Report, poster and data
You can download our full report, results at a glance poster and data files below. Unit-level reports will be published soon.
Background
Since the previous NPDA Workforce spotlight audit in 2017/18 (see this and other past spotlight audit reports), the number of children and young people receiving care from a paediatric diabetes unit (PDU) in England and Wales has increased by 20%.
In light of this, the NPDA sought to understand how the structure and delivery of care in PDUs, including staffing provision, has changed in that time, and the relationship this has with diabetes care and outcomes. One hundred percent of PDUs in England, Wales, and Jersey took part in this spotlight audit.
We found that services continue to provide comprehensive care despite increasing workforce pressures. Staffing levels per 100 patients have generally fallen, vacancies have increased, and most services remain below recommended workforce standards. Better staffed services tended to achieve better outcomes, including lower HbA1c levels and higher uptake of hybrid closed loop technology. Levels of funding were also associated with outcomes, yet many services reported limited transparency around how diabetes funding is allocated and used.
Extended analysis report
You can also read our extended analysis of the workforce data, which includes a glossary of terms used in the report.
- View extended analysis report