Skip Navigation
Search site

This is our old website. Most information can now be found on our new NHS Digital website. Let us know what you think.

National Orthognathic Audit (NOA)

This audit collects information about patients undergoing orthognathic surgery. This treatment repositions the jaws to correct imbalance between the upper and lower jaws to enable the teeth to bite together correctly. It also has the benefit of balancing and enhancing facial appearance.


What does it measure?

The audit aims to determine:

· The quality of care provided

· The best treatment options for patients

· Whether patients are benefiting from their treatment

· The type of surgery undertaken and the outcome


Benefits of Orthognathic Surgery

· Improvement in oral function (ability to bite and chew)

· Improvement in facial and dental appearance

· Long-term improvement in health-related quality of life, oral health-related quality of life and psychological function


Who manages the audit?

The project has been instigated by the British Association of Oral and Maxillofacial Surgeons (BAOMS) and British Orthodontic Society (BOS) and approved by its Clinical Effectiveness Sub-committee. It is being funded by Saving Faces - The Facial Surgery Research Foundation and co-ordinated by the National Facial and Oral Research Centre (NFORC), a branch of Saving Faces. NHS Digital is providing the IT infrastructure and data management support.


How to participate

Step 1 - register at NHS Digital for a SSO

To participate in the audit, users need to first create an NHS Digital single sign on (SSO) account by visiting https://login.hscic.gov.uk/Login.aspx. A SSO allows you to use one set of log-in details to access a range of online NHS Digital services, including any clinical audits you register for.

Step 2 - complete NOA registration form

To register for the National Orthognathic Audit complete the National Facial and Oral Research Centre (NFORC) User Registration Form available on the right side of this page.  If you are registering for a private provider site you will need to contact 0300 303 5678 or enquiries@nhsdigital.nhs.uk if you unsure of the organisation and site code.

Step 3 - send completed registration form to the trust Caldicott Guardian

The completed form needs to be signed by the trust Caldicott Guardian, who emails it back from their own e-mail address to enquiries@nhsdigital.nhs.uk (the NHS Digital contact centre) for processing. The Caldicott guardian for the private provider may also need to have their name included on the National Caldicott Guardian Register. In order to do this a Caldicott Guardian Registration form  will need to be completed and submitted to Exeter.helpdesk@nhs.net or for help with this contact nforcaudits@nhs.net

Step 4 - NHS Digital confirms your registration

Step 5 - log in to access data collection system

Once the contact centre has confirmed registration, users can access the data collection system by logging onto https://clinicalaudit.hscic.gov.uk with the email address used to create their SSO account. 


Feedback of the audit results

The current system design allows clinicians to download raw data extracts for cases they have treated and to compare rates of occurrence of nerve damage to the lips and tongue with other participants. The audit's managers expect to develop plans for more detailed analyses as the data accumulate.


Get in touch

If you have a clinical question or a general query about the audit, please contact NFORC on 020 8223 8049 or noa@savingfaces.co.uk

If you have a question about the data collection system, please contact NHS Digital on 0300 303 5678 or enquiries@nhsdigital.nhs.uk

Close