Established in 2006, the National Neonatal Audit Programme (NNAP) is commissioned by the Healthcare Quality Improvement Partnership (HQIP). The NNAP is funded by NHS England, the Scottish Government and the Welsh Government, and is delivered by the RCPCH. We are currently contracted to deliver the NNAP to the end of March 2025.
The NNAP assesses whether babies admitted to neonatal units in England, Scotland and Wales receive consistent high-quality care. We identify areas for quality improvement in relation to the delivery and outcomes of care.
Scope of the audit
NNAP uses a range of measures to monitor neonatal care and highlight where improvement is required. These measures can vary from year to year and are categorised into the following themes:
- Outcomes of neonatal care
- Optimal perinatal care
- Maternal breastmilk feeding
- Parental partnership in care
- Neonatal nurse staffing
- Care processes
- Overall network performance
Aims of the audit
The NNAP has set out a series of supporting objectives, and approaches to stimulating healthcare improvement, which include:
- High quality data outputs that identify areas for action and support stakeholders’ improvement initiatives.
- Sharing best practice and quality improvement resources
- Collaboration and engagement with regional and national initiatives
- Parent and public engagement
The NNAP has section 251 approval to collect patient identifiable data without explicit patient consent. This data is processed and reported by the NNAP team at RCPCH, with HQIP (Healthcare Quality Improvement Partnership) and NHS England as the joint data controllers.
HQIP may approve the sharing of pseudonymised NNAP data for the purpose of academic research if stringent data protection policies and arrangements can be demonstrated by requestees and the aims of the research are approved.
Further information about how data collected for the audit is used and our privacy notice can be found on the NNAP privacy notice - Your baby's information page.