What is NCAAD?


NCAAD is 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.  

NAPT was established to evaluate and improve the quality of psychological therapy treatment received by people with anxiety and depression in England and Wales.  

After two rounds of data collection and a review of the findings and recommendations, a decision was made to refocus and expand the scope of the audit to look at the care and treatment of service users with a primary diagnosis of anxiety and/or depressive disorder within secondary care services.  

NCAAD is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and is part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) funded by NHS England. For more information about NCAAD's audit process please see Understanding Practice in Clinical Audit and Registries tool: UPCARE-tool 2019


To enable Trusts/organisations to improve the delivery of care to service users receiving treatment;

To provide comparative data on the quality of care and service user outcomes following treatment;

To facilitate the development of effective quality improvement initiatives and share examples of best practice, enabling Trusts/organisations to make the best use of audit data.

The audit has three components:

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