Diabetes

We are all familiar with the impact of diabetes. Life expectancy is reduced on average by up to seven years in those with Type 2 diabetes, which constitutes 90% of people with diabetes. In the UK, people with diabetes spend around 1.1 million days in hospital each year.

Quality Improvement toolkit for diabetes care

The Quality Improvement toolkit for diabetes care is aimed at individuals who are involved in leading diabetes care in their locality, usually working with a number of practices to achieve area-wide improvements. The resources include information to help GPs, practice nurses, and CCG/health board leads to understand QI methodology and how to apply it to diabetes care, as well as materials that you can use to train others in how best to improve the care of people with diabetes.

Tools

Leicester Diabetes Risk Score 

This tool identifies people who may be at high risk of developing diabetes or who currently have undiagnosed type 2 diabetes within primary care. The software calculates the score using routinely stored data and outputs the data to an Excel spreadsheet which enables targeted screening. This risk score was developed by researchers within the Diabetes Research Centre at the University of Leicester, it is recommended by NICE and won the Gold at the QiC awards 2011 in the Best Screening and Early Detection category.

The software is freely available to download here.

Implementing local diabetes networks

Networks can be an effective service improvement methodology as demonstrated in Cancer, Cardiac and Stroke. Diabetes UK and NHS Diabetes are championing local diabetes networks as a forum that gathers stakeholders that represent a patient pathway, including people with diabetes to work collaboratively. Expertise from the group can support informed commissioning decisions, ensure that service delivery processes are reviewed and actions taken to make them efficient and effective.

Implementing Local Diabetes Networks provides diabetes commissioners and other stakeholders with the guidance and support they need to create a local diabetes network that really can deliver high-quality, cost-effective care through the effective commissioning, organisation and monitoring of services.

Further information

A collaborative approach to managing diabetes

We were delighted to bring together this collaborative event between the RCGP and the Royal Pharmaceutical Society (RPS), which took place on 21 March 2013. Dr Stephen Lawrence, Clinical Lead for Diabetes, has produced an initial report on the event.

A collaborative approach to managing diabetes [PDF]

From a collaborative, person-centred point of view we were delighted to find the following in the 2015 Type 2 Diabetes NICE guidelines:

Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals.

Audit

National audit of diabetes

The National Diabetes Audit (NDA) measures the effectiveness of diabetes healthcare. The NDA is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Progamme (NCAPOP), and delivered by the Health and Social Care Information Centre, working with Diabetes UK.

By 2014 there will be five distinct areas of diabetes care, treatment and outcome, several with a focus on primary care:

National Diabetes Core audit

Now in its ninth year, this is an annual audit of primary care and specialist diabetes services covering care processes, treatment targets, complications and mortality.

Find out more about this audit

National Diabetes Inpatient Audit (NaDIA)

This is an annual snapshot audit of every hospital covering inpatient care of people with diabetes.

Find out more about this audit

National Pregnancy in Diabetes (NPID) Audit

This audit examines antenatal services for women with pre-gestational diabetes.

Patient experience of diabetes care

This audit of patient experiences of primary and specialist services was launched in 2013.

Find out more about this audit

Diabetes footcare audit

This will be an annual audit of specialist foot care services for people with diabetes, and will be launched in 2014.

The paediatric component of the NDA is managed by the Royal College of Paediatrics and Child Health (RCPCH).

Find out more about this component

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