Clinical Audits

The Clinical Audits page collates the Royal College of Emergency Medicine's national clinical audits, including current and previous clinical audits. Use the navigation below to browse current audits, previous audits and frequently asked questions about audits and data submitted. 

Current Audits

2018/2019 Audits 

The Royal College of Emergency Medicine is pleased announce that registration for the 2018/19 national clinical audits is now open.

Click here to register     Please note, to successfully complete the online audit registration process, Trusts are required to attach a copy of the purchase order document  and submit this in one visit.

The three RCEM audit topics confirmed for 2018/2019 are: 

1) Feverish Child
2) VTE risk in lower limb immobilisation 
3) Vital Signs in Adults 

All of the above topics are on the Quality Accounts list for 2018/2019 and are felt to pose challenges for Emergency Departments at present. By conducting these clinical audits, RCEM hopes to support effective local and national quality improvement. 

All Type 1 Emergency Departments - A consultant-led, 24 hour service with full resuscitation facilities and designated accommodation for the reception of emergency department patients, are urged to participate and focus on how care can be improved in these areas.

RCEM is delighted to bring to some brilliant upgrades to the clinical audit programme this year.  Quality Improvement (QI) is becoming ever more established in emergency medicine, the specialty leading the way and embracing better care for patients.  

To better support the QI journey, RCEM is moving away from the traditional clinical audit model of simply collecting and reporting data, and towards a national quality improvement programme.  

As always, three topics of vital importance to emergency medicine will be audited: Feverish Child, Vital Signs in Adults, and VTE Risk in Lower Limb Immobilisation.  However, rather than having to wait until the following Spring to discover how EDs performed, the results will become available instantaneously as soon as the data has been entered. Much more detail about how performance changes over the whole data collection period will also be available, as well as the impact of the quality improvement initiatives.

What is changing?

A number of improvements have been made to support greater control over data and their use for effective local quality improvement.  Here are some of the new features:

New dashboard showing real-time data for EDs
Ability to track how data changes over weeks and months on SPC charts
Quality improvement features built in
Ability to record PDSA cycles that will automatically be annotated on charts to see effectiveness
Ability to compare one ED's data to others within the same Trust, within the same country or the whole of the UK
Better user interface
Better data validation
Faster data entry
Data mapped to ECDS for easier patient identification and extraction from the ED system

RCEM has partnered with Net Solving Ltd to make this happen.  Net Solving are the software company behind the national audits that are consistently rated as some the most effective, such as SSNAP and NELA. The move from clinical audit to national QI will involve much learning and all feedback will be most welcome, which will be used to design and add new features.


Jump to:

Latest news

  • 2018/19 national clinical audits - REGISTRATION NOW OPEN - please see above.
  • 2018/19 - there are some very exciting improvements coming to the audit programme in 2018/19 including, real-time dashboards, tracking your ED's performance over the audit period, choosing the best comparative data for you, and integrated quality improvement support for PDSAs.  Stay tuned for further information and registration on 2 July.
  • Audit reports - we are pleased to announce that the national audit reports are now available to download from the links below.  We encountered a much higher level of incomplete data submitted this year, potentially due to the unprecedented pressures on EDs this winter.  As a result our analysts have been completing additional work to ensure the data are still valid and useful for you. Although the local reports are available to download, please treat these as draft as they are subject to changes. We will formally announce when the final versions are ready.  Apologies for the ongoing delay and thank you for understanding.
  • Participation certificates - you can download your participation certificates for 2017/18 by logging into the RCEM audit site and clicking on results, then download certificate of participation
  • Quality Accounts - you can find your participation numbers for your Quality Accounts by logging into the RCEM audit site then clicking on the 2017 audits, then summary.  You can compare your number of entered cases with the sample guidance in the audit information sheets below.

2017/18 RCEM national clinical audits 

Fractured Neck of Femur

Audit information pack  (updated 29 Nov 2017)
Audit proforma (updated 3 Aug 2017)
Local report & presentation slides - (log in required)
National report (May 2018)
National presentation slides (May 2018)
Previous results (Feb 2017)

Procedural Sedation
Audit information pack  (updated 29 Nov 2017)
Audit proforma (updated 3 Aug 2017)
Local report & presentation slides - (log in required)
National report (May 2018)
National presentation slides (May 2018)
Previous results (May 2017)

Pain in Children (moderate and severe pain)
Audit information pack (updated 29 Nov 2017)
Audit proforma (updated 3 Aug 2017)
Local report & presentation slides - (log in required)
National report (May 2018)
National presentation slides (May 2018)
Previous results (May 2012)

Audit contacts

It is important for the College to maintain contact details for Consultants and administrators responsible for audit in their Departments in order to keep them informed of audit developments. Please notify the College administrator of any changes to your contact details (see details below).



Should you have any questions please email or telephone 020 7400 6108.

External Audits

Urgent and Emergency Care Clinical Audit Toolkit A learning tool to support the quality of urgent and emergency care services for patients was launched on 30th March 2011 by the Royal College of General Practitioners. Go to the Audit Guidance page for more information and to download the toolkit.

National Care of the Dying Audit for Hospitals in England
For the first time, a survey of bereaved relatives' views has been performed alongside organisational and clinical audit elements, as part of a national audit of care of the dying. The audit was delivered by the Royal College of Physicians (RCP) in collaboration with the Marie Curie Palliative Care Institute Liverpool. The full national audit report and an executive summary can be downloaded from the RCP website.

NCAPOP and Audit Resources
The Healthcare Quality Improvement Partnership (HQIP) manages and develops the National Clinical Audit and Patient Outcomes Programme (NCAPOP). In addition HQIP is developing guidance and resources to assist local clinical audit programmes. See more here


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