Former CCQI programmes

NCAAD was a three-year improvement programme, which was established to improve the quality of NHS-funded care provided to service users with anxiety and/or depressive disorder in England. It was developed following the findings of the National Audit of Psychological Therapies for Anxiety and Depression (NAPT) which took place between 2010-2014.  

The audit had three components:

1. core audit on the care and treatment service users receive during and after a period of inpatient care
2. spotlight audit 1 on Psychological Therapies
3. spotlight audit 2 on the experiences of service users.

View a visual summary of the whole audit (PDF)

View the recommendations from across the whole audit (PDF)

• Core Audit Main Report (PDF)
• Core Audit Technical Report (PDF)
• Core Audit Data Table
• Spotlight Audit of Psychological Therapies Report (PDF) 
• Spotlight Audit Data Table
• Spotlight 2 Audit of Service User Experience Report (PDF)

• Baseline Core Audit of Practice Tool (PDF)
• Core Audit of Practice Tool Implementation Guidance (PDF)
• Spotlight Audit of Practice Tool (PDF)
• Spotlight Audit of Practice Tool Implementation Guidance (PDF)
• Service User Survey (PDF)
• Therapist Tool (PDF)

• Standards (PDF)
• Participating Trusts (PDF) 
• Leaflet of key findings and recommendations (PDF) 
• Prospective Data Collection (PDF)
• Outlier Policy (PDF) 
• Cause for Concern Policy (PDF) 
• National Data Protection Impact Assessment (PDF) 
• Inter-rater Reliability Report (PDF)

• Standards (PDF) 
• Participating Trusts (PDF) 
  
• Methodology (PDF) 
  
• Leaflet of key findings and recommendation (PDF) 
  
• Analysis document (PDF) 
  
• Eligibility criteria (PDF) 
  
• Trust variance charts (PDF) 
  
• Inter-rater reliability report (PDF) 

• Methodology (PDF)
• Eligibility criteria (PDF)
• Full list of recommendations (PDF)
• Leaflet of key findings and recommendations (PDF)

• Webinar recording link 1 
  
• Webinar recording link 2 

Richard Driscoll Memorial Award

Healthcare Quality Improvement Partnership (HQIP) have awarded NCAAD with the Richard Driscoll Memorial Award 2019 as a recognition of outstanding work in patient and public involvement. The audit was awarded this based on its excellent patient leadership that led to a co-produced annual report, increasing its accessibility for lay people, and the direct impact from extensive PPI throughout the audit process.

Effective collaboration with service users and carers is key for the audit, to ensure that their voices are heard and that the priority remains the quality of care received by those accessing secondary care psychological services.

Being involved in NAS enabled clinicians who treat people with schizophrenia in the community to assess the quality of their prescribing of antipsychotic drugs and of their monitoring of  patients’ physical health.

It also supported them to monitor patients’ experience and outcome of treatment, plus carers’ satisfaction with information and support.

Local services could compare their performance with national standards and to benchmark with other services. In addition, they could identify what they did well and where there was potential to improve.

Wide participation in the audit also created an overview of the quality of care being provided nationally.

It was expected that all Mental Health Trusts in England and Health Boards in Wales who provide community-based care and treatment to service users with schizophrenia would participate in NAS.

NAS ran for two rounds of audit and this work has been built upon by the National Clinical Audit of Psychosis (NCAP), which looks at the care being provided to people with a wider range of illnesses, and  includes people in hospital settings as well as those in community services.

• Full second round national report 2014 (England and Wales) (pdf)                           
• Second round executive summary 2014 (England and Wales) (pdf)  
• Adroddiad ar ail gylch yr Archwiliad Cenedlaethol o Sgitsoffrenia (NAS2) 2014 – Crynodeb Gweithredol - (Executive Summary, Welsh language version) (pdf)  
• Second round of the National Audit of Schizophrenia (NAS2) - Report for Northern Ireland (pdf)  
• Second National Audit of Schizophrenia - what you need to know - findings from the audit in plain English (pdf), which has been compiled by Rethink Mental Illness and NAS
• Second round national report (England and Wales) online version
• Data for the case note audit of the second round of NAS is available on www.data.gov.uk

• Full National report 2012 (England and Wales) (pdf) - includes findings from the audit and the full recommendations.
• Executive summary 2012 (England and Wales) (pdf) - contains the key national findings and summary of recommendations.
• National Audit of Schizophrenia: What you need to know (pdf) -  a report presenting findings from the audit in plain English, which has been compiled by Rethink Mental Illness and NAS.
• National Audit of Schizophrenia: Easy read version (pdf) - an accessible version of the national report compiled by MenCap.

These tools have been made publicly available and should you choose to download them for uses outside of the National Audit of Schizophrenia, you are free to do so, but are hereby agreeing to enter into a royalty free, non-exclusive, licence agreement with Healthcare Quality Improvement Partnership under the following terms and conditions.

All information, software, products and related graphics contained in the audit tool or data collection form are provided for non-commercial purposes "as is" without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights.

In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the audit tool or form.

HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the audit tool or forms.

HQIP reserves the right to make improvements, changes or updates to forms or tools at any time without notice.

Audit tools for the second round of audit

• Audit of practice tool (PDF)*
• Service user questionnaire (PDF)*
• Carer questionnaire (PDF)*

NAS audit tools used in the first round of NAS:

• Audit of practice tool (PDF)*
• Service user questionnaire (PDF)*
• Carer questionnaire (PDF)*

*These tools and documents were specifically developed for use within the National Audit of Schizophrenia.

Physical health parameters and appropriate interventions are set out in the Lester adaptation of the cardiometabolic health resource. (PDF)