1. The National Neonatal Audit Programme 2011-2013 Mike Watkinson for the NNAP Project Board NDAU

2. 2011-2013 More comprehensive Outcomes rather than processes More interactive with networks, trusts and units More communicative with parents and the public: more outlooking

3. 2011-2013: More comprehensive More babies ! All neonatal units Data from all databases Neonates on surgical units and PICUs Wales, Scotland and Northern Ireland

4. 2011-2013: More comprehensive More data per baby ! 23 fields in the original audit Caldicott approval for all data

5. 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?

6. 2011-2013: Outcomes more than processes Babies born at <28 weeks: temperature taken within the 1st hour - a NNU in 2009 Process

7. 2011-2013: Outcomes more than processes ← Process Outcome →

8. Birmingham Heartlands breast milk feeding to babies <33 wks who went home in 2009 NMEBM at some time on NNU Only donor milk Only formula Incomplete data 143128447 128/136 = 94% had MEBM ←Process 2011-2013: Outcomes more than processes

9. 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 timeOnly donor milk Only formula 12844 Milk at discharge 42 breast only 31 mixed feeds 55 formula only 4 formula ← Outcome 2011-2013: Outcomes more than processes

10. 2011-2013: More interactive Engaging: Organisations Networks Trusts Units Alerts and alarms !!

11. 2011-2013: More interactive – with networks Unit Level Min Temp recordedMedian Max temp recorded 1 32.934.937.0 1 36.536.838.1 2 34.936.638.0 2 36.437.037.4 3 35.736.938.8 3 33.436.7539.4 Temperature ranges and medians at < 28 weeks - 6 SWMNN units in 2009

12. 2011-2013 More comprehensive Outcomes rather than processes More interactive with networks, trusts and units More communicative with parents and the public

13. 2011-2013: Communication with parents N N A P National Neonatal Audit Programme Annual Report findings for Parents & Carers 2009

14. 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

15. 2011-2013 More comprehensive Outcomes rather than processes More interactive More communicative / outlooking

16. NNAP Project Board Mike Watkinson Neena ModiRCPCH/NDAU Andrew WilkinsonBAPM Roshan AdappaWales Brian Gill/Alan FentonBAPM Jane AbbotBLISS Mary PassantNeonatal networks Eugene Statnikov/Sridevi NagarajanNDAU Kim DavisRCPCH Rita RanmalRCPCH Helen GrantHQIP Lailaa CarrHQIP

17. www.rcpch.ac.uk/nnap