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Part of National Diabetes Footcare Audit implementation guidance

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List of the National Diabetes Footcare Audit (NDFA) data items

Data item Data source
NHS number Data collection form
Date of birth  Data collection form
Age NDA core
Sex NDA core
Deprivation date NDA core
Ethnicity NDA core
Diabetes type NDA core
Year of diagnosis NDA core
BMI NDA core
Smoking history NDA core
Last creatinine level NDA core
Last UACR NDA core
Last foot exam NDA core
Last HbA1c NDA core
Last BP systolic NDA core
Last BO diastolic NDA core
Last cholesterol NDA core
Time to MDT assessment Data collection form
Hindfoot? Data collection form
Ischaemia? Data collection form
Neuropathy? Data collection form
Bacterial infection? Data collection form
Area >1sq cm Data collection form
Deep to tendon/bone Data collection form
SINBAD score total Data collection form
Charcot neuroarthropathy Data collection form
Alive and no active ulcer 12 week after presentation Data collection form
Alive and no active ulcer 24 week after presentation Data collection form
Admission to hospital for foot disease HES/PEDW
Hospital LoS for foot disease HES/PEDW
Revascularisation procedure HES/PEDW
Below ankle amputation HES/PEDW/NDA
Above ankle amputation HES/PEDW/NDA
Death date MRIS

 

Data flow diagram

data flow diagram of the national diabetes foot care audit

What this image shows

Existing data sets

  • National Diabetes Foot care clinic data: trusts,
  • National vascular registry data collection HQIP identifiable, sensitive
  • PEDW data collection; WAG, identifiable, sensitive
  • HES data collection, NHS Digital identifiable, sensitive
  • ONS/MRIS mortality data collection, identifiable, sensitive
  • National Diabetes Audit data collection, NHS Digital, identifiable, sensitive

Trusts

  • trust review data quality and amend audit data in clinical audit platform if required, identifiable and sensitive 
  • trusts submit data via the  clinical audit platform, identifiable and sensitive 
  • trusts download extracts and outcome reports from the clinical audit platform to aid submissions, identifiable and sensitive 

CARMS 

  • Data controller NHS Digital
  • Data processor CARMS
  • The National Diabetes Footcare Audit (NDFA) extract identifiable, sensitive
  • Linkage package (including NHS number, date of birth and audit ID) identifiable and sensitive and send to production team ONS and HES and Welsh organisations' data to NWIS

Data linkage

CARMS receives linked ONS,HES and audit and PEDW, linked audit data, identifiable and sensitive

CARMS

  • CARMs return audit data to trusts for data quality checks, identifiable and sensitive
  • full analysis data set (audit ID, identifiable and sensitive for statistical analysis, tables, charts and write report

Outputs

Annual reports aggregated, anonymised small numbers supressed

Journal articles, conference posters and presentations, aggregated, anonymised and small numbers supressed

Notes

Legal basis for collecting, booking and analysis Direction from NHS England and patient consent in Wales.

CARMS: Clinical Audit and Registries Management Service

CAP: Clinical Audit Platform

DC: Data Controller

HES: Hospital Episode Statistics

NDFA: National Diabetes Footcare Audit (NDFA) 

NWIS: NHS Wales Information Service

ONS: Office for National Statistics

PEDW: Patient Episode Database for Wales

WAG: Welsh Assembly Government

Further guidance

For support or guidance around any part of the National Diabetes Footcare Audit (NDFA) please email the NDFA team at [email protected].

Last edited: 31 January 2022 8:39 am

Chapters

  1. National Diabetes Footcare Audit implementation guidance
  2. How data for the National Diabetes Footcare Audit is collected
  3. Data collection and submission process
  4. Local responsibilities
  5. Fair processing informing patients
  6. Change management
  7. Appendix