Diabetes: The Unavoidable
Long Term Complication.
Date
Dr Stephen Thomas
Clinical Director Strategic Clinical Network
January 2016
2
London Variation in Care
ILLUSTRATIVE DIABETES INDICATOR FROM QOF
Individual GP Surgery Achievement (%)
100%
75%
50%
25%
0%
London PCT
Portion of Indicator Achieved by individual surgery (centre of circle indicates score)
Series2
Series3
Essential Elements for
Good Chronic Illness Care
Informed
Activated
Patient
Productive
Interactions
Prepared
Team
4
What is a
“prepared” team?
• At the time of the visit, they have the patient
information, decision support, people,
equipment, and time required to deliver
evidence-based clinical management and selfmanagement support.
5
Agreed quotes from London Wide Patient
Group
6
What does this mean for those with diabetes?
Users said
“The lack of consistency
patients experience ….
leaves them feeling that the quality of
service they receive is too variable”
7
Diabetes workforce development
• We have produced a guide for primary/out of hospital care
which covers:
1. Identifying key core competencies for teams and individuals
providing out of hospital care.
2. Continuous professional and personal development
(signpost courses across general diabetes care, injectable
therapies and behavioural interventions).
3. Enhancing and developing healthcare professional skills for
diabetes and service development.