The National Clinical Audit of Psychosis (NCAP) is a three-year improvement programme with a two-year extension to increase the quality of care that NHS Mental Health Trusts in England and Health Boards in Wales provide to people with psychosis.
Commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England, NCAP is the next phase in the development of the National Audit of Schizophrenia.
The scope of the audit includes both inpatient and community care provided for people with a broader group of severe mental health problems.
Key performance areas include the assessment and treatment of physical health, health promotion, prescribing practice, use of evidence-based psychological treatments and access to services at times of crisis.
The first year of the audit looked at care being provided to people with a psychosis by inpatient and outpatient services. From year two, the audit has focused on the quality of care provided by Early Intervention in Psychosis (EIP) teams. These are specialised services providing prompt assessment and evidence-based treatments to people with first-episode psychosis.
Year One: Core audit
The first year of the audit (2017-18) included an audit of practice which has now closed. The core audit examined care being provided to people with a psychosis by inpatient and outpatient services using the core audit standards (PDF), based on the 2014 NICE schizophrenia guidelines.
You can access the national report under Core audit tools and report.
Year Two: Spotlight audit on Early Intervention in Psychosis services
In the second year of the audit (2018/19) we focused on the care provided to patients by EIP services. The standards (PDF) are based on the 2016 Early Intervention in Psychosis Access and Waiting Time Standard (PDF).
We collected data via case note audit form and a contextual data questionnaire in October and November 2018, and the report was published in Summer 2019. You’ll find useful documents, including the timeline, under Resources for the EIP Spotlight audit.
Year Three: Audit on Early Intervention in Psychosis services
During the third year of the audit (2019/20), we again looked at the care provided to patients by EIP services. We also carried out a survey of people treated by EIP services to understand more about their experience of care.
The standards for the case note audit are based on the 2016 Early Intervention in Psychosis Access and Waiting Time Standard. People who have used EIP services helped us develop the survey which asks about elements of care they felt were important and areas that are important to care providers.
We collected data via case note audit form and a contextual questionnaire in October and November 2019. The survey was sent out in June 2019 and returned by October 2019. The report will be published in Summer 2020.
- Understanding Practice in Clinical Audit and Registries tool: UPCARE-tool 2018 (PDF)
- Understanding Practice in Clinical Audit and Registries tool: UPCARE-tool 2019 (PDF)
Year Four: Audit on Early Intervention in Psychosis services
In the fourth year of the audit (2020/21) we are looking at the care provided to patients by EIP services. The standards are based on the 2016 Early Intervention in Psychosis Access and Waiting Time Standard.
We’ll be collecting data via case note audit form and a contextual questionnaire in October and November 2019 and the report will be published in Summer 2021.
This year, for English Trusts only, we will again be collecting some patient identifiable information (NHS number, date of birth and postcode) as part of the case note audit. This is to continue examining the feasibility of collecting future audit data via NHS Digital to reduce the work for services. In order to collect this data, we have applied for Section 251 approval. We will not be requesting Trusts provide any identifiable data until we have received this approval.
We work with professional bodies, voluntary sector providers and campaigning organisations.
We comply with the CCQI ethical audit standards and don't require ethics approval or patient consent.
We work with a number of partner organisations which represent key stakeholders in the audit:
- British Psychological Society
- Care Quality Commission
- College of Mental Health Pharmacy
- Healthcare Quality Improvement Partnership
- National Collaborating Centre for Mental Health
- NHS England
- NHS Improvement
- Public Health Department Wales
- Rethink Mental Illness
- Royal College of General Practitioners
- Royal College of Nursing.
Members from these organisations sat on the NCAP steering group.
The purpose of this group is to provide our project team with expertise from multiple backgrounds to plan, structure, carry out and interpret the results of the audit fully and without bias.
Find out if your Trust/Organisation is registered on the audit.