National Diabetes Inpatient Audit (NaDIA) – Improving Diabetes Care in NHS Mental Health Inpatient Services

Individuals living with a serious mental illness, die 15-20 years earlier than the general population, due to a greater risk of poor physical health.*This project focuses on the care that people with serious mental illness receive for their diabetes whilst an inpatient in a Mental Health NHS Trust.

*Severe mental illness (SMI) and physical health inequalities: briefing – GOV.UK (www.gov.uk

Project overview

Following a test pilot in Southern Healthcare NHS Foundation (2017) and South London and Maudsley NHS Trust (SLaM) (2014), the Health Innovation Network have collaborated with SLaM to create an audit, based on The National Diabetes Inpatient Audit (NaDIA) , to assess diabetes care in inpatient mental health settings.

NaDIA is conducted once a year in acute inpatient settings to improve the quality of diabetes care by enabling participating NHS services and organisations to assess their local practice, identify and share best practice, recognise improvements and share their outcomes to build a national picture of diabetes care across England and Wales.

Despite the prevalence of diabetes amongst individuals living with a long-term mental illness, the audit is not currently conducted in mental health inpatient settings.

On 8 June 2021, the inpatient diabetes audit created was piloted on seven inpatient wards at SLaM. Core Trainee Doctors completed the audit on behalf of the wards and also gained insight from MDT team members, including Occupational Therapists and Health Care Assistants. The audit was retested on the same wards by the same Core Trainee Doctors between 19 – 22 July 2021 following additional improvements, including questions around patient experience.

The Health Innovation Network (HIN) is part of the London Physical Health Leads Network, along with UCLPartners and Kings Health Partners Mind and Body Programme. The HIN and SLaM will share the piloted NaDIA for mental health settings with this network for pan-London mental health trusts to utilise.

Pan-London mental health trusts will be asked undertake this audit on their chosen wards and the HIN will produce a report to highlight findings, sharing best practice and common themes for improvement across London.

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For more information on this project, contact Lydia Davies, Project Manager – Mental Health.

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In brief

  • The National Diabetes Inpatient Audit (NaDIA) is conducted once a year in acute inpatient settings to improve the quality of diabetes care. Despite the prevalence of diabetes amongst individuals living with a long-term mental illness, the audit is not currently conducted in mental health inpatient settings.
  • In collaboration with SLaM, the HIN will conduct a pilot audit and produce a report to highlight findings, sharing best practice.
  • Following the pilot, the audit template will be shared with pan-London mental health trusts for them to utilise and assess their local practice, recognise improvements and share best practice to improve diabetes care in inpatient settings.

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