About the National Neonatal Audit Programme (NNAP)

The NNAP supports professionals, families and commissioners to improve care provided by neonatal services who look after babies born too early, with a low birth weight or who have a medical condition requiring specialist treatment.


Established in 2006, the National Neonatal Audit Programme (NNAP) is commissioned by the Healthcare Quality Improvement Partnership (HQIP), 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 from April 2017 to April 2021.

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.

What we measure

The NNAP Project Board conducts a regular review of the NNAP dataset and audit measures in close consultation with colleagues from the Neonatal Data Analysis Unit (NDAU) based at Imperial College London and the wider neonatal community, taking note of the publication or amendment of any relevant professional guidance and/or standards.

As part of the review of the dataset and audit measures, the Project Board liaises with colleagues at Clevermed and the NDAU and agree whether any related amendments are required within the fields and functionality of the Badgernet system. The NNAP project team notifies participating neonatal networks and units of any changes to the audit dataset prior to those changes being implemented.

2020 audit measures

For the 2020 data year (1 January 2020 to 31 December 2020) we have introduced a new measure focussing on deferred cord clamping in very preterm babies.

For more information about this measure, and all other measures, download the guide to the 2020 audit measures at the end of the page.

2019 audit measures

For full details of the audit measures for the 2019 data year, download the guide to the 2019 audit measures at the end of the page.

Audit measures from previous years

You can download guides to the audit measures from 2014 to 2018 below.

Data flow

A diagram describing the flow of data in the NNAP can be downloaded below.

Two-year follow up

NNAP is auditing the health status of babies <30+0 weeks gestation at birth.

The electronic form available on the Neonatal.net is the preferred method, but if a paper version is required, it can be downloaded below.

Outlier management policy

The NNAP manages outlier management according to the RCPCH detection and management of outlier status for clinical indicators policy. This and the NNAP outlier management policy for 2018 data and 2019 data are available to download below.

NHS quality accounts

The National Neonatal Audit Programme is included in the NHS England Quality Accounts list, which is available from the Healthcare Quality Improvement Partnership (HQIP) website.

HQIP also publishes the National Clinical Audit and Enquiries Directory which should answer most of your questions relating to the NNAP. 

All neonatal units in England, Wales and Scotland are eligible to participate in the NNAP. The audit expects 100% case ascertainment from participating units. To find the list of participating units and the number of patients included in the audit for the latest published year of results, please consult the Annual Report (Appendix A). 

Unit level results by NNAP measure can be found on NNAP Online.