NELA Newsletter - 45th Edition - June 2019

Patient Data Collection - Year 6

As NELA is a continuous Audit, the Data collection period for Year 6 started on 1st December 2018 and continues on until 30th November 2019.

We would like to remind all NELA participants that the patient data collection side of the audit is still very much ongoing. One of the biggest lessons we have learned over the years is that entering patient data is easier when done in real time, rather than having to chase patient information retrospectively, often after the patient has been discharged.

As always if there is anything the Project Team can do to assist with the data collection process, whether it be adding new users onto the web tool or answering question about the inclusion/exclusion criteria please don't hesitate to let us know.

Best Practice Tariff (BPT)

The BPT in Emergency Laparotomy started on 1 April 2019. In response to queries received, the NELA Project Team has prepared a set of Frequently Asked Questions.
You can access these FAQ's here -

Quarterly Reports

The NELA team are making changes to the Quarterly report publication dates in the future. This is to bring them in line with the requirements to produce a Best Practice Tariff (BPT) quarterly report based on the financial year, rather than the NELA year (Dec-Nov). Going forward we will now follow financial year quarters. We will continue to publish the NELA Hospital & AHSN level Quarterly reports, but alongside these, there will also be a BPT (Trust Level) Quarterly Report.

You can find your Individual Hospital Report on the Webtool under the 'Reports' tab and then clicking on 'Hospital Reports'. You can then choose a Hospital and Report Type -

Emergency Laparotomy Learning Event in Birmingham on the 25th June 2019

Emergency Laparotomy Collaborative(ELC) and Academic Health Science Network(AHSN) event that will offer the opportunity to hear national updates, examples of innovative improvement work as well as allow knowledge sharing, learning, networking and collaboration to support the ELC work. Keynote speakers include; Nick Lees - High Risk Surgical Care document, Rupert Pearse - EPOCH study, Sarah Hare NELA Clinical Lead.
This event is open to all Emergency Lap team members. For more information and to register for this free event, click here:

Children's Acute Surgical Abdomen programme (CASAP)

A new programme is starting soon, to be delivered by the Royal College of Anaesthetists Health Services Research Centre (HSRC) in collaboration with the Association of Paediatric Anaesthetists and the British Association of Paediatric Surgeons. CASAP aims is to characterise the type and quality of care being delivered to children undergoing urgent / emergency abdominal surgery (including appendectomy). If you would like further information, click here -

Inclusion / Exclusion Criteria Changes

Please ensure you are familiar with the NELA Inclusion/Exclusion criteria on our website and web tool. As always the criteria on the Inclusion/Exclusion list is not exhaustive. Please contact the Project Team if you have any questions or need any clarification.

Quality Improvement Videos

The popular NELA Quality Improvement videos are all available on our youtube channel. All three videos are listed below and can be watched on this playlist:
1. "Using run charts to drive quality improvements with NELA data"
2. "Using NELA for Quality improvement"
3. "NELA: understanding the system
Additional Useful Tools on NELA Website - Click Here

  • Exception & Excellence - The spreadsheet on the webtool which allows you to identify those patients that died before hospital discharge and display whether or not key standards of care were met -
  • Guide for calculating observed/expected mortality ratio - Instructions for calculating how your hospital's in-patient mortality rate compares to the expected mortality based on preoperative risk assessment
  • Outlier Policy - Sets out the process by which participating hospital performance will be assessed and the process the NELA Project Team will follow to manage any hospital that is found to fall outside the expected range of performance and therefore flagged as an outlier
  • Top Tips - List compiled of some of the most useful and effective advice that was sent into us by a number of the top performing NELA sites
  • Frequently Asked Questions - Constantly updated FAQs
  • Help Box Text - Provides additional assistance for filling in each of the data collection questions and can also be found on the web tool by clicking on the 'H' button to the right of every question
  • Proforma - A PDF copy of the latest Proforma
  • NELA Poster & Leaflet - To publicise the audit amongst staff and patients in the hospital
  • OPCS Labels - For procedure items in the NELA dataset

Certificate of Participation
To receive your copies of the NELA Certificate of Participation please contact your hospital's Local Administrator to request that a certificate be issued for you.

Sign up to receive the NELA newsletter
If you would like to receive the newsletter for regular updates please sign up to the mailing list -

NELA Twitter - You can follow us @NELANews

Key dates
• June 2015: First Patient Report published
• July 2016: Second Patient Report published
• October 2017: Third Patient Report published
• November 2018: Fourth Patient Report Published
• 1st December 2018: 6th year of data collection for patient audit started
Autumn 2019: Fifth Patient Audit Report due to be published

Contact info:
If you have any questions or would like to contact the Project Team email -