ICNAP-1 is the UK's first Intensive Care National Audit Project

Study Rationale

Bloodstream infections associated with the insertion and subsequent care of central venous catheters (CVCs) are a significant cause of morbidity. Implementation of a guideline to support best practice for insertion and ongoing care can reduce the incidence of infective and other complications associated with CVCs.

Prospective audit of documentation of all new central lines managed on the ICU for one week. A data collection form should be filled for each new line (Day 0) irrespective of where the line was initially inserted (e.g. Emergency department, theatres, another hospital). If the line was inserted outside of the ICU, the data collection sheet should be completed from the documentation available from the notes. For the purposes of this audit, central lines also include vascaths and pulmonary artery catheter sheaths but not Hickmann lines or PICC (peripheral inserted central catheter) lines.

A pilot study in was completed in May 2016 will be followed up by a national audit in the future. Both studies will be using a completely digital data collection form, but a printed example of the form can be found here

Pilot study

The data collected from the pilot study was published in the Journal of the Intensive Care Society in August 2017. An initial pilot study in 6 hospitals in England and Wales will take place over 2 weeks in May 2016. The data collection form is supplied by WDDCP, data is collected by the ICNAP-1 steering committee and medical students in Wales through Cardiff University Research Society (CUReS).

  • John Radcliffe Hospital, Oxford
  • Churchill Hospital, Oxford
  • Heartlands Hospital, Birmingham
  • Good Hope Hospital, Sutton Coldfield
  • Royal Gwent Hospital, Newport
  • Royal Glamorgan Hospital, Llantrisant


Steering Committee

Dr Tamas Szakmany

Intensive Care and Anaesthesia Consultant in Newport

Dr Szakmany is a Consultant in Intensive Care and Anaesthesia at Aneurin Bevan University Health Board. Tamas graduated at the University of Pecs, Hungary, where he then went on to gain his PhD in Critical Care. Tamas has always been passionate to work with medical students, where his three most recent publications are all collaborations with medical students at Cardiff University.

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Dr Olusegun Olusanya
Intensive Care and Anaesthesia Doctor in Oxford

Segun is a Doctor in Intensive Care and Anaesthesia, interested in ultrasound, physician wellness, and the use of social media in medical education. He co-edits the JICS Podcast, is part of Life in The Fast Lane, and also makes cake! 

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Dr Adrian Wong
Intensive Care and Anaesthesia Consultant in Oxford

Adrian is a newly appointed Consultant in Intensive Care and Anaesthesia at Oxford University Hospitals NHS Foundation Trust. He is an active supporter of FOAMed and an editor on The Bottom Line.

He has an interest in Point-of-Care Imaging, Medical Education and Clinical Governance on the ICU.

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Dr Nitin Arora

Intensive Care and Anaesthesia Consultant in Birmingham

Nitin is a Consultant in Anaesthesia & Intensive Care at Heart of England NHS Foundation Trust, Birmingham. He is interested in Clinical Governance, Medical Education, ICU Delirium & follow-up. 



Dr Ben Sharif
Anaesthetic Trainee in South Wales

Dr Sharif has throughout his medical career been interested in how technology can improve clinical practice. Having been involved in NHS HackDays, Innovation groups and developing apps, Dr Sharif saw the enormous potential for a digital data collection platform.

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Register Interest

Contact us on twitter: @ICNAP_1