diabetes programme progress report dr charles gostling, joint diabetes clinical director october...
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Diabetes Programme Progress ReportDr Charles Gostling, Joint Diabetes Clinical Director
October 2013
1. Supporting self-management including patient education and care planning
2. Adopting new technologies
3. Enabling an integrated care system for diabetes
(new models of care and working across organisational boundaries)
Work group meetings were held over the summer with a wide range of attendees from across south London including service providers, service users, commissioners and representatives from industry.
We have now developed a project plan that outlines the key programmes we will be developing.
Diabetes high level themes
9 July: workshop on self management was attended by over 30 participants from across health and social care
Key priorities and emerging themes: • Improve systems and processes for encouraging people with diabetes to
participate in education and training programmes to support self-management.
• Work with commissioners and providers to increase the choice of education programmes available, including development of online courses, culturally sensitive methods of delivery and “short taster” courses.
• Looking to adopt and defuse IT solutions to help people improve their ability to monitor and manage their routine care
• Improve care planning by promoting direct patient access to GP records including personal medicines information, blood glucose and other important test results.
Clinical problems scoped in planning workshops
Key priorities and emerging themes:
• Work with teams in primary care to identify the cohort of people with type 1 diabetes, being managed by their GP, community service or other, whose condition might be improved if they had improved access to care and self management technologies.
• Improve self management in people with type 1 diabetes through the adoption of appropriate technologies such as insulin pumps and continuous blood glucose monitors.
31 July: workshop on the adoption of new technologies attended by over 30 participants from across health and social care
Clinical problems scoped in planning workshops
Clinical problems scoped
Enabling an integrated care system for diabetes, new models of care and working across organisational boundaries
Issues CausesPotential solutions/
innovationsPrioritisation
11 September: information fed into major stakeholder workshop
Planning workshop
Key priorities and emerging themes: • Working across the network to develop and defuse the LAS community
response hypoglycemia urgent care pathway.
• Working with providers, area prescribing teams, London Procurement and pharmaceutical companies to identify current uptake and usage of therapeutic agents to ensure good compliance with NICE guidance.
• Working with industry to develop tools to start to identify high and low risk patients who would most benefit form having care delivered in new ways - such as being managed via phone clinics or via tier three multidisciplinary teams.
11 September: over 70 participants from across health and social care and representatives from industry
1. Improving self-management of insulin therapy through better access to appropriate use of technologies
2. Improving the management of unscheduled care by developing pathways for the management of hypoglycaemia care in the community
3. Improving access to Structured education and related support for self-management
4. Review the use of insulin management for people with Type 2 diabetes to optimise care and support the effective use of resources.
5. Improving the prevention care and treatment of diabetic retinopathy by sharing test information across care settings
Projects being taken forward in 2013-14
Organisational Processes
Feedback from working group participants
“Everyone was open to ideas”
“Opportunity for active input
form all delegates”
Diagnostics Company representative
Pharma representatives
Best thing was “Table discussions and
information sharing especially when ones ideas and comments
get highlighted”
Service user
“Excellent and motivational speakers
giving succinct presentations”
Commissioner
“Clear process for decision-
making with a large number
of stakeholders”
Best thing was “Broadness of discussions”
Clinician
Organisational Processes
Key milestones and delivery dates
February to April
Completed
Wide engagement with expert groups and
stakeholders to identify priority workstreams.
Identify areas of good practice
locally and nationally.
Identify NICE guidance best
practice standards and current delivery performance against quality
measures.
July to early September
Completed
Planning workshops with wide range of
stakeholders to identify key
themes and issues in workstream as
part of project planning.
Continue to collect detailed data on areas of good practice locally and nationally. Conduct further analysis of and
base line service provision and
delivery performance against quality
measures.
September October In progress
Scope 5-6 potential
projects for feasibility and
impact on care.
Identify volunteers for task and finish
groups with membership
from all sectors.
October In progress
Present Project Initiation
proposals to AHSN Board on
10th October.
Fully develop the priority
project work plans and task
and finish groups to deliver
priority project aims and
objectives
October to March 14
Started October 2013
Work with stakeholders and
task and finish groups to
implement and monitor agreed objectives as outlined in the
project work plan.
Work with stakeholders to develop further proposals for
follow on project or new priorities
for taking forward in 2014-15
And yet more
Develop the HIN website to support
information exchange
Be a focus for innovative ideas
Cross cutting themes:
CLARHC HESL Research networks Patient experience London Connect
Support NHS England strategic clinical networks
Work with other HIN workstreams
– Musculoskeletal,
Dementia, Alcohol and Cancer