Lead Practice Nurse and Diabetes Clinical Lead Brighton & Hove CCG
Nicky Daborn has been a Practice Nurse for the past 11 years and sees patients with type 2 Diabetes immediately after diagnosis and for regular monitoring.
She regards diabetes prevention and encouraging behaviour change as a very important part of her role.
She was appointed Clinical Lead for Diabetes at Brighton & Hove CCG in 2013. Since commencing this role she has worked with Commissioners and Clinical colleagues to agree a service model for a Consultant led Community Diabetes Service which commenced in July 2016, and provides integrated diabetes care across 2 CCGs.
Nicky recently worked with the CCG medicines management team to develop a glucose testing strip formulary and prescribing incentive scheme. Practices assessed patients and swapped them over to the formulary sticks where clinically appropriate. This has resulted in significant savings.
Nicky is keen to reduce variations in diabetes care in Brighton and Hove with regard to nine key care processes and treatment targets. She aims to get all practices receiving their NDA data. She is planning to work with Diabetes UK and local Diabetes clinicians to set up a nurse education day to launch the new local Diabetes foot care pathway, and to include annual review and care planning skills.
She is aiming to work with the South East Clinical Network and GP clinical system providers to refine clinical data entry templates. This will ensure information is captured for attending Diabetes Structured Education as this has recently been included in the Improvement and Assessment Framework. She will coordinate the development of a clinical data entry template for Non Diabetes Hyperglycaemia (NDH). This will assist practices to form NDH registers, identify patients with NDH for regular review and ensure patients receive an appropriate review including reinforcing lifestyle advice. This template will include information so self populate the NDPP referral form, which Nicky plans to make available to practices.