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NAP6 Perioperative Anaphylaxis

NAPs Logo (2)

6th National Audit Project of the Royal College of Anaesthetists

NAP6 is examining Perioperative Anaphylaxis.

Perioperative Anaphylaxis is rare, however it can be life-threatening and lead to serious complications whose epidemiology and clinical impact are incompletely defined. This project will collect comprehensive information concerning perioperative anaphylactic events, enabling the anaesthetic and allergy communities to collaborate in order to make recommendations for the improvement of the quality of patient care.


Prof Tim Cook, College Advisor for NAPs, explained the selection process for this topic in the November 2013 edition of the RCoA Bulletin. This, and all other editions can be downloaded from the RCoA website here.

Prof Nigel Harper has been appointed as the Clinical Lead for NAP6 and will be working closely alongside Dr Tim Cook, Director for National Audit Projects (NAPs).

Following the excellent engagement from NHS hospitals with NAP4 and NAP5, we are pleased to report that 100% of all UK NHS hospitals are now registered to take part in NAP6.


Local Coordinators will led the NAP6 Baseline Survey in November 2015. The year-long data collection window opened on 5 November 2015 and closed on 5 November 2016. An Allergen survey was carried out in October 2016.

PLEASE NOTE: Local Coordinators have until 5 May 2017 to report all cases that occured within the one year NAP6 reporting period.

All cases that occured within the reporting window should be reported to NAP6, but not cases that occurred before or beyond that point.

Important Notice

Current LC resources including the Local Coordinator Information Pack, and PowerPoint Presentation have been UPDATED to reflect queries received to date.

All LCs have been emailed on 20th October 2016 with this update. Please click here for all up to date resources.

For any NAP6 related queries, please email the NAP6 Administrator, Ms Laura Farmer at

If you would like to discuss a case in confidence with the NAP6 Moderator click here.