Reports

Supporting GPs and primary care to improve outcomes for people living with diabetes

At its February meeting, the Diabetes Think Tank welcomed NHS England Associate Clinical Director for Diabetes, Dr Partha Kar, as keynote speaker. Dr Kar gave an overview of the work being undertaken at Portsmouth Hospitals NHS Trust to support GPs to take over the care of nearly half of patients with Type 2 diabetes. 

Dr Kar outlined the 'Super Six' model of care that has been implemented in Portsmouth. This model of care established a community diabetes team, comprised of both consultants and specialist nurses from the hospital, to work closely with GPs in the area to better provide diabetes care outside of hospital. Care inside hospital is reserved for six health issues for which patietns required specialist and multidisciplinary care. 

The meeting also covered how the Quality and Outcomes Framework can be strengthened and how best practice from Local Enhanced / Incentivised Services can be spread across the country. 

The meeting report includes a summary of the Think Tank's key recommendations and is available to download using the link below:

>Download the Supporting GPs and primary care to improve outcomes for people living with diabetes meeting report

 

Sustainability and Transformation Plans, 8 November 2016, Portcullis House

At its November meeting the Diabetes Think Tank discussed the Sustainability and Transformation Plan (STP) agenda, including the impact that STPs might have on local diabetes services and how the Diabetes Think Tank might best ensure that the STP process supports the delivery of improved diabetes care and outcomes across the country.

STPs were first announced in December 2015 as a way for health systems to draw up place-based blueprints for delivering the Five Year Forward View locally, including how areas will deliver financial “sustainability” and service “transformation”. Since then, all health and care commissioners and providers across the NHS in England have come together to form one of 44 ‘STP footprints’.

The publication in July 2016 of a diabetes aide-mémoire made clear that each
STP should outline an approach for improving outcomes for people with Type 1 and Type 2 diabetes ‘across the clinical pathway by tackling unwarranted variation’. STP footprint leads were asked to submit their full draft plans to NHS England on 21 October 2016. At the time of the Diabetes Think Tank meeting, a number
of draft STPs had been published.

The meeting report includes a summary of the Think Tank's key recommendations and is available to download using the link below:

>Download the Sustainability and Transformation Plan – Meeting Report

NHS RightCare, 28 June 2016

On 28 June 2016, the Diabetes Think Tank welcomed the National Director for NHS RightCare, Professor Matthew Cripps, who presented members with an overview of the work of NHS RightCare in supporting local health economies. 

Professor Cripps presented Think Tank members with a comprehensive overview of NHS RightCare and the principles that underpin its methodology. Additionally, Professor Cripps highlighted examples of how the RightCare approach could be employed to drive improvements in diabetes services, and examples of where this has been achieved.

In line with the RightCare approach – utilising expertise from the frontline to drive local improvements – members were able to share their experience, helping to inform the development of the programme through discussions on what key principles should underpin the use of the RightCare methodology for diabetes services. 

The meeting report includes a summary of the Think Tank's key recommendations and is available to download using the link below:

>Download the Meeting 2 NHS RightCare - meeting report

CCG Improvement and Assessment Framework, 9 February 2016, Palace of Westminister

On 9 February 2016, the Diabetes Think Tank met to discuss the CCG Improvement and Assessment Framework. The meeting focused on the proposed indicators announced by NHS England that would be used to assess diabetes care within the Framework. The following three themes were discussed:

  • What opportunities there are for strengthening the diabetes indicators to ensure that the data collection is as robust and comprehensive as possible
  • How the Framework should be assured and what support should be offered to CCGs that receive low ratings for diabetes
  • How the results generated by the Framework should be used to ensure it can be an effective mechanism for driving improvements in diabetes care and outcomes

The meeting report includes a summary of the Think Tank's key recommendations and it is available to download using the link below:

>Download the CCG Improvement and Assessment Framework - Meeting Report

Setting national ambitions for improving diabetes care, 17 November, Palace of Westminister

On the 17 November, the Diabetes Think Tank met to discuss setting national ambitions for improving diabetes care, in light of the recent announcement of the a new 'Ofsted-style' rating system for clinical commissioning groups (CCGs) and the publication of the NHS Mandate consultation. The meeting focused on the three key themes:

  • How the available mechanisms could be used to secure improvements to diabetes care
  • Which areas of diabetes care members felt should be prioritised by the Government in its development of both the Mandate and its CCG ratings system
  • An update of the status of the Patient Experience of Diabetes Services (PEDS) survey and how to continue to make the case for it to be rolled out nationally

The meeting report includes a summary of the Think Tank's key recommendations are is available to download using the link below:

>Download the Setting national ambitions - Meeting report 

Securing a national strategy for diabetes, 30 June 2015

On 30 June, the Diabetes Think Tank met to discuss what priorities members would like to see contained in any future diabetes strategy. The meeting focused on three key themes: 

  • The priorities that the strategy for diabetes should consider and the key issues that it should address
  • To what extent members have engaged with vanguard sites so far and how local networks can be utilised to drive improvements in diabetes care
  • An update on the future of the Patient Experience of Diabetes Survey and how the make the most effective case for its national roll-out

The meeting report includes a summary of the Think Tank's key recommendations and its available to download using the link below:

>Download the Securing a national strategy for diabetes - Meeting Report

NICE Clinical Guidelines, 11 February 2015

On 11 February, the Diabetes Think Tank met to discuss the recently published updated NICE guidelines for the management of Type 1 and Type 2 diabetes. 

As this was the last meeting scheduled before the General Election, it also provided an opportunity for the Think Tank to revisit the recommendations it had made over the past five years and identify those it believes should be considered by NICE and the future government. The meeting focused on the following three key themes:

  • Reactions and responses to NICE's draft clinical guidelines for diabetes and the opportunities to improve diabetes care through future reform of NICE
  • What recommendations should be put to policy makers and NHS decision-makers to ensure the ambitions laid out with the Five Year Forward View delivers for people with diabetes
  • An evaluation of recommendations made by the Think Tank over the past five years, with discussion on those areas members believed should be considered by a future government

>Download the NICE Clinical Guidelines - Meeting Report

Care Quality Commission, 18 November 2014, Portcullis House

On 18 November, the Diabetes Think Tank met to discuss the opportunities presented by the reforms to the Care Quality Commission's (CQC) inspection regime and its thematic review of diabetes care. The meeting focused on three key themes:

  • The effectiveness of the CQC's inspection regime in capturing and measuring the quality of diabetes services and care
  • What information and data should be used to inform the CQC's inspections and how providers should be expected to report back performance against these
  • What standards of diabetes care providers should be inspected against and how these can be measured effectively

The meeting report includes a summary of the Think Tank's recommendations and is available to download using the link below:

>Download the Care Quality Commission - Meeting report

Patient Experience, 9 July 2014, Portcullis House

On 9 July, the Diabetes Think Tank met to discuss how evaluating patient experience of diabetes care could help to drive improvements, in light of the findings from the Patient Experience of Diabetes Services (PEDS) survey published in June 2014. The meeting focussed on three key themes:

  • How best to capture patient experience data of diabetes care and what lessons can be learnt from the PEDS pilot survey
  • What can patient experience data tell us about how well people with diabetes are able to manage their condition
  • How best to use patient experience data to drive improvements in diabetes services 
  • The meeting report includes a summary of the Think Tank's key recommendations and is available to download using the link below. 

> Download the Patient Experience - Meeting Report

Preventing diabetes, 9 April 2014, Portcullis House

On 9 April, the Diabetes Think Tank met to discuss possible ways in which strategies to prevent diabetes could be implemented. The meeting focussed on three key themes:

  • The absence of accurate, local-level data about the costs of diabetes
  • Perverse incentives
  • The implementation of the NHS health checks programme

The meeting report includes a summary of the Think Tank's key recommendations and is available to download using the link below. 

> Download the Preventing diabetes - Meeting Report 

Discussion with Professor Jonathan Valabhji, National Clinical Director for Obesity and Diabetes, 12 December 2013, Portcullis House

The Think Tank met for the final time for 2013 on 12 December, welcoming back Professor Jonathan Valabhji, the National Clinical Director for Obesity and Diabetes, for a Q&A session with attendees. Professor Valabhji outlined the basic principles of the new NHS and their impact on diabetes care. He also provided members with an insight into his priorities and described some of the workstreams that he has been involved in since assuming his post. 

The meeting report includes details of Professor Valabhji's presentation, outlines the topics discussed in the Q&A session and provides a summary of the key recommendations.

The report is available to download using the link below. 

> Download Discussion with Professor Jonathan Valabhji, National Clinical Director for Obesity and Diabetes - Meeting Report 

Future of Diabetes Care Summit, 15 October 2013, BMA House

During the NHS reforms in 2013, the diabetes landscape underwent a significant transformation. To reflect on the changes and to look ahead to the future of diabetes care, the Diabetes Think Tank hosted a summit to:

  • Provide transformation leaders with a platform to address the diabetes community
  • Listen to concerns and suggestions
  • Outline next steps required to further improve the quality of care received by people with diabetes

The Future of Diabetes Care Summit meeting report is available to download using the link below.

> Download the Future of Diabetes Care Summit - Meeting Report 

The Role and Potential of Cardiovascular Strategic Clinical Networks in Improving Diabetes Care, 9 October 2013, Portcullis House

On Wednesday 9 October, the Diabetes Think Tank met to discuss the role and potential of the new Cardiovascular Strategic Clinical Networks (SCNs), established by the reforms of the Health and Social Care Act 2012. The discussion focussed on three key themes: 

  • Facilitating Joint Working and Service Integration
  • Encouraging Innovation and New Ways of Working
  • National and Local Engagement

The meeting report can be downloaded using the link below.

> Download The Role and Potential of Cardiovascular Strategic Clinical Networks in Improving Diabetes Care - Meeting Report 

QOF: Delivering Better Care for Patients, 5 June 2013, Portcullis House

On 5 June, the Diabetes Think Tank met to discuss the opportunities to reform the diabetes-specific indicators of the Quality and Outcomes Framework (QOF) in order to improve the health outcomes for people with diabetes. During the discussion, the Think Tank examined the ways in which the current indicators could be revised and considered the possibility for inclusion of additional measures that would drive care improvements in three key areas:

  • Delivery of the nine key care processes
  • Integration of diabetes care
  • Diabetes screening 

The report provides a record of the discussion that took place during the meeting and sets out a number of practical recommendations for the reform of the QOF. The report is available to download using the link below.

> Download QOF: Delivering Better Care for Patients - Meeting Report 

NHS England: Vision for Diabetes in the New NHS, 1 May 2013, One Great George Street

On 1 May, the Think Tank met for the first time since the NHS reorganisation came into effect. The meeting sought to examine the impact of these changes on the delivery of diabetes care and to formulate a vision for diabetes services in the new system. The meeting focussed on three key themes:

  • Dilution of diabetes expertise in the new NHS
  • Safeguarding the legacy of NHS Diabetes
  • Payment mechanisms and the integration of diabetes care in the new NHS  

The meeting report summarises the discussion and outlines five recommendations agreed by the Think Tank. The report can be downloaded using the link below.

> Download NHS England: Vision for Diabetes in the New NHS - Meeting Report 

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