NACEL Audit Guidance 2024
Download the National Audit of Care at the End of Life (NACEL) data specifications, audit guidance and promotional resources for the current audit period year below.
Find information about copyright and IPR permission here or see the full list of guidance and outputs here.
Audit Guidance
The audit guidance document is intended to provide guidance on each aspect of NACEL for all acute and community organisations in England, Wales and Jersey.
NACEL 2024 Mapping Document
This document maps each question and its audit element to the Primary and Secondary Drivers. It also outlines which questions are used as a Key Indicator or for the Management of Outliers Analysis.
Case Note Review
The Case Note Review collects patient level data on the deaths within the audit criteria, focusing on ten indicators of care, including recognition of dying, timely review of the dying and deceased patient, etc.
Quality Survey
The Quality Survey is an online questionnaire to be completed by bereaved person(s) of all eligible patients who died within the audit criteria. For Trusts/Heath Boards: example promotional materials are available here. The survey is available in 12 languages. Printable translated versions are available here.
The following elements of NACEL will be available to complete later in the year. See the audit guidance document or visit our Key Dates page for more detail of timescales.
Staff Reported Measure
The Staff Reported Measure is a survey aimed at members of staff who are most likely to come into contact with dying patients and those important to them. For Trusts/Health Boards an example promotional poster is available here.
Hospital/Site Audit
Each submission will complete the Hospital/Site overview every year. This audit element will focus on access to Specialist Palliative Care Teams within the hospital/site.