About Us

The National Audit of Migraine represents the inaugural workstream of the National Audit of Headache Disorders (NAHD), a principal national healthcare quality improvement programme registered with the Healthcare Quality Improvement Partnership (HQIP). King's College London is the designated Data Controller for the Audit, which is hosted within the Wolfson Sensory, Pain and Regeneration Centre. Governance is provided by an expert steering committee consisting of healthcare professionals, migraine charities, and patient representatives.

The National Audit of Migraine aims to measure the quality of migraine care in the NHS across England, Wales, Scotland and Northern Ireland. The overarching objective of the Audit is to provide timely information to stakeholders, including clinicians, commissioners, patients and the public, on how well migraine care is being delivered. Data collected by the Audit will be used as a tool to improve the quality of care that is provided to patients.

The Audit is funded by King’s College London, alongside collaborative grants from AbbVie and Pfizer. The Migraine Trust is the primary patient partner, representing the lived experience of those with migraine. The Audit is endorsed and supported by The British Pain Society and the International Headache Society.

Steering Committee

Dr Anna Andreou, Project lead - King’s College London & Guy’s and St Thomas’ NHS Foundation Trust
Dr Rachael Kilner, King's College Hospital, NHS Foundation Trust
Dr Gareth Williams IoPPN, King’s College London
Dr Alex Dregan IoPPN, King’s College London
Dr Giorgio Lambru, Guy’s and St Thomas’ NHS Foundation Trust
Ms Maddi Murphey, Guy's and St Thomas' NHS Foundation Trust
Dr Katy Monro, The Migraine Centre
Dr Brendan Davies, University Hospital of North Midlands
Dr Gina Kennedy, South Tyneside and Sunderland NHS Foundation Trust
Dr Sophie Dorsey, Hull and East Yorkshire Hospitals NHS Trust
Dr Jane Andersson, Addenbrooke’s Hospital, Cambridge
Ms Susie Lagrata, The National Hospital for Neurology and Neurosurgery, London
Dr Mona Ghandiri-San, The Walton Centre NHS Foundation Trust
Dr Martin Harley, Belfast Health and Social Care Trust
Dr David Watson, Aberdeen Royal Infirmary
Dr Theodoros Mavridis, Tallaght University Hospital
Ms Debbie Clifford, person with lived experience
Mr Rob Music, The Migraine Trust
Ms Kate Sanger, The Migraine Trust

Digital Infrastructure and Service Enhancement

As part of the National Audit of Headache Disorders (NAHD), a suite of digital tools has been developed for both patients and healthcare professionals. This infrastructure includes the 'MyHeadache' mobile application and the 'HealthMachine' clinician platform.

The 'MyHeadache' app is designed to capture Patient-Reported Outcome Measures (PROMs) for the audit, and can serve as a digital e-diary to replace traditional paper-based tracking. It provides a patient-centric interface while generating clinically relevant reports. Healthcare professionals can access aggregated data to facilitate local clinical audits or monitor individual patient progress via the 'HealthMachine' platform.

Technical delivery and data hosting are managed by Avegen Ltd, acting as Data Processor under a formal service and data processing agreement with King’s College London. Data is hosted on secure UK-based cloud infrastructure. Encryption at rest is implemented using industry-standard AES-256 encryption, and data in transit is protected using TLS 1.3. The platform is designed and operated in alignment with the UK GDPR and the Data Protection Act 2018. Access to data is restricted through role-based access controls, supported by authentication mechanisms, audit logging, regular backup procedures, and incident management processes.

By integrating the expertise of world-leading headache specialists and researchers with data science and user-centric design, King’s College London is advancing a transformative approach to migraine healthcare. As the Audit infrastructure matures, it aims to leverage data-driven innovation and insights to evolve current clinical models. By moving from a reactive 'diagnose and treat' framework toward a proactive 'predict and prevent' model, the NAHD seeks to utilize digital systems to improve long-term patient outcomes and healthcare efficiency.