1. National Audit and the RCPCH Linda Haines, Principal Research Officer Royal College of Paediatrics & Child Health

2. Paediatrics and audit Broad spectrum of practice Multiple sub-specialties Evidence-base varies Lack of accepted outcome measures

3. Clinical Effectiveness Programme Sets standards for guideline development Evidence-based guidelines identifies, appraises, promotes key messages Promotes evidence based medicine bulletin of systematic reviews/ courses Promotes clinical audit national audits and audit resources

4. National audit activity National audits UTI, ITP, nephrotic syndrome and appropriateness of admissions Audit of Type 1 diabetes Led & funded by Diabetes UK Covers approx 8,000 children Ranking of glycated haemoglobins

5. Future Audit activity Portfolio of evidence-based audits involving all members evidence-based standards linked to guideline programme choice of audits

6. Questions Consequences of the BRI enquiry? Role of CHI in audit NICE sole responsibility for setting standards Funding of National audit activity? Role of individual Colleges?