Publication, Part of National Diabetes Audit: Adolescent and Young Adults with Type 1 Diabetes
National Diabetes Audit, Adolescents and Young Adults with Type 1 Diabetes 2017-23
Summary
The Adolescent and Young Adult Type 1 Diabetes Audit (AYA; previously referred to as the National Diabetes Transition Audit, NDTA) links datasets from the adult and paediatric national diabetes audits. The AYA has been designed to audit care provision during the period when young people with diabetes move from paediatric to adult based clinical care. The audit covers the period 01 January 2017 to 31 March 2023 and the cohort consists of people with type 1 diabetes aged between 16 and 25 years old during the AYA period.
The National Diabetes Audit (NDA) provides a comprehensive view of diabetes care in England and Wales. It measures the effectiveness of diabetes healthcare against National Institute for Health and Care Excellence (NICE) Clinical Guidelines and NICE Quality Standards*,**.
The National Paediatric Diabetes Audit (NPDA) was established to compare the care and outcomes of all children and young people with diabetes receiving care from Paediatric Diabetes Units (PDUs) in England and Wales.
-* NICE Clinical Guidelines – NG17: Type 1 diabetes in adults: diagnosis and management http://www.nice.org.uk/guidance/ng17
-** NICE – Diabetes in Adults Quality Standard https://www.nice.org.uk/guidance/qs208.
Highlights
There are 2 data files which both provide an analysis of the key metrics:
- Percentage attendance at clinic (a proxy measure based on attendance for a HbA1c check)
- Percentage achieving HbA1c <= 58 mmol/mol
- Median HbA1c
- Percentage with at least 1 DKA admission.
The first data file includes an overview of the AYA dataset, and the key metrics, broken down by audit year and demographics.
The second data file reports on the key metrics broken down by audit year, at sub national level (integrated care board (ICB) and sub ICB for England, and local health board (LHB) for Wales).
Changes to NDA Reporting
NHS England are currently reviewing the routine production of NDA State of the Nation reports. Please note that data will still be released via dashboards and standalone data files whilst this review is being conducted.
To help inform this review we would be grateful if users can provide feedback on their use of the State of the Nation reports using the feedback survey available in the ‘Related links' section of this page.
Key Facts
In 2022-23 there were 37,220 people aged 16 to 25 with type 1 diabetes in England and Wales
Demographics
- 45% female and 55% male
- 82% white ethnicity and 18% other, mixed and unknown ethnicity
- 22% in the most deprived quintile, 19% in the least deprived quintile
Metrics
- 74% attended clinic
- 25% had HbA1c <= 58 mmol/mol
- Median HbA1c was 66 mmol/mol
- 6.3% had at least 1 DKA admission
Resources
Last edited: 13 June 2024 1:43 pm