Diabetes guidance for London

1
Diabetes guidance for London

• Alwen Williams
• Tower Hamlets PCT Chief Executive and Senior
  Responsible Officer Diabetes Project
• 30th March 2009

2
Priorities for commissioners

• Integrated, collaborative, patient-centred care
  and care planning
• Local service development informed by user
  involvement
• Care is received in settings where the standard
  of care is assured
• Develop and adopt care pathways that cross
  organisational boundaries
• Primary care professionals receive training,
  development and support
• Develop an intermediate diabetes team
• Adequately resourced specialist provision of
  clinical care in community settings (tier three)
  and hospital settings (tier four).
• Measured improvements in quality of care to drive
  up improvement.
• Develop effective local diabetes networks

We must promote and support patients to manage
their condition and develop educational courses
that are more accessible and appropriate for
different population in London Diabetes User
Group
3
Recommendations to commissioners

• Adopt model of care and adapt care pathways for
  local use
• Support and reward delivery of high-quality
  primary and community care
• Introduce appropriately resourced intermediate
  diabetes team
• Introduce a common approach to commissioning
  acute services
• Work together to commission appropriate education
  and training
• Establish sector-wide networks and commissioning
  for children, adolescents and young adults
• Apply a systematic approach to data collection
• Ensure providers include recording diabetes on
  HES records.
• Achieve QOF quality measures for blood pressure
  and HbA1c
• Work with acute providers to standardise
  recording of diabetes as a co-morbidity on HES
  systems.

We must promote and support patients to manage
their condition and develop educational courses
that are more accessible and appropriate for
different population in London Diabetes User
Group
4
Role of networks

• Local diabetes managed clinical networks need to
  be at the centre of the delivery of clinical
  care.
• Ensure the service standards required by the PCT
  are being met
• To support the introduction of effective high
  quality patient centered care
• To support the development of an integrated
  service for people with diabetes
• To facilitate integrated care pathways across
  different settings and tiers
• To ensure collaboration at sector level to ensure
  that care systems are integrated across PCT and
  provider boundaries

We must promote and support patients to manage
their condition and develop educational courses
that are more accessible and appropriate for
different population in London Diabetes User
Group
5
Role of the Diabetes Board

• It is proposed that a pan-London diabetes board
  with clinical specialist, commissioner, primary
  care and user input be established to
• monitor the progress of delivery of diabetes care
  across London
• enable accredited training and competencies for
  health professionals in diabetes care including
  those required for collaborative care planning
• reduce health inequalities, targeting higher risk
  groups
• co-ordinated evaluation and dissemination of best
  practice to address common problems
• focus on the importance of health for women of
  fertile age particularly women with obesity
  and/or diabetes
• responsive learning from patient reported outcome
  measures (PROMs)
• provide web-based support for people with
  diabetes
• ensure childrens and adolescent care is
  co-ordinated
• drive forward co-ordination of IT solutions and
  records sharing

We must promote and support patients to manage
their condition and develop educational courses
that are more accessible and appropriate for
different population in London Diabetes User
Group
6
Additional available support

• NHS Diabetes (formally National Diabetes Support
  Team)
• Advice and support for PCTs and providers in
  establishing networks
• Support to commissioners to assist and support
  the commissioning of the care pathways
• Provide support in establishing a London Diabetes
  Board
• NHS Diabetes Contact Details
• Regional Programme Manger for London Leena
  Sevak
• leena.sevak_at_diabetes.nhs.uk
• www.diabetes.nhs.uk

We must promote and support patients to manage
their condition and develop educational courses
that are more accessible and appropriate for
different population in London Diabetes User
Group