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National Audit for Small Animal Neutering

Image of a cat being spayedThe National Audit for Small Animal Neutering (NASAN) is a free national audit that allows veterinary teams to measure post-operative complication rates for the neutering of small animals.

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What is the NASAN?

The National Audit for Small Animal Neutering (NASAN) is a free-to-use national audit that collects data on post-operative complications of neutering of dogs, cats, and rabbits. The audit template combines practice data, and displays overall results, but also breaks down the analysis by complication and species. By collecting this donated data, NASAN provides a system to measure national benchmarks for the outcomes of canine, feline, and rabbit spays and castrations. 

The NASAN collects data from all practices within the UK and the Republic of Ireland. 

The NASAN is run by RCVS Knowledge, an independent charity sitting at the heart of our professions, to help advance the quality of veterinary care for the benefit of animals, the public and society. RCVS Knowledge is a separate organisation to the RCVS, and it is governed as such by the RCVS Knowledge Board of Trustees. We are a separate data controller to the RCVS. RCVS Knowledge is not a public authority and is therefore not covered by the Freedom of Information Regulations.

What are the benefits of taking part?

By taking part in the NASAN you will contribute to a national benchmark and fulfill your professional responsibility to help support the improvement of patient care.

You can see how your organisation is performing when compared to data that includes other practices and practice groups, and recognise if you are an outlier in providing outstanding care, or need to make improvements.

The NASAN is free to use. 

How to take part 

  • Download the spreadsheet, then save it on your computer somewhere you’ll be able to find it again easily. This can be in any spreadsheet format, including Excel, Power BI, Google Docs or Numbers. If you are not sure if the program you use is compatible, please get in touch at ebvm@rcvsknowledge.org
  • Identify the dogs, cats and rabbits in your practice that have had a spay or castrate within a set period.
  • Enter the information on the spreadsheet, including:
    • Date of surgery
    • Which procedure
    • What the outcome was, choosing from:
      • Lost to follow-up: patients that do not return to the practice when a repeat check-up was expected.
      • No abnormality present: healed as normal.
      • Abnormal but no treatment necessary: abnormal healing that resolved without any treatment.
      • Abnormal requiring medical treatment: abnormal healing that required extra treatment, on top of your routinely prescribed postoperative treatment.
      • Abnormal requiring surgical intervention: abnormal healing that required surgery.
      • Fatality of animal: the patient died, either in the peri- or post-operative period. 
  • If you record your practice name on the spreadsheet, you will receive a certificate for your participation. This is ideal for the RCVS Practice Standards Scheme
  • When you’ve finished, save the spreadsheet, and submit it.
  • Data can be sent in on a monthly, quarterly or annual basis. 

This video shows you how to take part.

How to submit your spreadsheet

Your spreadsheet can be sent in one of two ways.

  1. Fill out the submission form
  2. Data can be sent in bulk to the QI Project Manager at RCVS Knowledge. Before sending any bulk data. Please get in touch with a member of the QI team at ebvm@rcvsknowledge.org to discuss this further.

Data 

 

NASAN Benchmark Reports

Benchmark reports are released annually and are available to view online and download. 

Access the latest NASAN Reports and compare your outcomes.

 

What to do after getting your results

      • Talk about the results at your next team meeting. You can use this poster to display your results and compare them with your practice and the national benchmark. You can use this poster as a focal point for your Quality Improvement discussions. This poster is designed to be professionally printed, and laminated, on A2 paper [PDF 73KB] (November 2022).

To order your professionally printed and laminated A2 discussion guide, copy and paste the URL into your internet browser or visit: https://www.serviceprint.net/product/qi-discussion-guides/

      • Access the NASAN Resource Hub to find evidence, articles, and resources that can help you improve your outcomes. 
 

Find out more

For further information please read Participating in the National Audit for Small Animal Neutering [PDF 168KB].

RCVS Knowledge would like to thank all practices that have submitted data. Without their participation, standards setting would not be possible. If you require any further assistance with submitting data or you have any concerns or comments on this subject, please contact ebvm@rcvsknowledge.org.

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