1. Helen Thornton on behalf of the RCPCH NPDA Clinical Nurse Specialist for Children & Young People with Diabetes St Helens & Knowsley Teaching NHS Trust. The National Paediatric Diabetes Audit North West 2014

2. Registrations England and Wales

5. Type 1 diabetes incidence rates 2012-13

7. Understanding which data used :- care process Over 12 years at beginning of year of audit Have completed a year of care Glycated Haemoglobin A1c (HbA1c) Body Mass Index (BMI) (both height and weight being recorded) Blood pressure Urinary albumin Cholesterol Eye screening Foot examination 7

8. ST HELENS AND KNOWSLEY TAMESIDE COUNTESS OF CHESTER EAST CHESHIRE TRAFFORD CENTRAL MANCHESTER EAST LANCASHIRE WRIGHTINGTON, WIGAN AND LEIGH WARRINGTON AND HALTON STOCKPORT SOUTHPORT AND OMSKIRK UNIVERSITY HOSPITAL OF SOUTH MANCHESTER THE PENNINE ACUTE HOSPITALS NHS TRUST BLACKPOOL, FYLDE AND WYRE HOSPITALS NHS TRUST ALDER HEY CHILDREN'S NHS FOUNDATION TRUST MID CHESHIRE HOSPITALS NHS TRUST UNIVERSITY HOSPITALS OF MORCAMBE BAY NHS FOUNDATION TRUST LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST WIRRAL SALFORD ROYAL NHS FOUNDATION TRUST BOLTON

10. Understanding which data:- HbA1c Excludes HbA1c within first year of diagnosis Excludes HbA1c without valid date in audit year Have completed a year of care Have at least one HbA1c in the audit year Multiple HbA1c were included if available 10

11. Percentage achievement of HbA1c target of <58 mmol/mol by PDU 2012-13 ST HELENS AND KNOWSLEY TAMESIDE COUNTESS OF CHESTER EAST CHESHIRE TRAFFORD CENTRAL MANCHESTER EAST LANCASHIRE WRIGHTINGTON, WIGAN AND LEIGH WARRINGTON AND HALTON STOCKPORT SOUTHPORT AND OMSKIRK UNIVERSITY HOSPITAL OF SOUTH MANCHESTER THE PENNINE ACUTE HOSPITALS NHS TRUST BLACKPOOL, FYLDE AND WYRE HOSPITALS NHS TRUST ALDER HEY CHILDREN'S NHS FOUNDATION TRUST MID CHESHIRE HOSPITALS NHS TRUST UNIVERSITY HOSPITALS OF MORCAMBE BAY LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST WIRRAL SALFORD ROYAL NHS FOUNDATION TRUST BOLTON

12. Median HbA1c England & Wales ?

13. Median HbA1c by Unit (North West) 2012-13 8.6%

20. 20

21. How can we improve? Understand what is analysed Use a database Review data collection regularly Understand data extraction Timely submission Review data quality report Resubmit if necessary but be aware of overwriting of cvs files 21

22. More Data will be analysed in 2013-2014 report Thyroid Coeliac screening Smoking status Structured education Psychology assessment Insulin regimes 22