Facilitation of Diabetes Care in North Tyneside

Braid, Evelyn; Johnson, Gillian

doi:10.1111/j.1464-5491.1992.tb01872.x

Diabetic Medicine

1992

DOI: 10.1111/j.1464-5491.1992.tb01872.x

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Facilitation of Diabetes Care in North Tyneside

Evelyn Braid

Gillian Johnson

Abstract: This article outlines the development of the District-Wide Diabetes Service which has evolved in North Tyneside over the last decade.We describe how a vision became a reality through team-building, development of an education strategy for team members and agreed protocols of care.The main aims were:To extend a structure of care to all people living in the district who have Type 1 diabetes.To establish and maintain a districtwide register.

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Service redesign: the experience of Newcastle Diabetes Service 2001–2007

Hawthorne

Grzebalski

2009

Pract Diab Int

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The prevalence of diabetes is projected to rise substantially. National policy has introduced drivers to promote service redesign around patient needs. This paper describes how we have developed an integrated local diabetes service based on the community delivery of diabetes care, supporting primary care and interfacing with specialist care.The diabetes service is located in the Primary Care Trust and is based at the Newcastle Diabetes Centre. There is a service delivery plan agreed with all stakeholders for people with type 2 diabetes. The service supports primary care to deliver high quality care, provides community care in close proximity to patients' homes and delivers specialist care.Pathways of care for people with type 2 diabetes are based on level 1 primary care, level 2 community care and level 3 specialist care. Agreed district‐wide guidelines, with referral criteria, support integrated pathways of diabetes care. Level 1 (primary care) is supported by district‐wide podiatry, digital retinal screening and health care provider education. Level 2 (community‐based service) includes a pathway for newly‐diagnosed type 2 diabetes encompassing structured group education and a pathway for continuing care of more complex type 2 diabetes, supported by additional community services such as weight management groups, and community‐based group insulin starts. Level 3 (specialist services) provided at the Diabetes Centre include preconception care, a medical foot clinic, a young adults clinic, an insulin pump service and a diabetes renal clinic.This paper shows how the redesigned service supports primary care to provide care closer to patients. Copyright © 2009 John Wiley & Sons.

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Service redesign: the experience of Newcastle Diabetes Service 2001–2007

Hawthorne

Grzebalski

2009

Pract Diab Int

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Bridging the communication gap in diabetes care

Wells

Hill‐Smith²

1996

Pract Diab Int

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The objective of the study was to examine, using a clinical computer system, the effect of a new shared care scheme on the number of screening tests performed. Data came from a central register and general practice notes. All diabetic patients were nominated as suitable for shared care by their general practitioner. The study looked at the proportion of patients receiving nine of the British Diabetic Association's recommended items of diabetes care: measurement of height, urine protein, blood pressure, visual acuity, glycated haemoglobin, blood urea or creatinine, examination of the fundi and peripheral pulses, review by a dietitian. Results showed that the proportion of patients receiving these items of care 0, 7, 10 and 22 months after the introduction of the new scheme were 74%, 81%, 83% and 90% respectively (p<0.01 for all). The number of patients receiving shared care increased from 1, 190 to 2,049. It was concluded that facilitating a shared care scheme using prompts for screening can improve care for diabetic patients.

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Facilitation of Diabetes Care in North Tyneside

Cited by 2 publications

References 0 publications

Service redesign: the experience of Newcastle Diabetes Service 2001–2007

Service redesign: the experience of Newcastle Diabetes Service 2001–2007

Bridging the communication gap in diabetes care

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