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National Diabetes Footcare Audit management reports

The National Diabetes Foot Care Audit (NDFA) enables all services that treat ulcers to measure that performance against NICE guidance, to monitor patient outcomes and to benchmark against peer units. NDFA has been designed to limit the burden of local data collection by making use wherever possible of data that is already collected from other sources. All participating services receive annual, comprehensive benchmarked reports.

Background

A national multi-professional group of podiatrists, vascular and orthopaedic surgeons, diabetologists, and service user representatives, chaired by Prof William Jeffcoate, guides the development and delivery of the NDFA.

From May 2017 the legal basis for collecting, processing and holding data within the National Diabetes Audit Programme changed. Since then NHS England has directed NHS Digital to collect patient identifiable data for the audits from providers in England. Due to how the contract for the NDFA and collection/submission deadlines fall, it was decided to implement the changeover in August 2017. The new legal basis for data to be collected by the NDFA (Direction under section 254 of the Health and Social Care Act 2012) will mean the submission of data for the NDFA audit will be mandated for NHS footcare clinics and specialist MDFT services in England. Therefore, primary and secondary health services which deal with diabetic footcare in England, will need to work with NHS Digital to supply data from the treatment of their patients.

The NHS England direction only covers service providers in England. For Wales, the legal basis for the collection of data will remain as Section 251 and patients will still need to be consented. There will be no change for how organisations participate in the audit for Wales.

The NDFA is delivered by NHS Digital,  in collaboration with Diabetes UK and supported by the National Cardiovascular Intelligence Network (part of Public Health England).


Reporting

Clinical Audit Platform (CAP) reports can be used to check locally how your service is performing and to highlight good practice. 

Reports

The Clinical Audit Platform provides the following reports:

  • outcome 
  • extract
  • management reports

There is an option to extract each of these reports by audit year as well as to view them online.

The report extract generates a CSV file. You can open or save the extract. If you open it it will open as an excel file.  


Open a report

You can log in to the NDFA online tool using the following link

https://clinicalaudit.hscic.gov.uk/

Your user name is the email address you used to create your Single Sign On account.  

When you have logged in select the the National Diabetes Footcare Audit (NDFA) audit from the list available.

Click on reporting 


Management reports

Management reports provide access to what has been submitted to the Clinical Audit Platform for interval to first expert assessment, ulcer severity and outcome at 12 weeks versus severity.

Image of the management reports  Clinical Audit Platform screen

Interval reports

Interval reports provide users with an extract of all data submitted between first presentation to a health professional and first assessment by your team.

Image of the Clinical Audit Platform interval report extract.

Ulcer severity

This report provides audit year information for your site on the total number of ulcers recorded within that audit year indicating the percentage by ulcer severity.

Image of an ulcer serverity Clinical Audit Platform report

Outcome at 12 weeks versus severity

This report will provide users with a table per Audit year detailing Outcome at 12 weeks, broken down into percentages.

Image of a outcome at 12 weeks versus severity Clinical Audit Platform report

Last edited: 12 January 2022 11:43 am