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CARMS e-bulletin

Issue 13 - Summer 2017

The quarterly bulletin from the Clinical Audits and Registries Management Service (CARMS)

First report from the National Diabetes Transition Audit

The National Diabetes Audit and National Paediatric Diabetes Audit datasets have been linked for the first time so that the care of young people with diabetes can be tracked during the transition from paediatric diabetes services to adult diabetes services. This joint enterprise between the two audits is called the National Diabetes Transition Audit (NDTA).

The first audit report has been published, presenting key findings and recommendations on NICE recommended care processes and treatment target achievement rates from 2003 to 2015 in age groups of 12-24 years in England and Wales.

Some key findings:

  • The least variation in care process completion rates was found where transition occurred between the age of 16 and 19 years.
  • The HbA1c target is more likely to be reached pre transition compared to post-transition; the difference is greatest at younger ages.
  • The percentage of children achieving the targets for cholesterol and blood pressure are higher pre transition compared to post-transition.
Following publication, the audit held an event with paediatric and adults services to discuss the audit findings and experiences of transitioning care. It was a very successful day, with workshops focusing on how to engage with young people, examples of services that have implemented good transition pathways and talks from young people about their experience of transition.

New interactive reports from the National Diabetes Inpatient Audit

Two new interactive reports using data from the National Diabetes Inpatient Audit 2016 Annual Report are available online. Users select a hospital to see their hospital results and the national average.

The Hospital Characteristics report provides details of how staff manage a diabetes service within hospitals and how these inpatients are cared for. There are reports for 209 hospitals that participated in the collection.

In the Main Areas of Improvement report, hospital level results for 2015 and 2016 are compared and shown against the national average and the hospital is also ranked from the national average in terms of quartiles. Areas such as better staff knowledge of diabetes; suitability of meals; ability to self-administer insulin; self-test blood sugar and timing of meals are included. The information in this report should be used to improve local service provision.

Female Genital Mutilation (FGM) Enhanced Dataset Annual Report 2017

This second annual report covers April 2016 to March 2017, and includes data submitted by 123 NHS trusts and 74 GP practices.

The dataset supports the Department of Health's FGM Prevention Programme by presenting a national picture of the prevalence of FGM in England.

Key findings:

  • There were 9,179 attendances between April 2016 and March 2017 reported where FGM was identified or a procedure for FGM was undertaken.
  • 87 per cent of these attendances were in midwifery or obstetrics services, where this was reported. Data for the treatment area was recorded for six in every ten attendances.
  • 95 per cent of the women and girls first recorded in the data in 2016/17 had undergone FGM before they were 18 years old. This information was recorded for three in ten women and girls.

Clinical Audit Platform (CAP)

The CAP team invites all CAP users to complete an online survey. There are 12 questions. All questions are optional and all answers are anonymous unless you request further contact from the CAP team.

The CAP User Group will be meeting again soon. If you would like to get involved, please email CASUinfo@nhs.net.

New patient leaflet for the National Bowel Cancer Audit

The audit has worked with the Beating Bowel Cancer and Bowel Cancer UK patient charities to produce a new printable patient leaflet.

National Oesophago-Gastric Cancer Audit user survey

The audit invites all its users to complete an online survey. There are a maximum of 20 questions. The answers will help inform a review of the audit dataset and its outputs.