The NNAP Project Board conducts a regular review of the NNAP dataset and audit measures in close consultation with the wider neonatal community, taking note of the publication or amendment of any relevant professional guidance and/or standards.
The NNAP project team notifies participating neonatal networks and units of any changes to the audit dataset, prior to those changes being implemented.
2023 audit measures
The final set of measures that the NNAP will report for the 2023 data year are confirmed. In line with the requirements of our contract to deliver the NNAP, reporting is streamlined to 10 headline performance metrics, some of which are composite (or bundled) metrics, which support the NNAP Healthcare Improvement Strategy and improvement goals.
We will continue to report component measures sitting behind these 10 performance metrics on at least a quarterly basis to enable and support local monitoring and quality improvement activity, and final, full year results for the component measures will be published annually. We will distinguish in our public facing reporting, and our ‘direct to unit’ reporting between assured annual data (data for assurance) and frequent reporting (data for improvement).
The 10 performance metrics are summarised below:
- Mortality until discharge
- Optimal perinatal care composite metric (Component measures: antenatal steroids, antenatal magnesium sulphate, birth in a centre with a NICU, deferred cord clamping, normal temperature on admission, breastmilk feeding in the first 2 days of life)
- Clinical outcomes composite metric (Component measures: bloodstream infection, BPD, NEC, preterm brain injury)
- Parental consultation within 24 hours of every admission
- Parental inclusion in consultant ward rounds
- Breastmilk feeding composite metric (Component measures: breastmilk feeding at day 14, breastmilk feeding at discharge home)
- Follow-up at two years
- On-time screening for retinopathy of prematurity
- Neonatal nurse staffing
- Non-invasive breathing support
You can read the full detail of the metrics and component measures, inclusion criteria, data source and how they are derived in the updated 2023 measures guide which can be downloaded below.
2022 audit measures
We made a number of changes to the audit measures reported for 2022 data. We did this to align as closely as possible with other measurement programmes, and in particular MatNeoSIP, and in line with current guidance and guidelines. We also changed the cohort of babies included for some of the measures to improve the timeliness and frequency of reporting.
ROP screening calculator
Our Excel calculator is designed to help you plan timing of first retinopathy of prematurity (ROP) screening appointment for eligible babies. This is based on the ROP screening guideline (2022).
Audit measures from previous years
The full data dictionary for the 2022 reporting year was published in February 2023. The full data dictionary for the 2021 reporting year was published in November 2022.