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National Emergency Laparotomy Audit

Welcome to the National Emergency Laparotomy Audit (NELA). The audit is being carried out by the National Institute of Academic Anaesthesia's Health Services Research Centre on behalf of the Royal College of Anaesthetists. It is being run in conjunction with surgical and other key stakeholders. This website is here to provide access to all the latest information regarding NELA, including important dates, documents, meetings and events.

The aim of the audit is to enable the improvement of the quality of care for patients undergoing emergency laparotomy through the provision of high quality comparative data from all providers of emergency laparotomy.

To find out further about the specific audit objectives and outputs go to the objectives page of the About section of the website.

We would like to thank you for all your continued hard work during the data entry process of this national audit.

Individual Hospital Performance Indicator Report.

The NELA Project Team have now made available an Individual Hospital Report for each hospital that submitted data to NELA in Year 2. Each report provides a summary of the key performance indicators and comparison to national figures, for Year 2 of the Audit (Year 1 & 2 for mortality data).

To see your Individual Hospital Report please

Click Here.

The Second Patient Report of the National Emergency Laparotomy Audit was published on 5th July 2016.

There are two reports available for download, a shorter Executive Summary only report and the Full report

NELA Patient Audit - Executive Summary:

 The Second Patient Report of the National Emergency Laparotomy Audit 2016 - Executive Summary.pdf (875 KB)

NELA Patient Audit - Full Report:

 The Second Patient Report of the National Emergency Laparotomy Audit 2016 - Full Patient Report.pdf (2.01 MB)

The Web Tool is OPEN for patient audit data entry

Access the data entry web tool by clicking the link below:


Data entry began on Tuesday 7th January 2014.

Please keep in mind that NELA is on on-going audit and that the data collection process continues as usual. The current NELA timeline is as follows:

  • Year 1 ended 30th November 2014
  • Year 2 ended 30th November 2015
  • Year 3 began 1st December 2015 (Current)

Updated FAQs for the patient audit are now available:

 NELA Patient Audit - Frequently Asked Questions active from 01/12/2015 (415 KB)

There is further information on the patient audit in the FAQs and documents section of this website.

Please contact the team if you have any questions regarding this audit.

The First Organisational Audit report of the National Emergency Laparotomy Audit outlining the results, conclusions and recommendations from the audit was published on the 14th May 2014.

The report is available for download from the Reports section of the NELA website.


The audit has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) and it is part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). NELA is on the list of national audits for inclusion in Trusts' Quality Accounts. NELA also partners with the Clinical Effectiveness Unit of the Royal College of Surgeons of England and the Intensive Care National Audit & Research Centre who provide important methodological and technical input.

The NELA project officially began on the 1st December 2012. NELA aims to look at structure, process and outcome measures for the quality of care received by patients undergoing emergency laparotomy, and will comprise an Organisational Audit and a Patient Audit.