• The National Neonatal Audit Programme

2011-2013Mike Watkinson for the NNAP Project Board

 

NDAU

2011-2013

More comprehensive

Outcomes rather than processes

More interactive with networks, trusts and units

More communicative with parents and the public: more outlooking 

2011-2013: More comprehensive

More babies !

All neonatal units

Data from all databases

Neonates on surgical units and PICUs

Wales, Scotland and Northern Ireland 

2011-2013: More comprehensive

More data per baby !

23 fields in the original audit

Caldicott approval for all data 

2011-2013: Outcomes rather than processes

What was the temperature in the first hour? …….

not just ……. ….. Was the temperature measured ?

Was the baby breast fed at discharge home ?……

not just …… …Did the baby receive MEBM at some point in time?

 

2011-2013: Outcomes more than processes

Babies born at <28 weeks: temperature taken within the 1st hour - a NNU in 2009

Process

2011-2013: Outcomes more than processes

← Process

Outcome →

Birmingham Heartlands breast milk feeding to babies <33 wks who went home in 2009

N MEBM at some time on

NNU

Only donor milk

Only formula

Incomplete data

143 128 4 4 7

128/136 = 94% had MEBM ← Process

2011-2013: Outcomes more than processes

Birmingham Heartlands breast milk feeding to babies <33 wks who went home in 2009 (n=136)

42/136 = 31% exclusively breast feeding

73/136 = 52% receiving breast milk

Milk on NNU

MEBM at some time Only donor milk

Only formula

128 4 4

Milk at discharge

42 breast only

31 mixed feeds

55 formula

only

4 formula

4 formula

← Outcome

2011-2013: Outcomes more than processes

2011-2013: More interactive

Engaging:

OrganisationsNetworksTrustsUnits

 

Alerts and alarms !!

2011-2013: More interactive – with networks

Unit LevelMin Temp recorded Median

Max temp recorded

1 32.9 34.9 37.0

1 36.5 36.8 38.1

2 34.9 36.6 38.0

2 36.4 37.0 37.4

3 35.7 36.9 38.8

3 33.4 36.75 39.4

Temperature ranges and medians at < 28 weeks - 6 SWMNN units in 2009

2011-2013

More comprehensive

Outcomes rather than processes

More interactive with networks, trusts and units

More communicative with parents and the public 

2011-2013: Communication with parents

N N A P

National NeonatalAudit Programme

Annual Report findings for Parents & Carers2009

2011-2013: More communicative with parents and the public

Challenges:

to become better known

publication of articles/stories

to work with other organisations in perinatal care

to attend BLISS meetings and engage in one-to-one conversations with parents

to work with commissioners

 

2011-2013

More comprehensive

Outcomes rather than processes

More interactive

More communicative / outlooking

 

NNAP Project BoardMike WatkinsonNeena Modi RCPCH/NDAUAndrew Wilkinson BAPMRoshan Adappa WalesBrian Gill/Alan Fenton BAPM

Jane Abbot BLISSMary Passant Neonatal networksEugene Statnikov/Sridevi Nagarajan NDAUKim Davis RCPCHRita Ranmal RCPCH

Helen Grant HQIPLailaa Carr HQIP 

www.rcpch.ac.uk/nnap