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Commissioning Diabetes Prevention and Risk Assessment Services Supporting, Improving, Caring July 2011

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Page 1: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

CommissioningDiabetes Prevention andRisk Assessment Services

Supporting, Improving, Caring

July 2011

Page 2: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

NHS Diabetes information Reader Box

Review Date 2013

Commissioning Diabetes Prevention and Risk Assessment Services

NHS Diabetes would like to thank Thoreya Swage who wrote this publication.

Page 3: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

3

Page

Commissioning for Diabetes Prevention and Risk Assessment Services 5

Features of Diabetes Prevention and Risk Assessment Services 6

Diabetes Prevention and Risk Assessment Services Intervention Map 8

Contracting Framework for Diabetes Prevention and Risk Assessment Services 10

Standard Service Specification Template for Diabetes Prevention and Risk 22Assessment Services

Contents

Page 4: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes
Page 5: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

5

Commissioning for Diabetes Preventionand Risk Assessment ServicesThe NHS Diabetes commissioning approach helps to deliver high quality integrated care through a three-stepprocess that ensures key elements needed to build an excellent diabetes service are in place. The approach issupported by a wide range of proven tools, resources and examples of shared learning.

Step 1 – involves understanding the local diabetespopulation health needs by developing a local HealthNeeds Assessment and setting up a steering groupwith key stakeholder involvement including a leadclinician, lead commissioner, lead diabetes nurse andlead service user

Step 2 – involves the development of a servicespecification to describe the model of care to becommissioned. This becomes the document on whichtenders may be issued.

Step 3 – involves monitoring the delivery of theservice specification by the provider and evaluatingthe performance of the service. Input from thesteering group with service user representation will bean important mechanism for monitoring the service aswell as patient surveys.

This commissioning guide has been developed byNHS Diabetes with key stakeholders including clinicaland social services professionals and patient groupsrepresented by Diabetes UK.

It is not designed to replace the Standard NHSContracts as many of the legal and contractualrequirements have already been identified in this setof documents. Rather, it is intended to form the basisof a discussion or development of diabetes preventionand risk assessment services between commissionersand providers from which a contract for services canthen be agreed.

This commissioning guide consists of:

• A description of the key features of goodprevention and risk assessment services

• A high level intervention map. This interventionmap describes the key high level actions orinterventions (both clinical and administrative)diabetes prevention and risk assessment servicesshould undertake in order to provide the mostefficient and effective care, from admission todischarge (or death) from the service.

It is not intended to be a care pathway or clinicalprotocol, rather it describes how a true ‘diabeteswithout walls’1 service should operate going acrossthe current sectors of health care.

The intervention map may describe current servicemodels or it may describe what should ideally beprovided by diabetes prevention and risk assessmentservices.

• A diabetes prevention and risk assessmentcontracting framework that brings together all thekey standards of quality and policy relating to thisaspect of care

• A template service specification for diabetesprevention and risk assessment services that formspart of schedule 2 part 1 / Module B, Section 1 ofthe Standard NHS Contract covering the keyheadings required of a specification. It isrecommended that the commissioner checks whichmandatory headings are required for each type ofcare as specified by the Standard NHS Contracts.

For further detail on how to approach thecommissioning of diabetes services please seehttp://www.diabetes.nhs.uk/commissioning_resource/

Step 2

Step 3

• Understanding your diabetes population health needs

• Implementing improved services and evaluation

• Understanding what you need to commission for an integrated service

Step 1

1 Commissioning Diabetes Without Walls , 2011, http://www.diabetes.nhs.uk/commissioning_resource/

Page 6: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

6

High quality diabetes prevention and riskassessment services should:

• actively seek out those at risk of diabetes, e.g.through NHS Health Checks, assessingrecorded versus predicted prevalence ofdiabetes from primary care diabetes registers

• offer active intervention to people of all agesat risk of developing diabetes

• place emphasis on the prevention of type 2diabetes for all age groups through theprevention and reduction of the prevalence ofobesity in groups at increased risk ofdeveloping diabetes, e.g. minority ethniccommunities

• be developed in a co-ordinated way, taking fullaccount of the responsibilities of otheragencies in providing comprehensive careensuring people are at the centre of decisionsabout their care and support - ‘no decisionabout me without me’i.

• be commissioned jointly by health and socialcare based on a joint health needs assessmentwhich meets the specific needs of the localpopulation, using a holistic approach asdescribed by the generic model for themanagement of long term conditionsii

• be delivered in accordance with the standardsfor clinical practice for diabetes set by theNational Institute for Health and ClinicalExcellenceiii

• deliver the outcomes for diabetes asdetermined by the NHS Outcomes Frameworkiv

• take into account the emotional, psychologicaland mental wellbeing of the patientv

• take into account all diverse and personalneeds with respect to access to care

• ensure that services are responsive andaccessible to people with Learning Disabilitiesvi

• have effective clinical networks with clearclinical leadership across the boundaries ofcare which clearly identify the role andresponsibilities of each member of thediabetes healthcare team

• ensure that there are a wide range of optionsavailable to people at risk of developing tosupport self management and individualpreferences

• take into account services provided by socialcare and the voluntary sector

• provide patient/carer/family education ondiabetes and other lifestyle interventions

• provide education on diabetes prevention andrisk to other staff and organisations that maycome into contact with people at risk ofdeveloping diabetes

• have a capable and effective workforce thathas the appropriate training and updating andwhere the staff have the skills andcompetencies in the management of people atrisk of developing diabetes

• provide multidisciplinary care that managesthe transition between adult and olderpeoples’ services

Features of Diabetes Preventionand Risk Assessment Services

i Available on the DH website athttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_117353

ii Available on the DH website at http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_120915

iii http://www.nice.org.uk/guidance/qualitystandards/qualitystandards.jsp

iv Available on the DH website athttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122944

v Emotional and Psychological Support and Care in Diabetes, Joint Diabetes UK and NHS Diabetes Emotional and PsychologicalSupport Working Group, 2010, http://www.diabetes.nhs.uk/our_work_areas/emotional_and_psychological/http://www.diabetes.nhs.uk/ commissioning_resource/

vi http://www.diabetes.nhs.uk/ commissioning_resource/

Page 7: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

7

vii http://www.diabetes.nhs.uk/year_of_care/it

viii http://www.ic.nhs.uk/proms

• have integrated information systems thatrecord individual needs including emotional,social, educational, economic and biomedicalinformation which permit multidisciplinary careacross service boundaries and support careplanningvii

• produce information on the outcomes ofdiabetes prevention and risk assessment careincluding contributing to national datacollections and audits

• have adequate governance arrangements, e.g.local mortality and morbidity meetings ondiabetes care to learn from errors and improvepatient safety

• take account of patient experience, includingPatient Reported Outcomes Measures, and theNHS Outcomes Framework, in thedevelopment and monitoring of servicedeliveryviii

• actively monitor the uptake of services,responding to non-attenders and monitoringcomplaints and untoward incidents

Page 8: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

8

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Page 9: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

9

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Page 10: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

10

IntroductionThis contracting framework sets out what isrequired of clinically safe and effective services thatare providing diabetes prevention and riskassessment care. The framework is designed to beread in conjunction with the high level patientintervention map, which describes theinterventions and actions required along thepatient pathway as well as entry and exit pointsand the standard service specification template fordiabetes prevention and risk assessment services.

The framework brings together the key qualityareas and standards that have been identified byNHS Diabetes, Diabetes UK, the Royal Colleges andother related organisations.

The principles that establish a safepathway for patient care Establishing the principles that underpin thesystems and processes of pathways for patient careleads to more efficient patient throughput and canreduce risk of fragmentation of care and seriousuntoward incidents. The principles operate at fourlayers within a patient pathway:

• Commissioning

• Clinical Case Direction or the overall Care Plan(i.e. the management of an individual patient)

• Provision of the clinical service or process

• Organisational platform on which the clinicalservice or process sits (the provider organisation)

A straightforward or simple pathway is one inwhich the overall management including bothClinical Case Direction and the delivery of theclinical processes conventionally sits within oneorganisation. However, with a more complexpathway, there is a danger that fracturing theoverall management pathway into componentscarried out by different clinical teams andorganisations will require duplication of effortleading to inefficiency and increased risk athandover points.This can be managed byestablishing clear governance arrangements for allthe layers in the pathway.

In addition, Commissioning Bodies must balancethe benefits of fracturing the pathway againstincreased complexity and ensure that the increasedrisks are mitigated.

The governance arrangements required for allthree layers and the commissioner responsibilitiesare shown below:

Contracting Framework for DiabetesPrevention and Risk AssessmentServices

Page 11: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

11

In essence, at each level, there are governancearrangements to ensure sound and safe systems ofdelivery of patient care with clear lines ofaccountability between each level.

The diabetes prevention and riskassessment serviceThe key principles of good diabetes prevention andrisk assessment service is to provide a high qualityservice that is reliable in terms of delivery and timelyaccess for patients requiring that care.

Diabetes prevention and risk assessment care isprovided by a number of different teams in theprimary, community and acute setting. It is essentialthat there is co-ordination of care of the patients andthat the General Practitioner retains responsibility foroverall patient care across the whole pathway andretains overall responsibility for the management ofany side effects and complications.

The initial advice and care of individuals at risk ofdeveloping diabetes should include an assessment oftheir emotional and psychological well-being,together with timely access to appropriatepsychological and biological/psychiatricinterventions. Mental health disorders can posesignificant barriers to subsequent diabetes care andtherefore mental health stability is vital for good selfcare and prevention1.

The services themselves will also have clinicaloversight and accountability for governancepurposes.

This contracting framework should also be read inconjunction with the diabetes commissioning guidesfor children and young people and older peopleand follow the principles for the effectivecommissioning of services for people with LearningDisabilities2.

Ensuring qualityCommissioning Bodies should ensure that thediabetes prevention and risk assessment servicescommissioned are of the highest quality. There may,in addition, be some organisations that wish to offertheir services, but do not have a history of providingsuch care. Commissioning Bodies should ensure:

i) for provider organisations already involved in thedelivery of diabetes prevention and riskassessment services, there should be retrospectiveevidence of systems being in place, implementedand working.

ii) for organisations new to the arena thecommissioner should reassure itself that theprovider has the organisational attributes,governance arrangements, systems and processesset up to provide the platform for safe andeffective delivery of diabetes prevention and riskassessment services to be provided.

This framework describes what theCommissioning Body needs to ensure is presentor addressed in its discussions with theprovider organisation.

Under the ‘elements’ column there are crossreferences to the Standard NHS Contract forCommunity Services – bilateral (main clauses andschedules)3. (The cross references also apply to theclauses and schedules in the Standard NHS Contractfor Acute Services).This is to assist commissionersand providers in having an overview of how theelements link to the Standard NHS Contract. Someof the areas are open to interpretation andconsequently the references are not exhaustive.

Page 12: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

12

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bilit

y an

dre

spon

sibi

lity.

The

serv

ice

is r

equi

red

to c

ompl

y w

ith g

uide

lines

, pub

lic h

ealth

guid

ance

and

app

rais

als

publ

ishe

d by

the

Nat

iona

l Ins

titut

e fo

rH

ealth

and

Clin

ical

Exc

elle

nce

that

are

rel

evan

t to

the

car

epr

ovid

ed b

y th

e se

rvic

e 5

Page 13: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

13

ELEM

ENTS

CH

AR

AC

TER

ISTI

CS,

SK

ILLS

AN

D B

EHA

VIO

UR

SO

UTP

UTS

DIA

BET

ES S

ERV

ICES

SPE

CIF

IC O

UTP

UTS

/CO

MM

ENTS

Gov

erna

nce

Mod

ule

D:

Sche

dule

s:

3,6,

10,1

1,15

,17

•Eq

ualit

y an

d di

vers

ity•

Intr

oduc

ing

new

tech

nolo

gies

and

trea

tmen

ts•

an e

xter

nally

acc

redi

ted

Qua

lity

Ass

uran

cesy

stem

and

inte

rnal

err

or re

port

ing

invo

lvin

gal

l sta

ff g

roup

s.

CG

sys

tem

s sh

ould

hav

e cl

ear a

ndde

mon

stra

ble

links

to o

ther

NH

S sy

stem

s w

ithco

llabo

rativ

e C

G a

ctiv

ities

and

sha

ring

ofex

perie

nce

and

lear

ning

Prov

ider

sho

uld

prod

uce

annu

al C

linic

alG

over

nanc

e re

port

s as

par

t of N

HS

CG

repo

rtin

g sy

stem

Prov

ider

s ar

e re

quire

d to

agr

ee C

omm

issio

ning

for Q

ualit

y an

d In

nova

tion

sche

mes

(CQ

UIN

)fo

r dia

bete

s ca

re, e

.g. m

odel

CQ

UIN

sch

eme

prop

osed

by

the

NH

S In

stitu

te fo

r Inn

ovat

ion

and

Impr

ovem

ent 9

In a

dditi

on, t

he s

ervi

ce is

req

uire

d to

com

ply

with

the

follo

win

g:

i. G

uida

nce

publ

ishe

d by

NIC

E

•Pr

even

ting

type

2 d

iabe

tes:

pop

ulat

ion

and

com

mun

ity-le

vel

inte

rven

tions

in h

igh-

risk

grou

ps a

nd t

he g

ener

al

popu

latio

n 6

•Ty

pe 2

dia

bete

s: p

reve

ntin

g th

e pr

ogre

ssio

n fr

om p

re-

diab

etes

to

type

2 d

iabe

tes

amon

g hi

gh r

isk

grou

ps (p

ublic

heal

th g

uida

nce)

exp

ecte

d pu

blic

atio

n M

ay 2

012

7

•M

edic

ines

adh

eren

ce: i

nvol

ving

pat

ient

s in

dec

isio

ns a

bout

pres

crib

ed m

edic

ines

and

sup

port

ing

adhe

renc

e 8

Clin

ical

qua

lity

Qua

lity

assu

ranc

e

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mod

ule

C:

4,12

,16,

17,1

8,19

, 20,

21,3

1,32

,33,

54

Mod

ule

D:

Sche

dule

s:

2,3

,6,1

0,11

Mod

ule

E:

3,4

Und

erst

andi

ng th

e co

ncep

t of

clin

ical

qua

lity

Has

con

cern

for q

ualit

y w

hile

wor

king

eff

icie

ntly

An

unde

rsta

ndin

g of

the

use

ofau

dit,

patie

nt a

nd s

taff

feed

back

to im

prov

e qu

ality

An

orga

nisa

tion

that

pro

vide

scl

arity

of o

bjec

tives

and

pro

mot

esre

flect

ive

prac

tice

to im

prov

equ

ality

of p

atie

nt c

are

Qua

lity

assu

ranc

e sy

stem

s m

ust b

e in

pla

cean

d ap

prov

ed b

y co

mm

issio

ning

bod

y w

ithre

gula

r rep

ortin

g of

out

com

es

Prov

ider

s ar

e re

quire

d to

pub

lish

qual

ityac

coun

ts fo

r the

pub

lic re

port

ing

of q

ualit

yin

clud

ing

safe

ty, e

xper

ienc

e an

d ou

tcom

es

Prov

ider

s sh

ould

par

ticip

ate

in n

atio

nal a

udit

prog

ram

mes

Dia

bete

s pr

even

tion

and

risk

asse

ssm

ent s

ervi

ces

mus

t com

ply

with

the

follo

win

g ac

cess

targ

ets

10:

•In

divi

dual

s un

derg

oing

blo

od g

luco

se te

sts,

e.g

. as

part

of t

heN

HS

Hea

lth C

heck

s, w

ho a

re fo

und

to h

ave

resu

lts o

utsid

eno

rmal

par

amet

ers

shou

ld b

e re

ferr

ed to

and

see

n by

dia

bete

sdi

agno

sis a

nd c

ontin

uing

car

e se

rvic

es w

ithin

a w

eek

•Sy

mpt

omat

ic in

divi

dual

s un

derg

oing

blo

od g

luco

se te

sts

e.g.

as p

art o

f the

NH

S H

ealth

Che

cks,

who

are

foun

d to

hav

ere

sults

out

side

norm

al p

aram

eter

s sh

ould

be

refe

rred

and

see

nw

ithin

the

sam

e da

y•

Indi

vidu

als

who

are

vom

iting

sho

uld

be re

ferr

ed to

A&

Eim

med

iate

ly

The

serv

ice

is re

quire

d to

par

ticip

ate

in th

e fo

llow

ing

activ

ities

/pro

gram

mes

:

•Pa

tient

Exp

erie

nce

Surv

eys

11

•D

iabe

tes

E 12

TOPI

C

Page 14: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

14

TOPI

CEL

EMEN

TSC

HA

RA

CTE

RIS

TIC

S, S

KIL

LSA

ND

BEH

AV

IOU

RS

OU

TPU

TSD

IAB

ETES

SER

VIC

ES S

PEC

IFIC

OU

TPU

TS/C

OM

MEN

TS

Clin

ical

qua

lity

Wor

kfor

ce/ s

taff

Clin

ical

sta

ff a

ttrib

utes

criti

cal t

o sa

fety

and

qual

ity o

f int

erve

ntio

ns

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mod

ule

C:

11,1

6,19

,26,

33,4

8,56

Mod

ule

D:

Sche

dule

s:10

The

prov

ider

org

anisa

tion

has

syst

ems

and

proc

edur

es in

pla

ce to

assu

re th

e co

mm

issio

ner t

hat t

heir

clin

ical

team

has

the

nece

ssar

yqu

alifi

catio

ns, s

kills

, kno

wle

dge

and

expe

rienc

e to

del

iver

the

serv

ice

Staf

f ar

e co

mpe

tent

and

fit

for

purp

ose

Prov

ider

to

satis

fy c

omm

issi

oner

tha

t al

lst

aff

have

cur

rent

app

rais

al, c

lear

ance

s an

dre

gist

ratio

n ch

ecks

and

hav

e de

mon

stra

ted

com

pete

nce

in a

ll pr

oced

ures

rel

evan

t to

path

way

Prov

ider

to s

atisf

y co

mm

issio

ner t

hat t

hey

can

recr

uit (

or p

rocu

re)

and

reta

in a

com

pete

nt c

linic

al te

am to

del

iver

the

serv

ice

Spec

ific

qual

ifica

tions

requ

ired

of h

ealth

pro

fess

iona

ls pr

ovid

ing

the

serv

ice

are:

•Fo

r med

ical

pra

ctiti

oner

s: re

gist

ratio

n w

ith th

e G

MC

and

evid

ence

of f

urth

er q

ualif

icat

ion

in d

iabe

tes

care

or e

xper

ienc

ew

ithin

dia

bete

s cl

inic

13

•N

urse

s: re

gist

ratio

n w

ith th

e N

MC

and

furt

her e

vide

nce

ofqu

alifi

catio

n in

dia

bete

s ca

re o

r exp

erie

nce

with

in d

iabe

tes

clin

ic 14

•D

ietit

ians

: reg

istra

tion

with

the

HPC

and

abl

e to

dem

onst

rate

com

pete

nce

in d

eliv

erin

g ed

ucat

iona

l sup

port

All

heal

thca

re p

rofe

ssio

nals

invo

lved

in d

eliv

erin

g di

abet

espr

even

tion

and

risk

asse

ssm

ent c

are

are

requ

ired

to h

ave

the

follo

win

g re

leva

nt c

ompe

tenc

ies

(see

Ski

lls fo

r Hea

lth- D

iabe

tes

Com

pete

ncie

s fo

r dia

bete

s)15

Clin

ical

qua

lity

Wor

kfor

ce/ s

taff

Clin

ical

sta

ffco

mpe

tenc

ies

in u

se o

feq

uipm

ent

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mai

n cl

ause

s:11

, 16,

17,

19,

25,

26,

30, 3

3

The

prov

ider

org

anisa

tion

has

syst

ems

in p

lace

to a

ssur

e th

eco

mm

issio

ner t

hat t

heir

clin

ical

team

are

com

pete

nt to

use

all

equi

pmen

t nee

ded

to d

eliv

er th

ese

rvic

e

Prov

ider

to

satis

fy t

he c

omm

issi

oner

tha

t al

lst

aff

have

had

doc

umen

ted

com

pete

nce

asse

ssm

ent

rela

tive

to a

ll eq

uipm

ent

used

inco

ntra

ct

All

heal

thca

re p

rofe

ssio

nals

invo

lved

in d

eliv

erin

g di

abet

espr

even

tion

and

risk

asse

ssm

ent c

are

are

requ

ired

to h

ave

the

rele

vant

com

pete

ncie

s in

usin

g ap

prop

riate

equ

ipm

ent,

e.g.

blo

odgl

ucos

e an

d ke

tone

mon

itors

Clin

ical

qua

lity

Wor

kfor

ce /

staf

f

Dev

elop

men

t

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

t for

Com

mun

ity S

ervi

ces

Mod

ule

C:

11,1

6,19

,48

The

prov

ider

org

anisa

tion

has

syst

ems

in p

lace

to a

ssur

e th

eco

mm

issio

ner t

hat t

heir

clin

ical

team

is fo

rmal

ly in

duct

ed a

ndre

ceiv

es o

ngoi

ng a

ssis

tanc

e to

deve

lop

thei

r ski

lls, k

now

ledg

e an

dex

perie

nce

to e

nsur

e th

at th

ey a

real

way

s fu

lly u

pdat

ed

Prov

ider

to

satis

fy c

omm

issi

oner

of

thei

rco

mm

itmen

t to

indu

ctio

n an

d C

PD r

elev

ant

to r

oles

Prov

ider

to

satis

fy t

he c

omm

issi

oner

of

thei

rco

mm

itmen

t to

tra

in s

taff

to

mee

t fu

ture

serv

ice

need

s

Page 15: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

15

TOPI

CEL

EMEN

TSC

HA

RA

CTE

RIS

TIC

S, S

KIL

LSA

ND

BEH

AV

IOU

RS

OU

TPU

TSD

IAB

ETES

SER

VIC

ES S

PEC

IFIC

OU

TPU

TS/C

OM

MEN

TS

Clin

ical

qua

lity

Regi

stra

tion

and

licen

sing

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

t for

Com

mun

ity S

ervi

ces

Mod

ule

B:

Sect

ions

:3,

5

Mod

ule

C:

4,4A

,5,9

,10,

11,1

2,14

,15,

1617

,18,

19,2

1,26

,27,

29,3

3,34

,35,

36,3

8, 4

0,43

,48,

49,5

2, 5

3,54

,56,

60

Mod

ule

D:

Sche

dule

s:

6,10

,11,

12,1

5

The

Prov

ider

is re

quire

d to

be

regi

ster

ed w

ith th

e C

are

Qua

lity

Com

miss

ion

to d

emon

stra

te th

atis

mee

ts th

e es

sent

ial s

tand

ards

of

qual

ity a

nd s

afet

y fo

r the

regu

late

dac

tiviti

es d

eliv

ered

.

The

Prov

ider

is re

quire

d to

be

licen

sed

with

the

NH

S Ec

onom

icRe

gula

tor (

Mon

itor)

in o

rder

topr

ovid

e N

HS

care

.

Com

plia

nce

with

the

Car

e Q

ualit

yC

omm

issi

on a

nd M

onito

r re

quire

men

tsC

ompl

ianc

e w

ith th

e fo

llow

ing

Nat

iona

l Ser

vice

Fra

mew

orks

,w

here

app

licab

le:

•C

oron

ary

Hea

rt D

iseas

e N

SF 16

•Th

e M

enta

l Hea

lth S

trat

egy17

Com

plia

nce

with

Car

e Q

ualit

y C

omm

issi

on R

evie

ws

Clin

ical

qua

lity

Out

com

es

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

t for

Com

mun

ity S

ervi

ces

Mod

ule

B:Se

ctio

n:1

(par

t 3),3

Mod

ule

C:

4A,1

4,

Mod

ule

D:

Sche

dule

11

Com

preh

ensiv

e un

ders

tand

ing

and

com

mitm

ent t

o de

liver

ing

and

impr

ovin

g ou

tcom

es o

f car

e

Com

plia

nce

with

the

NH

S O

utco

mes

Fram

ewor

k18

Clin

ical

qua

lity

Patie

nt p

athw

ay

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

t for

Com

mun

ity S

ervi

ces

Mod

ule

B:Se

ctio

ns:

1

Resp

onsi

vene

ss a

nd p

artic

ipat

ive

appr

oach

to in

clud

ing

patie

nts’

view

s ab

out t

heir

care

in th

ede

sign

of c

are

path

way

s

Col

labo

ratio

n w

ith o

ther

orga

nisa

tions

invo

lved

in th

epa

tient

pat

hway

to p

rovi

de a

seam

less

pat

hway

of c

are

All

poss

ible

ent

ry a

nd e

xit

poin

ts m

ust

bede

fined

with

com

preh

ensi

ve p

atie

ntpa

thw

ays

that

fac

ilita

te s

moo

th p

assa

gean

d ef

fect

ive,

eff

icie

nt c

are

for

patie

nts

All

inte

rfac

es in

the

pat

hway

mus

t be

defin

ed s

o th

at c

ontin

uity

of

care

is e

nsur

edw

ith n

o fr

actu

ring

of t

he p

athw

ay

The

path

way

of a

dia

bete

s an

d ris

k as

sess

men

t ser

vice

incl

udes

the

follo

win

g ac

tiviti

es:

i. Ra

isin

g aw

aren

ess

on h

ealth

y lif

esty

les

and

risk

fact

ors

for

diab

etes

ii. A

dvic

e on

hea

lthy

lifes

tyle

s an

d ris

k fa

ctor

s fo

r dia

bete

siii

. Ris

k as

sess

men

t/ s

cree

ning

for p

eopl

e at

hig

h ris

k of

dia

bete

s

iv. R

efer

ral t

o pr

even

tion

serv

ices

that

impr

ove

lifes

tyle

s/re

duce

risk

fact

ors

for d

iabe

tes

Page 16: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

16

TOPI

CEL

EMEN

TSC

HA

RA

CTE

RIS

TIC

S, S

KIL

LSA

ND

BEH

AV

IOU

RS

OU

TPU

TSD

IAB

ETES

SER

VIC

ES S

PEC

IFIC

OU

TPU

TS/C

OM

MEN

TS

Clin

ical

qua

lity

Mod

ule

C:

4,4A

,9,1

0,12

,14,

15,1

6,17

,18,

19,2

0,21

,27,

29,

31, 3

3,34

,35,

36,3

8,40

,52

,54

Mod

ule

D:

Sche

dule

s:

2,3,

4, 9

,11,

17

Mod

ule

E:5

Ther

e m

ust

be s

peci

ficat

ion

of c

lear

timel

ines

and

ale

rt m

echa

nism

s fo

r po

tent

ial

brea

ches

Ther

e sh

ould

be

audi

t of

pat

hway

to

ensu

reth

at s

tand

ards

are

met

Ther

e m

ust

be e

xplic

it sp

ecifi

catio

n of

prov

ider

and

com

mis

sion

er r

espo

nsib

ilitie

sfo

r th

e w

hole

pat

ient

epi

sode

fro

m f

irst

cont

act

with

the

ser

vice

to

final

dis

char

ge

Acc

ount

abili

ties

shou

ld b

e ag

reed

and

docu

men

ted

by a

ll st

akeh

olde

rs

Ther

e ar

e a

num

ber o

f ser

vice

s su

ppor

ting

patie

nts

with

dia

bete

s an

d th

ere

mus

t be

clea

r sub

con

trac

ts s

tatin

g th

e re

ferr

al c

riter

iaan

d ac

cess

to th

ese

supp

ortin

g se

rvic

es.

At

entr

y to

pat

hway

:

The

Com

mis

sion

er s

houl

d as

sure

the

mse

lves

that

the

pro

vide

r ha

s sy

stem

s an

d pr

oces

ses

in p

lace

to

i) re

gist

er p

atie

nts

ii) c

olle

ct r

elev

ant

clin

ical

and

adm

inis

trat

ive

data

iii) m

anag

e th

e ap

poin

tmen

t pr

oces

s,(r

eapp

oint

men

t an

d D

NA

pro

cess

, if

appr

opria

te)

iv) p

rovi

de in

form

atio

n to

pat

ient

sv)

und

erta

ke in

itial

ass

essm

ent

in t

heap

prop

riate

loca

tion

At

poin

t of

inte

rven

tion:

The

Com

mis

sion

er s

houl

d as

sure

the

mse

lves

that

the

pro

vide

r ha

s sy

stem

s an

d pr

oces

ses

in p

lace

to

ensu

re t

hat:

i) th

e ad

vice

and

inte

rven

tion

is c

ondu

cted

safe

ly a

nd in

acc

orda

nce

with

acc

epte

dqu

ality

sta

ndar

ds a

nd g

ood

clin

ical

prac

tice.

v. R

efer

ral f

or in

vest

igat

ion

and

diag

nosis

of d

iabe

tes

Raisi

ng a

war

enes

s an

d ad

vice

: A

ctiv

ities

sho

uld

incl

ude:

•lo

cal c

ampa

igns

on

diab

etes

and

rela

ted

cond

ition

s, e

.g.

obes

ity 19

, CH

D e

tc•

supp

ort t

o na

tiona

l cam

paig

ns o

n di

abet

es a

nd re

late

dco

nditi

ons,

e.g

. cha

nge

for l

ife c

ampa

ign

20

•ta

rget

ing

spec

ific

popu

latio

ns, e

.g. A

sian,

obe

se, t

rave

llers

etc

•aw

aren

ess

rais

ing

in m

any

loca

tions

e.g

. sch

ools

, GP

prac

tices

,su

perm

arke

ts, s

port

s ce

ntre

s, p

harm

acie

s, L

TC c

entr

es,

pubs

/clu

bs, m

ater

nity

uni

ts, l

ocal

em

ploy

ers,

Car

e H

omes

,ce

ntre

s of

wor

ship

, for

peo

ple

with

lear

ning

dis

abili

ties

and

seve

re m

enta

l illn

ess,

pris

ons,

cha

ritie

s/ th

ird s

ecto

r pro

vide

rs

Risk

ass

essm

ent/

scr

eeni

ng:

•Th

ere

shou

ld b

e ag

reed

pro

toco

ls fo

r the

iden

tific

atio

nch

ildre

n, y

oung

peo

ple,

adu

lts a

nd o

lder

peo

ple

who

may

be

at ri

sk o

f dev

elop

ing

diab

etes

, e.g

. NH

S H

ealth

Che

cks

for 4

0 -

74 y

ear o

lds

10.

•Th

ere

shou

ld b

e ag

reed

pro

toco

ls fo

r the

scr

eeni

ng o

fpr

egna

nt w

omen

for g

esta

tiona

l dia

bete

s 2

•Th

ere

shou

ld b

e ag

reed

pro

toco

ls in

pla

ce to

scr

een

for

diab

etes

in N

ursin

g an

d C

are

Hom

es, i

nclu

ding

thos

e th

at c

are

for o

lder

peo

ple

with

men

tal h

ealth

con

ditio

ns, e

.g. d

emen

tia.2

•Th

ere

shou

ld b

e pr

otoc

ols

for t

he s

cree

ning

for d

iabe

tes

inol

der p

eopl

e th

at u

tilise

app

ropr

iate

met

hods

for t

his

popu

latio

n

Refe

rral

to p

reve

ntio

n se

rvic

es:

•Th

ere

shou

ld b

e pr

otoc

ols

to s

ignp

ost i

ndiv

idua

ls w

ho a

tten

ddi

abet

es p

reve

ntio

n an

d sc

reen

ing

serv

ices

for o

ther

hel

p an

dad

vice

, e.

g. h

ealth

y di

et re

gim

es, w

eigh

t man

agem

ent

prog

ram

mes

etc

•Pe

ople

at r

isk o

f dia

bete

s m

ay n

eed

to b

e re

ferr

ed to

the

follo

win

g pr

even

tion

serv

ices

to in

crea

se th

eir c

hanc

es o

fim

prov

ing

thei

r hea

lth:

•N

HS

Hea

lth C

heck

s 10

•W

eigh

t man

agem

ent p

rogr

amm

es•

Hea

lthy

diet

regi

mes

20

Page 17: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

17

ELEM

ENTS

CH

AR

AC

TER

ISTI

CS,

SK

ILLS

AN

D B

EHA

VIO

UR

SO

UTP

UTS

DIA

BET

ES S

ERV

ICES

SPE

CIF

IC O

UTP

UTS

/CO

MM

ENTS

Clin

ical

qua

lity

Patie

nt p

athw

ayii)

the

pat

ient

rec

eive

s ap

prop

riate

car

edu

ring

the

inte

rven

tion(

s), i

nac

cord

ance

with

bes

t cl

inic

al p

ract

ice

iii) w

here

clin

ical

em

erge

ncie

s or

com

plic

atio

ns d

o oc

cur

they

are

man

aged

in a

ccor

danc

e w

ith b

est

clin

ical

pra

ctic

eiv

) the

inte

rven

tion

is c

arrie

d ou

t in

afa

cilit

y w

hich

pro

vide

s a

safe

envi

ronm

ent

of c

are

and

min

imis

esris

k to

pat

ient

s, s

taff

and

vis

itors

v) t

he in

terv

entio

n is

und

erta

ken

by s

taff

with

the

nec

essa

ry q

ualif

icat

ions

, ski

lls,

expe

rienc

e an

d co

mpe

tenc

e

At

exit

from

pat

hway

:

The

Com

mis

sion

er s

houl

d as

sure

them

selv

es t

hat

prov

ider

has

sys

tem

s an

dpr

oces

ses,

whi

ch a

re a

gree

d w

ith a

ll pa

rtie

san

d ne

twor

ks, i

n pl

ace

to:

i) m

ake

urge

nt o

nwar

d re

ferr

als

whe

relif

e-th

reat

enin

g co

nditi

ons

or s

erio

usun

expe

cted

pat

holo

gies

are

dis

cove

red

durin

g an

inte

rven

tion/

asse

ssm

ent

ii) e

nsur

e th

at p

atie

nts

rece

ive

disc

harg

ein

form

atio

n re

leva

nt t

o th

eir

inte

rven

tion

incl

udin

g ar

rang

emen

tsfo

r co

ntac

ting

the

prov

ider

and

fol

low

up, i

f re

quire

diii

) pro

vide

tim

ely

feed

back

to

the

refe

rrer

re in

terv

entio

n, c

ompl

icat

ions

and

prop

osed

fol

low

up,

if r

equi

red

iv) e

nsur

e th

at s

uppo

rt is

in p

lace

with

othe

r ca

re a

genc

ies

as a

ppro

pria

te

•Ex

erci

se fa

cilit

ies

20

•M

otiv

atio

nal w

orks

hops

•Sm

okin

g ce

ssat

ion

•Su

rger

y (e

.g. b

aria

tric

sur

gery

) or d

rugs

to re

duce

wei

ght

Refe

rral

to s

ervi

ces

that

will

inve

stig

ate

and

diag

nose

dia

bete

s:

•Pe

ople

at r

isk o

f dev

elop

ing

diab

etes

may

nee

d to

be

refe

rred

serv

ices

that

inve

stig

ate,

con

firm

and

man

age

diab

etes

as

part

of th

eir c

are

2

TOPI

C

Page 18: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

18

TOPI

CEL

EMEN

TSC

HA

RA

CTE

RIS

TIC

S, S

KIL

LSA

ND

BEH

AV

IOU

RS

OU

TPU

TSD

IAB

ETES

SER

VIC

ES S

PEC

IFIC

OU

TPU

TS/C

OM

MEN

TS

Clin

ical

qua

lity

Esta

tes

and

equi

pmen

t

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mod

ule

C:

5, 3

3,56

Mod

ule

D:

Sche

dule

s:2,

3,4

,6,1

1,17

Und

erst

andi

ng o

f bui

ldin

gre

gula

tions

Acc

ess

to a

dvic

e on

“fit

-for

-pu

rpos

e” e

quip

men

t and

faci

litie

s

Com

mis

sion

ers

mus

t as

sure

the

mse

lves

tha

tpa

tient

car

e is

del

iver

ed in

app

ropr

iate

lybu

ilt a

nd e

quip

ped

faci

litie

s w

hich

mee

tre

leva

nt H

TMs

and

Build

ing

Not

es, a

nd,

whe

re a

ppro

pria

te, a

re r

egis

tere

d an

d ar

esa

fe a

nd c

lean

Equi

pmen

t m

ust

be f

it fo

r pu

rpos

e

Com

mitm

ent

to e

ffic

ient

use

and

satis

fact

ory

mai

nten

ance

of

equi

pmen

t

Clin

ical

qua

lity

Kno

wle

dge

and

unde

rsta

ndin

g of

hea

lthan

d sa

fety

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mod

ule

C:

4A,5

,11,

17,1

9, 5

4, 5

6,60

Und

erst

andi

ng o

f clin

ical

acco

unta

bilit

ies

of h

ealth

and

safe

ty p

olic

ies

H&

S st

rate

gy a

nd p

olic

ies

in p

lace

and

impl

emen

ted

with

aw

aren

ess

thro

ugho

ut th

eor

gani

satio

n

Acc

essib

ility

to e

xecu

tive

resp

onsib

le fo

r H&

Sfo

r qui

cker

, firs

t con

tact

ser

vice

s

Hea

lth a

nd s

afet

y po

licie

s as

per

pro

vide

r agr

eem

ent w

ithco

mm

issio

ners

Dat

a an

din

form

atio

nm

anag

emen

t

Stra

tegy

and

pol

icie

s

Cro

ss re

fere

nces

to th

eSt

anda

rd N

HS

Con

trac

tfo

r Com

mun

ity S

ervi

ces

Mod

ule

B:Se

ctio

ns:

5 Mod

ule

C:

9,17

,18,

19,

21,2

3,24

,27,

29, 3

2,33

,54,

56,

60

Stra

tegy

and

pol

icy

deve

lopm

ent

skill

s

The

abili

ty to

ana

lyse

dat

a an

dha

ve a

cces

s to

info

rmat

ion

that

can

pred

ict t

rend

s an

d th

at c

ould

iden

tify

prob

lem

s

The

abili

ty to

cap

ture

evi

denc

eba

sed

prac

tice

from

R&

D N

atio

nal

Serv

ice

Fram

ewor

ks, N

ICE

guid

ance

The

abili

ty to

use

dat

a an

din

form

atio

n ap

prop

riate

ly to

impr

ove

patie

nt c

are

Tran

spar

ency

and

obj

ectiv

ity

The

Prov

ider

sho

uld

have

an

expl

icit

data

and

info

rmat

ion

stra

tegy

in p

lace

that

cov

ers

•Ty

pes

of d

ata

•Q

ualit

y of

dat

a•

Dat

a pr

otec

tion

and

conf

iden

tialit

y•

Acc

essib

ility

•Tr

ansp

aren

cy•

Ana

lysis

of d

ata

and

info

rmat

ion

•U

se o

f dat

a an

d in

form

atio

n•

Diss

emin

atio

n of

dat

a an

d in

form

atio

n•

Risk

s•

Shar

ing

of d

ata

and

com

patib

ility

of I

T ac

ross

diff

eren

t pro

vide

rs w

ith re

spec

t to

care

of

patie

nts

acro

ss a

pat

hway

This

info

rmat

ion

shou

ld b

e in

clud

ed in

the

Dat

aQ

ualit

y Im

prov

emen

t Pla

n

Ther

e sh

ould

be

polic

ies

in p

lace

that

incl

ude:

The

Prov

ider

is re

quire

d to

hav

e in

form

atio

n sy

stem

s th

at re

cord

indi

vidu

al n

eeds

incl

udin

g em

otio

nal,

soci

al, e

duca

tiona

l,ec

onom

ic a

nd b

iom

edic

al in

form

atio

n w

hich

per

mit

mul

tidisc

iplin

ary

care

acr

oss

serv

ice

boun

darie

s an

d su

ppor

t car

epl

anni

ng 21

The

Prov

ider

is re

quire

d to

use

the

follo

win

g fo

r the

col

lect

ion

and

prod

uctio

n of

dat

a, w

here

app

ropr

iate

:

•N

HS

Out

com

es F

ram

ewor

k 18

•N

atio

nal D

iabe

tes

Info

rmat

ion

Serv

ice

22

•D

iabe

tes

E 12

•Q

ualit

y an

d O

utco

mes

Fra

mew

ork23

•N

HS

Hea

lth C

heck

s10

•Pa

tient

Exp

erie

nce

11

Page 19: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

19

TOPI

CEL

EMEN

TSC

HA

RA

CTE

RIS

TIC

S, S

KIL

LSA

ND

BEH

AV

IOU

RS

OU

TPU

TSD

IAB

ETES

SER

VIC

ES S

PEC

IFIC

OU

TPU

TS/C

OM

MEN

TS

Dat

a an

din

form

atio

nm

anag

emen

t

Stra

tegy

and

pol

icie

s•

Con

fiden

tialit

y C

ode

of P

ract

ice

•D

ata

Prot

ectio

n•

Free

dom

of I

nfor

mat

ion

•H

ealth

Rec

ords

•In

form

atio

n G

over

nanc

e M

anag

emen

t•

Info

rmat

ion

Qua

lity

Ass

uran

ce•

Info

rmat

ion

Secu

rity

Ther

e m

ust b

e a

nam

ed in

divi

dual

who

is th

eC

aldi

cott

Gua

rdia

n

Page 20: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

20

Source documentsCommissioners and providers should takeresponsibility for making references to thelatest version of the various documents andguidance.

1.NHS Diabetes and Diabetes UK, Emotional andPsychological Support and Care in Diabetes,Joint Diabetes UK and NHS Diabetes Emotionaland Psychological Support, 2010http://www.diabetes.nhs.uk

2. The NHS Diabetes Commissioning Guides areavailable on the NHS Diabetes website athttp://www.diabetes.nhs.uk/commissioning_resource/

3. Standard NHS Contractshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_124324

4. National Quality Board, Quality Governance inthe NHS, 2011http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_125239.pdf

5. NICE Diabetes guidance,http://guidance.nice.org.uk/Topic/EndocrineNutritionalMetabolic/Diabetes

6. NICE Preventing type 2 diabetes: populationand community-level interventions in high-riskgroups and the general population (publichealth guidance), May 2011,http://guidance.nice.org.uk/PH35

7. NICE Preventing the progression from pre-diabetes to type 2 diabetes among high riskgroups (public health guidance) expectedpublication May 2012,http://guidance.nice.org.uk/PHG/Wave19/62

8. NICE, Medicines adherence: involving patientsin decisions about prescribed medicines andsupporting adherence, Jan 2009,http://guidance.nice.org.uk/CG76

9. NHS Institute for Innovation and Improvement,model CQUIN scheme: inpatient care forpeople with diabetes, 2009

10. Putting Prevention First, NHS Health Check,Vascular risk assessment and management ,Best practice guidance, 2009,www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_097489

11. The King’s Fund, The point of care. Measuresof patients’ experience in hospital: purpose,methods and uses. July 2009

12. DiabetesE - https://www.diabetese.net/

13. Department of Health, Royal College ofGeneral Practitioners, Royal PharmaceuticalSociety of Great Britain, NHS Primary CareContracting, Guidance and competences forthe provision of services using practitionerswith special interests (PwSIs) - Diabetes,http://www.rcgp.org.uk/pdf/CIRC_PwSI%20Diabetes.pdf

14. Training, Research and Education for Nursesin Diabetes – UK, An Integrated Career &Competency Framework for Diabetes Nursing(Second Edition), 2010

15. Skills for Health, Diabetes CompetencyFramework,https://tools.skillsforhealth.org.uk/

16. Department of Health, National ServiceFramework for Coronary Heart Disease –modern standards and service modelshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4094275

17. Department of Health, No health withoutmental health: a cross-government mentalhealth outcomes strategy for people of allages, February 2011,http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123766

18. Department of Health, The NHS OutcomesFramework 2011/12, December 2010http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122944

Page 21: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

21

19. NICE Obesity – working with localcommunities (public health guidance),expected November 2012,http://guidance.nice.org.uk/PHG/Wave20/53

20. Department of Health, Change4LifeCampaign, 2009http://www.dh.gov.uk/en/Publichealth/Change4Life/DH_119243

21 York and Humber integrated IT system,http://www.diabetes.nhs.uk

22. National Diabetes Information Service,www.diabetes-ndis.org

23. Quality and Outcomes Framework,http://www.nice.org.uk/aboutnice/qof/qof.jsp

Page 22: Commissioning Guide Diabetes Prevention and Risk ... · NHS Diabetes information Reader Box Review Date 2013 Commissioning Diabetes Prevention and Risk Assessment Services NHS Diabetes

22

This specification forms Schedule 2, Part 1 orsection 1 (module B), ‘The Services - ServiceSpecifications’ of the Standard NHS Contractsa.

Service specifications are developed in partnershipbetween commissioners and provider agencies andare based on agreed evidence-based care andtreatment models. Specifications should be open toscrutiny and available to all service users/carers as astatement of standards that the user/carer canexpect to receive.

The following documentation, developed bythe Diabetes Commissioning Advisory Group,provides further detail/guidance to support thedevelopment of this specification:

• The diabetes prevention and risk assessmentintervention map

• The contracting framework for diabetesprevention and risk assessment services

This specification template assumes that the servicesare compliant with the contracting framework fordiabetes prevention and risk assessment services.

This template also provides examples of whatcommissioners may wish to consider whendeveloping their own service specifications.

Description of diabetes prevention andrisk assessment services:Diabetes prevention and risk assessment servicesencompass the care an individual who is at risk ofdeveloping diabetes may receive ranging fromraising awareness of the condition and other relatedlifestyle factors, to screening/risk assessment andencouragement of a healthy lifestyle for all agegroups.

The final specification should take into account:

• national, network and local guidance andstandards for diabetes services.

• local needs.

This specification is supported by other related workin diabetes commissioning such as:

• the web-based Diabetes Community HealthProfiles (Yorkshire and Humber Public HealthObservatory)

• the web-based Health Needs Assessment Tool(National Diabetes Information Service).

These provide comprehensive information for needsassessment, planning and monitoring of diabetesservices.

Introduction• A general overview of the services identifying why

the services are needed, including background tothe services and why they are being developed orin place.

• A statement on how the services relate to eachother within the whole system should be includeddescribing the key stakeholders/relationshipswhich influence the services, e.g. multi-disciplinaryteam etc

• Any relevant diabetes clinical networks andscreening programmes applicable to the services

• Details of all interdependencies or sub-contractorsfor any part of the service and an outline of thepurpose of the contract should be stated,including arrangements for clinical accountabilityand responsibility, as appropriate

Standard Service SpecificationTemplate for Diabetes Preventionand Risk Assessment Services

a Standard NHS Contracts http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_124324

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Purpose, Role and Clientele1. A clear statement on the primary purpose of the

services and details of what will be provided andfor whom:

• Who the services are for (e.g. individuals of allages at risk of diabetes)

• What the services aim to achieve

• The objectives of the services

• The desired outcomes and how these aremonitored and measured

Scope of the Services2. What does the service do? This section will focus

on the types of high level therapeutic and lifestyleinterventions that are required for the types ofneed the services will respond to.

• How the service responds to age, culture,disability, and gender sensitive issues

• Assessment – details of what it is and referralsto all relevant services/care

• Service planning – High level view of what theservices are and how they are used; howpatients enter the pathway/journey; what arethe stages undertaken and follow up care. Theaims of service planning are to:

o Develop, manage and reviewinterventions along the patient journey

o Ensure access to other services/care, asappropriate

• Holistic review of individuals at risk ofdeveloping diabetes using the principles of anintegrated care model for people with long termconditions that is centred around the individual

• Risk assessment procedures, e.g. NHS HealthChecks

• Detail of evidence base of the service – i.e. thecontracting framework for diabetes preventionand risk assessment services, guidance producedby the Royal College of Physicians, Diabetes UK,etc

Service Delivery3. Individual Journey/pathway

Flow diagram of the patient pathway showingaccess and exit/transfer points – see the diabetes

prevention and risk assessment intervention mapas a starting point

4. Treatment protocols/interventionsInclude all individual treatment/interventionprotocols in place within the services or plannedto be used

5. This will include a breakdown of how the patientwill receive the services and from whom. It shouldbe a clear statement of staffqualifications/experience and/or training (ifappropriate) and clinical or managerial supervisionarrangements. It should specify, as appropriate:

• Geographic coverage/boundaries – i.e. theservices should be available for all individuals ofall ages groups who live in the clinicalcommissioning group area

• Hours of operation

• Minimum level of experience and qualificationsof staff (i.e. doctors – diabetologists and GPs,Nursing staff – diabetes nurse specialists, district,practice nurses etc, other allied healthprofessionals, e.g. podiatrists, dietitians,optometrists, pharmacists etc and other supportand administrative staff)

• Staff induction and developmental training

6. Equipment

• Upgrade and maintenance of relevantequipment and facilities

• Technical specifications (if any)

Identification, Signposting/ Referraland Acceptance criteria7. This should make clear how individuals will be

identified, assessed (if appropriate) and acceptedto the services. Acceptance should be based ontypes of need and/or individual.

8. How should individuals be referred or how arethey signposted?

• Who is acceptable for referral and from where

• Details of evaluation process - Are there clearexclusion criteria or set alternatives to theservice? How might an individual betransferred?

• Response time detail and how are individualsprioritised

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Discharge/Service Complete/Transfer/Transition criteria9. The intention of this section is to make clear when

an individual should be transferred from thediabetes prevention and risk assessment service toanother and when this would be reached.

• How is the intervention pathway reviewed?

• How does the service decide that an individual isready for discharge/transfer to other services?

• How are goals and outcomes assessed andreviewed?

• What procedure is followed on discharge,including arrangements for follow-up?

Quality Standards10. The service is required to deliver care, where

appropriate, according to the standards forclinical practice set by the National Institute forHealth and Clinical Excellenceb

11. As a minimum, the Provider is required to agreea local Commissioning for Quality andInnovation scheme for services for people withdiabetes. (Insert details of the CQUIN Schemeagreed)

12. The service is required to deliver the outcomesfor diabetes as determined by the NHSOutcomes Frameworkc

Activity and Performance Management13. This must include performance indicators,

thresholds, methods of measurement andconsequences of breach of contract. These willbe set and agreed prior to the signing of theoverall agreement.

14. Activity plans – Where appropriate, identify theanticipated level of activity the service maydeliver; provide details of any activity measuresand their description /method of collection,targets, thresholds and consequences ofvariances above or below target.

Continual Service Improvement15. As part of the monitoring and evaluation

procedures, the service will identify a method ofagreeing measurements for continuousimprovement of the service being offered andwork to ensure unmet need is both identifiedand brought to the attention of thecommissioner.

16. ReviewThis section should set out a review date and amechanism for review.

The review should include both the specificationsfor continuing fitness for purpose and theproviders’ delivery against the specification.

This should set out the process by which thisreview will be conducted.

This should also identify how compliance againstthe specification will be monitored in year.

17. Agreed byThis should set out who agrees/accepts thespecification on behalf of all parties. This should include the diabetes providers,commissioner and network (if appropriate).

b http://www.nice.org.uk/guidance/qualitystandards/qualitystandards.jsp

c http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122944

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Further copies of this publication can be ordered from Prontaprint, by [email protected] or tel: 0116 275 3333, quoting DIABETES 117

www.diabetes.nhs.uk