## Published 13Th June 2019

The National Diabetes Audit (NDA) provides a comprehensive view of diabetes care in England and Wales and measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards. The 2017-18 report includes data on 3,398,470 people for the audit period 1 January 2017 to 31 March 2018.

## Key Findings

Achievement of the Treatment Targets (HbA1c, Blood Pressure, 
Greater than 7 per cent improvements in HbA1c for Type 1 diabetes and blood pressure for Type 2 diabetes over the 6 year period 2012-13 to 2017-18.

People of working age and younger are almost half as likely to achieve treatment targets as their older

counterparts.
Variation
Structured Education
All measurements showed marked geographical and 
between service variation
Learning Disability
People with a learning disability who have Type 1 diabetes are more 
likely to receive their annual checks whilst those with Type 2 and other 
diabetes are less likely to receive them

## Recommendations

A collaborative approach is needed is needed by GP services, CCGs/LHBs, structured education providers and specialist diabete s services to improve outcomes for people with diabetes:

practices that clarify who has attended patient education courses.                                                                                                  

People with diabetes should review their results for their practice, specialist service, CCG/LHB and where results are clearly worse than average. SMI care providers should be aware of the higher risks of Type 2 diabetes at younger age onset and in females. 

Urine albumin care process 
Most other care processes 
checks are completed less 
remain well completed, 
frequently. The lower levels 
though less frequently in 
of BMI recording that 
started in 2013-14 are 
Type 1 patients overall and 
in younger people with any 
unaltered.
type of diabetes
Offers for structured education continue to improve but 
this is not yet matched by records of attendance.
Severe Mental Illness (SMI)
People with Type 2 diabetes and SMI are less likely to receive 
their annual checks compared to their peers, especially for 
urine albumin and foot risk

Seek new approaches to improving management for those overall doing worst.             
with people who have SMI to increase care process completion. Support people with a learning disability and Type 2 diabetes complete all their annual checks.

Reduce variation. Every service and locality has results that are significantly poorer than their peers. Select priorities (e.g. bottom quartile results) for improvement; draw up and implement changes