P-43: A national network approach using audit data to drive quality improvement in paediatric diabetes care
F Campbell, E SavageAbstract
Introduction
Variation in paediatric diabetes outcomes persists despite national standards. The Children and Young People’s National Diabetes Network supports 35,801 CYP receiving care across England, Wales and Jersey in 172 paediatric diabetes units (PDUs). Its delivery plan (2020–2025) established a coordinated national model to reduce inequity, using National Paediatric Diabetes Audit (NPDA) data to drive quality improvement (QI).
Objectives
To evaluate the impact of a national network approach integrating NPDA data, standardised resources, and workforce tools on improving care quality and consistency.
Methods
A whole-system model was implemented across PDUs. NPDA data were used for benchmarking, identifying variation and prioritising QI. Nationally co-developed interventions included DKA prevention guidance, first year of care standards, multilingual technology resources, type 2 diabetes peer support networks, workforce standards and calculator, HCL resources, and a structured transition programme. Delivery was supported through regional collaboratives and feedback.
Results
Network-wide use of NPDA-informed benchmarking improved engagement with QI and enabled targeted interventions. Standardised DKA guidance and education resources supported consistent prevention strategies across services. First year of care guidance improved early pathway consistency. Multilingual technology resources enhanced equitable access and understanding. Type 2 peer support networks strengthened staff capability and confidence. Workforce tools enabled services to align staffing with demand. HCL resources and structured transition models improved workforce confidence and continuity of care.
Conclusions
A national, data-enabled network model can deliver scalable, system-wide improvements in paediatric diabetes care. Embedding audit data into routine practice, alongside standardised resources and workforce tools, reduces variation and supports equitable, sustainable improvement, offering a transferable model for chronic disease management.