2 of the 2017-18 report was published on May 30 with a slightly amended admissions results section, further to the identification and rectification of an error in the admissions data analysis. This error had limited impact and did not affect the overall national picture of admissions. Unit results have been updated in the PDF summary results generator for this audit year.
You can download the 2017-18 report below.
- The national average HbA1c remained stable at 64.0 mmol/mol between 2016-17 and 2017-18. It is hoped that national improvements in HbA1c will be evidenced in future annual reports further to widespread participation in the RCPCH Diabetes Quality Programme.
- Considerable variation in HbA1c target outcomes amongst children and young people with Type 1 diabetes persists between PDUs even after case-mix adjustment.
- There has been a further increase in the completion rate of recommended health checks with over 85% being received by children and young people with Type 1 diabetes in 2017-18.
- Nearly a third of (28.2%) children and young people with Type 1 diabetes with a recorded outcome of psychological support were assessed as requiring additional psychological or CAMHS (child and adolescent mental health services) support outside of MDT (multidisciplinary team) clinics, with a higher proportion of adolescent girls requiring support compared with adolescent boys.
- The gap between pump usage amongst children and young people with Type 1 diabetes living in the most and least deprived areas has widened with time, from 18.4% versus 26.3% (a difference of 7.9 percentage points) in 2014-15, to 29.0% versus 41.1%, in 2017-18, respectively (a difference of 12 percentage points).
- Those living in more deprived areas were found to have a higher risk of retinopathy, albuminuria, needing additional psychological support and higher HbA1c levels.
Individual unit level reports
You can also access individual unit level reports since 2014 on our interactive tool, NPDA Results Online.
And, you can download the NPDA slide deck template below - this can help your unit communicate the main national and unit level findings from the audit.
Additional data files
As part of our commitment to open data, we have made available our data files on specific measures from the audit.
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. Our 2017-18 parents and carers reports will be produced later this year.
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.
- 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.