Service redesign and integration in diabetes care

Use the following resources and tools to support service redesign 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.

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)

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

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 how Wolverhampton,Derby,Leicester, Leicestershire and Rutland,North West London and Portsmouth are delivering integrated care.

Essential reading

• Need to nurture: outcomes-based commissioning in the NHS, The Health Foundation website (September 2015)

• Capitation: a potential new payment model to enable integrated care, Monitor, GOV.UK website (November 2014)

  This report describes the benefits of capitation for patients, the steps involved in designing capitated payment and methods for evaluating its impact. Watch a short video about capitation from Monitor and NHS England.

• Commissioning and contracting for integrated care, The King's Fund website (November 2014)

• Beginning with the end in mind: how outcomes-based commissioning can help unlock the potential of community services, NHS Confederation website (September 2014)

• Contracting for outcomes: a value-based approach, Outcomes Based Healthcare website (July 2014)

• Outcomes myths, Outcomes Based Healthcare website (2014)

• Commissioning for outcomes: a narrative from and for clinical commissioners, NHS Commissioning Assembly (2014) (PDF, 2.3MB)

• The strategy that will fix healthcare, Harvard Business Review (October 2013) (PDF, 552KB)

Shared practice examples

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

• Commissioning and the future of diabetes care, The British Journal of Diabetes website (2015) (free, open access)

• Diabetes care: the West Cheshire way, Practical Diabetes website (2014) (free, login required)

• 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.

• 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.

• Integrated GP led diabetes care in Bexley, Right Care website (November 2012)

Resources

• Diabetes pathway and guidance, National Institute for Health and Care Excellence website

• Diabetes sample service specification, NHS England (Word, 1MB)

• Diabetes outcomes versus expenditure (DOVE) tool, Public Health England website

• Unit costs of health and social care 2014, PSSRU, University of Kent website