Publication, Part of National Diabetes Inpatient Safety Audit (NDISA)
National Diabetes Inpatient Safety Audit (NDISA) 2018-2021
Audit
Further information
Acronyms and abbreviations:
Acronyms: The following acronyms and abbreviations are used throughout the report: | |
BG | Blood glucose |
DKA | Diabetic ketoacidosis |
DFU | Diabetic foot ulcer |
eGFR | Estimated glomerular filtration rate |
GIRFT | Getting It Right First Time |
HES | Hospital Episode Statistics |
HHS | Hyperosmolar hyperglycaemic state |
ISS | Integrated Specialist Services Structures Survey |
LHB | Local health board |
LOS | Length of stay |
MDiT | Multi-disciplinary diabetes inpatient team |
NaDIA | National Diabetes Inpatient Audit |
NDISA | National Diabetes Inpatient Safety Audit |
NDA | National Diabetes Audit |
NICE | The National Institute for Health and Care Excellence |
RRT | Renal replacement therapy |
NDISA harms audit linkage
To produce the patient profiles, NDISA harms audit data was enriched by linkage:
Notes:
1. From the core NDA demographics table.
2. Taking the value closest to the inpatient harm date (in corresponding NDA year or one of the preceding three years).
3. Taking the value from the NDA year preceding the inpatient harm year (defined as Apr-Mar).
Inpatient population with diabetes
Linkage was also used to produce a comparison population of inpatients with diabetes to compare with the profile of inpatients with inpatient harms recorded:
Notes:
1. From the cumulative core NDA demographics table, supplemented by the ongoing NDA 2021-22 collection.
2. Taking the value from the NDA year corresponding to the admission year.
3. Taking the value from the NDA year preceding the admission year.
- The NDISA team would like to thank all the people and teams who have worked hard to contribute to this unique and valuable insight into the inpatient care of people with diabetes.
- Development and delivery of NDISA is guided by a multi-professional advisory group of clinicians and experts by experience, chaired by Alistair Lumb. The NDISA Advisory Group members include:
- Alistair Lumb NDISA Chair, Consultant in Diabetes and Acute General Medicine, Oxford University Hospitals Foundation Trust
- Bob Young NDA Specialist Clinical Lead
- Alex Berry Engagement Lead, Diabetes UK
- Jodie Buckingham Lead Podiatrist, Oxford University Hospitals Foundation Trust
- Samantha Dottin NDA Engagement Lead, Diabetes UK
- Kathryn Hopkins Principal Information Analyst, NHS Digital
- Sameeha Hussain Information Analyst, NHS Digital
- Michael Mason Information Analyst, NHS Digital
- Maureen McGinn Expert by experience
- Julie Michalowski Audit Manager, NHS Digital
- Shivani Misra Consultant Diabetologist, Imperial College
- Gerry Rayman Consultant Diabetologist, Ipswich Hospital & National Clinical Lead for Inpatient Diabetes
- Andrew Whitehead Audit Coordinator, NHS Digital
- Arthur Yelland Senior Information Analyst, NHS Digital
Prepared in collaboration with

HQIP
The Healthcare Quality Improvement Partnership (HQIP). The National Diabetes Inpatient Safety Audit (NDISA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). HQIP is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing, and National Voices. Its aim is to promote quality improvement in patient outcomes, and in particular, to increase the impact that clinical audit, outcome review programmes and registries have on healthcare quality in England and Wales. HQIP holds the contract to commission, manage, and develop the National Clinical Audit and Patient Outcomes Programme (NCAPOP), comprising around 40 projects covering care provided to people with a wide range of medical, surgical and mental health conditions. The programme is funded by NHS England, the Welsh Government and, with some individual projects, other devolved administrations and crown dependencies www.hqip.org.uk/national-programmes.
NHS Digital
NHS Digital is the new name for the Health and Social Care Information Centre. NHS Digital managed the publication of the 2022 NDISA report.

Diabetes UK
Diabetes UK is the largest organisation in the UK working for people with diabetes, funding research, campaigning and helping people live with the condition.
The National Cardiovascular Intelligence Network
The National Cardiovascular Intelligence Network (NCVIN) is a partnership of leading national cardiovascular organisations which analyses information and data and turns it into meaningful timely health intelligence for commissioners, policy makers, clinicians and health professionals to improve services and outcomes.
Supported by: Public Health England
Published by NHS Digital. Part of the Government Statistical Service
Responsible Statistician Sally Jones, Analytical Section Head, NHS Digital
Last edited: 14 July 2022 9:33 am