About the National Neonatal Audit Programme

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 will liaise 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 will notify participating neonatal networks and units of any changes to the audit dataset prior to those changes being implemented.

Audit measures - 2018

For the 2018 data year (1 January 2018 to 31 December 2018) we have introduced a measure focussing on neonatal nurse staffing levels.

Download a full guide of the 2018 audit measures below.

2017 dataset audit outlier measures

  • Are all mothers who deliver babies between 24 and 34 weeks gestation inclusive given any dose of antenatal steroids?
  • Are mothers who deliver babies below 30 weeks gestation given magnesium sulphate in the 24 hours prior to delivery?
  • Does an admitted baby born at less than 32 weeks gestational age have its first measures temperature of 36.5°C to 37.5°C within one hour of birth?
  • Is there a documented consultation with parents by a senior member of the neonatal team within 24 hours of admission?
  • Do all babies born weighing less than 1501g, or at gestational age of less than 32 weeks, undergo the first retinopathy of prematurity (ROP) screening in accordance with the current guideline recommendations?
  • How many babies born at less than 30 weeks gestation received medical follow up at two years gestationally corrected age (18-30 gestationally corrected age range of acceptable ages)?
  • Operational Delivery Network (ODN) level only: Is an admitted baby born at less than 27 weeks gestational age delivered in a maternity service on the same site as a designated NICU?

Audit measures from previous years

You can download guides to the audit measures in 2017, 2016, 2015 and 2014 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 methodology and policy

The NNAP identifies outliers using the methodology described in the NNAP Statistical Analysis Plan (SAP) for 2017 data. The final SAP for 2017 is available for download below.

The NNAP manages outlier identification using the 'RCPCH detection and management of outlier status for clinical indicators policy'. Download this policy below.