National Paediatric Diabetes Audit (NPDA) annual reports

Our annual, national reports, 'Care processes and outcomes' highlight the main findings on the quality of care for children and young people with diabetes mellitus in England and Wales. On this page you can download our latest and previous reports, and find links to our reports especially for parents and carers.
Image of the NPDA Annual Report cover for the 2018-19 audit year, showing the social media hashtag npda1819

[...]it is extremely gratifying to see a reduction [in HbA1c] in this report. This reflects and validates the commitment shown by paediatric diabetes teams to improve the care and outcomes of the children and young people with diabetes.

Professor Russell Viner, President, RCPCH

Annual report 2018-19: Care processes and outcomes

Published in March 2020, our 2018-19 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 2018 to 31 March 2019. 

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?

You can download the 2018-19 report below.

Key messages

  • National average HbA1c fell from 64.0 mmol/mol to 61.5 mmol/mol between 2017/18 and 2018/19.
  • Considerable variation in HbA1c target outcomes amongst children and young people with Type 1 diabetes persists between PDUs even after case-mix adjustment.
  • There have been further improvements in the completion rates of recommended health checks for diabetes, with the percentage of those aged 12 and above with a complete year of care receiving all seven recommended health checks for Type 1 diabetes increased from 49.8% in 2017/18 to 55.2% in 2018/19.
  • The proportion of children and young people with Type 1 diabetes who were assessed as requiring additional psychological or CAMHS support outside of MDT clinics increased from 28.2% in 2017/18 to 39.1% in 2018/19.
  • 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 29.6% versus 43.0%, in 2018/19, respectively (a difference of 13.4percentage points).
  • 12.6% of children and young people with Type 1 diabetes were using a real-time continuous glucose monitor. Use of this technology was found to increase the probability of achieving a lower HbA1c target, even after the characteristics of the children and young people with Type 1 diabetes had been taken account of.
  • 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 download a PDF generator for 2018-19 unit level summary reports (MS Excel file with macros).

You can access individual unit level reports since 2014 on our interactive tool, NPDA Results Online.

And, to help your unit communicate and share the main national and unit level findings from the audit, you can download a 2018-19 NPDA slide deck template below.

Individual unit level posters

You can download our PDF generator for 2018-19 unit level posters (MS Excel file with macros) to view summary and feedback posters for your unit level 2018-19 audit year results. These posters can be printed for display in your clinic waiting area, or can be shared with your contacts via email.

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, and download a PDF generator for 2017-18 unit level summary reports (MS Excel file with macros).

Parents and carers reports

Our parents and carers reports provide a lay summary of the findings from the NPDA national reports. We produce versions in English and Welsh. 

You can download our latest reports, as well as those from previous years on our parents and carers report page

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.