If you are a participating site looking to login to the webtool, visit the National Audit of Continence Care website
Introduction
The National Audit of Continence Care 2010 builds on the highly successful and influential National Audit of Continence Care for Older People which demonstrated the variability of care and service delivery across the country. It subsequently showed the utility of clinical audit in improving continence care.
- This audit is a two-year project of clinical audit followed by subsequent dissemination and change.
- It is being funded by the Healthcare Quality Improvement Partnership as part of the National Clinical Audit and Patients Outcomes Programme carried out by the Royal College of Physicians Clinical Effectiveness and Evaluation Unit. Local governance is the responsibility of a multi disciplinary Steering Group.
- The audit covers primary care, acute Hospitals, mental Health care and care homes. It allows participating sites to directly compare their performance with accepted quality clinical indicators based upon national guidance and, where these do not exist, expert consensus.
- Audit reports will inform Primary Care Trusts and Independent Care Organisations with regard to service provision and further development.
- NICE recommends National audit as its preferred audit package for male LUTS - As part of the forthcoming NICE guidelines for lower urinary tract symptoms in men, NICE has recommended that the National Audit of Continence Care be used to audit the implementation of their guidelines. Participation in the National Audit at this stage will allow sites to benchmark their managment against the upcoming guidelines and produce action plans in advance of full publication.
Background
Urinary incontinence affects 24% of older people over 65, and 30-60% of people in long-term care settings. Faecal incontinence occurs in approximately 1-4% of community dwelling adults and up to 25% of people in institutional care. Both cause much individual distress, particularly to the sufferer but also to carers.
National Audit of Continence Care (NACC) 2010
The aims of the audit are to:
- improve care for people with continence problems as highlighted in Good Practice in Continence Services (DoH, 2000).
- monitor the National Service Framework for Older People milestone for establishing integrated continence services (April 2004).
- monitor the implementation of NICE guidelines on urinary incontinence in women (CG40) and faecal incontinence (CG49).
- provide a baseline assessment with respect to the NICE guidelines on the management of lower urinary tract symptoms in men (February 2010)
It will allow participants to:
- compare the quality of their continence care to evidence based criteria
- demonstrate variation in standards of care relating to the management of continence problems
- demonstrate the degree of implementation of current NICE guidelines in this important disease area
- facilitate action planning to improve standards of care
- demonstrate high quality care provision for commissioners of services
The audit will cover the services available to and the care received by all adults in England, Wales Northern Ireland and the Channel Islands
The tool is web based and consists of:
- Organisational audit: structure, manpower, training and education available for care.
- Data return opened in November 2009 and was complete in December 2009.
- Case mix and clinical audit for bladder and bowel problems: the characteristics of the patients and the quality of care experienced by a patient with urinary and/or faecal incontinence.
- Data return opened in November 2009 and will complete in March 2010.
Downloads and links
Privacy and Dignity in Continence Care
(launched 11 November 2009)
2006 NACCOP Generic Report (PDF 220k 
)
2006 NACCOP Appendix (PDF 290k pdf )
2006 NACCOP Report Executive Summary (PDF 72k )
Publications and reports:
| Wagg A, Lowe D, Peel P, Potter J. Continence care for older people in England and Wales: data from a national audit. J Wound Ostomy Continence Nursing. 2008 Mar-Apr; 35(2):215-20. |
| Wagg A, Potter J, Peel P, Irwin P, Lowe D, Pearson M. National audit of continence care for older people: management of urinary incontinence. Age and Ageing. 2008 Jan; 37(1):39-42 |
| Potter J, Peel P, Mian S, Lowe D, Irwin P, Pearson M, Wagg A. National audit of continence care for older people: management of faecal incontinence. Age and Ageing. 2007 May; 36(3):268-73 |
|
Desai N, Keane T, Wagg A, Wardle J. Provision of continence pads by the continence services in Great Britain: fair all round? J Wound Ostomy Continence Nurs. 2008 Sep-Oct;35(5):510-4. |
| Wilson D, Lowe D, Hoffman A, Rudd A, Wagg A Urinary incontinence in stroke: results from the UK National Sentinel Audits of Stroke 1998-2004. Age Ageing. 2008 Sep;37(5):542-6. |
Contact Details
Tel: 020 3075 1347
Fax: 020 7487 3988
email: nacc@rcplondon.ac.uk
website: National Audit of Continence Care
Clinical Director: Dr Adrian Wagg
Programme Manager: Janet Husk