Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Proposed Integrated Diabetes Care Model Tina Teague – Head of Locality Commissioning Trish Brown – Practice Nurse/Mid Devon Clinician to Clinician (C2C) Diabetic Lead Catherine Argyle – Specialist Diabetic Nurse Proposed Care Model • Aims for equity of capability & capacity • Recognises the need for invest to save • Proposes 4 tiers of care provision& commissioning options • Identifies education (patient, community nurses, GPs) • Formalises the role of community DSN • Identifies local commissioning groups as being key to implementation RD&E Diabetes Activity Trends – Mid Devon New Outpatients 35 30 25 20 General 15 Obesity 10 Specialist 5 0 2009/10 Month General Obesity Specialist 2010/11 Q1 Q2 25 0 16 2009/10 Q3 28 10 18 Q4 25 14 16 Q1 29 17 20 2010/11 Q2 33 19 22 Total 32 17 21 Total Cost 172 £41,108 77 £18,403 113 £27,007 RD&E Diabetes Activity Trends – Mid Devon Follow Up Outpatients 200 180 160 140 120 100 80 60 40 20 0 General Obesity Specialist 2009/10 Month General Obesity Specialist 2010/11 Q1 Q2 145 0 75 2009/10 Q3 Q4 145 150 23 37 77 80 Q1 171 43 92 2010/11 Q2 Total Total Cost 170 190 971 £89,332 43 48 194 £17,848 91 102 517 £47,564 £245/Consultation £130 £70 Mid Devon Diabetes C 2 C and other Meetings Trish Brown 10/01/2011 Local Vision • To provide a world Class service, in which Primary and Secondary care is integrated. • Every patient will have access to the most appropriate team to provide care. • Quality will be measured and services modified with a view to improvement. Restructuring Diabetes Services Entry Criteria Exit Criteria Initial management T1DM Complications Atypical Diabetes Erectile Dysfunction Young People Insulin Pump Therapy Ante-natal Retinal Screening New Referrals Podiatry Self management - plan Management stable Established diagnosis - Plan Management Plan Up to age 21- ? Adult Care Established management No longer Pregnant Continue as before Stable / Management Plan Integrated Foot service Other Service Provision • • • • • • • • • Community Specialist Nurse Structured Patient Education-all new T2 DM Community Consultant / DSN clinics DGH All Annual Reviews in General Practice Education Programmes for PNs and GPs (Survey) Updated Diabetes Formulary – Treatment Pathway Protocol and Pathway Development Telephone and Email advice Accessible updated website