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Service redesign and integration in diabetes care

Diabetes is the fastest growing health threat in the UK. There are 3.5 million people diagnosed with the condition and rising numbers experience devastating complications. Service redesign can be an important enabler for local areas to integrate diabetes care and drive improvement at pace and scale.

Use the following resources and tools to support service redesign in diabetes care.

Publications

Prime contracting in North East Essex: commissioning a GP federation to deliver a vertically integrated care pathway, Diabetes UK (August 2015) (PDF, 853 KB)

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Prime contracting in North East Essex: commissioning a GP federation to deliver a vertically integrated care pathway, Diabetes UK (August 2015) (PDF, 853 KB)

This case study presents the NEEDS service, a pioneering model of care developed by NHS North East Essex CCG that brings together diabetes providers under the umbrella of a single, integrated service.

Networking for success: a 'burning platform' in Berkshire West, Diabetes UK (November 2014) (PDF, 409 KB)

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Networking for success: a 'burning platform' in Berkshire West, Diabetes UK (November 2014) (PDF, 409 KB)

This case study presents Diabetes Sans Frontières, a network of providers, commissioners and people with diabetes setup to redesign diabetes services across four federated CCGs in Berkshire West. Watch a video about the redesign.

Improving the delivery of adult diabetes care through integration, Diabetes UK (September 2014) (PDF, 648 KB)

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Improving the delivery of adult diabetes care through integration, Diabetes UK (September 2014) (PDF, 648 KB)

This report presents the five key enablers for delivering integrated diabetes care. The report also presents learning from five areas across England that have adopted an integrated approach. Find out howWolverhampton,Derby,Leicester, Leicestershire and Rutland,North West LondonandPortsmouth are delivering integrated care.

Essential reading

Shared practice examples

  • Successful recommissioning of community diabetes services in West Hampshire, The British Journal of Diabetes website (2015) (free, open access)

    This article describes the design and development of the community diabetes service in West Hampshire, one of the first community diabetes services to complete the commissionign cycle. It also presents the four success criteria the service is built on: skills for leadership, strategic vision, stakeholder partnerships, and shared learning.This article describes the design and development of the community diabetes service in West Hampshire, one of the first community diabetes services to complete the commissionign cycle. It also presents the four success criteria the service is built on: skills for leadership, strategic vision, stakeholder partnerships, and shared learning.
  • Commissioning and the future of diabetes care, The British Journal of Diabetes website (2015) (free, open access)

    This article describes how a service redesign process was used to commission a new community service in the Vale of York. The article presents the steps taken to deliver the redesign, including resourcing, planning, service design, partnership working, patient involvement, and the development of the business case and specification.This article describes how a service redesign process was used to commission a new community service in the Vale of York. The article presents the steps taken to deliver the redesign, including resourcing, planning, service design, partnership working, patient involvement, and the development of the business case and specification.
  • Diabetes care: the West Cheshire way, Practical Diabetes website (2014) (free, login required)

    This article summarises the key components of the 'West Cheshire way' for diabetes care. Key components of the approach include redistributing clinical responsibility to primary care, implementing a locally commissioned service, delivering a new structured education programme and developing a strong, active diabetes network.This article summarises the key components of the 'West Cheshire way' for diabetes care. Key components of the approach include redistributing clinical responsibility to primary care, implementing a locally commissioned service, delivering a new structured education programme and developing a strong, active diabetes network.
  • Living well with diabetes in Lambeth and Southwark, Diabetes Modernisation Initiative website (2014)

    This report brings together learning from the Diabetes Modernisation Initiative, a programme launched in 2010 to drive large scale change through partnership working. The report presents the DMIs 'seven pillars to improve primary care.' Explore the toolkits, resources and templates developed by the DMI.This report brings together learning from the Diabetes Modernisation Initiative, a programme launched in 2010 to drive large scale change through partnership working. The report presents the DMIs 'seven pillars to improve primary care.' Explore thetoolkits, resources and templatesdeveloped by the DMI.
  • Evaluation of the first year of the Inner North West London integrated care pilot, Nuffield Trust website (May 2013)

    This evaluation summary presents the findings of a large scale programme across eight London boroughs focused on improving care coordination and planning for people with diabetes and the over 75s. Explore the North West London integration toolkit.This evaluation summary presents the findings of a large scale programme across eight London boroughs focused on improving care coordination and planning for people with diabetes and the over 75s. Explore the North West London integration toolkit.
  • The super six model of diabetes care: two years on, Diabetes and Primary Care (2013) (free, login required)

    This article presents new findings on the level of satisfaction with the super six model in Portsmouth and South East Hampshire, expressed by healthcare professionals and people with diabetes, as well as looking ahead to possible future developments. Learn more about about the super six model or watch a short video.This article presents new findings on the level of satisfaction with the super six model in Portsmouth and South East Hampshire, expressed by healthcare professionals and people with diabetes, as well as looking ahead to possible future developments. Learn more about about thesuper six model or watch a short video.
  • Integrated GP led diabetes care in Bexley, Right Care website (November 2012)

    This casebook presents how Bexley implemented a new GP led diabetes service. The casebook summarises the importance of empowering an integrator to bring providers together, identifying and building on early successes and using the service specification to manage the performance of all providers.This casebook presents how Bexley implemented a new GP led diabetes service. The casebook summarises the importance of empowering an integrator to bring providers together, identifying and building on early successes and using the service specification to manage the performance of all providers.

Resources

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