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National Pregnancy in Diabetes Audit

The National Pregnancy in Diabetes (NPID) Audit aims to support clinical teams to deliver better care and outcomes for women with diabetes who become pregnant.

This audit is part of the National Diabetes Audit Programme where you can find information on the legal basis and governance of the audit.


Access the data entry system (CAP)


NPID dashboard

This dashboard presents an interactive visual version of the service level report for maternity services.

We encourage services to review their entered data accordingly.

Accessibility of this tool

This tool is in Microsoft PowerBI which does not fully support all accessibility needs. If you need further assistance, please contact us for help.



Overview of the audit

The National Pregnancy in Diabetes (NPID) Audit measures the quality of pre-gestational diabetes care against NICE guideline based criteria and the outcomes of pre-gestational diabetic pregnancy. 

The audit will answer the following three key questions:

  • were women with diabetes adequately prepared for pregnancy? 
  • were appropriate steps taken during pregnancy to minimise adverse outcomes to the mother? 
  • did any adverse outcomes occur? 

Data collection

The National Pregnancy in Diabetes Audit is a continuous collection so please keep collecting and entering your data into the Clinical Audit Platform (CAP).

The new data collection template for 2025 has now been released and can be downloaded from the 'User Documents' section of this page.

If you have any questions or need support, email: [email protected].

Current studies using the NNRD

For more information on current studies using the NNRD, visit the Imperial College London website.


Access the audit reports


Participation in the audit

1. Identify an audit lead for your organisation.

2. Register all staff who will submit NPID data by completing the NPID User Registration Form.

3. Record all information for each pregnancy on the NPID data collection form. If the pregnancy resulted in more than one baby, for example twins, please use the additional baby sheet to record the additional outcomes.

4. Registered staff members submit data into the Clinical Audit Platform.

NPID guidance documents

For more details on how to participate, please refer to the NPID guidance documents.

As one of the audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP), participation in the National Pregnancy in Diabetes Audit is a requirement in the NHS standard contract for acute hospitals with obstetric services.

If you are unsure if you are eligible, please contact the team:

Email: [email protected] 

Phone: 0300 303 5035

Customer portal 


User documents


Contact us

Please raise all queries and requests via our National Service Desk:

Email: [email protected] 

Phone: 0300 303 5035

Customer portal 


Further information

Last edited: 20 May 2025 12:00 pm