Successful recommissioning of community diabetes services in West Hampshire

Abstract

Introduction: The West Hampshire Community Diabetes Service replaced traditional hospital-based diabetes outpatients in 2010 and has been successfully recommissioned, one of the first community diabetes services to complete the commissioning cycle. Method: The successful introduction of traditional diabetes services into the community requires clear leadership and a strategic vision. Unlike many hospital-based services, the community setting is at the frontline of Clinical Commissioning Group (CCG) targets for recommissioning. Thus, the threat of change is relentless and must be embraced rather than feared. As a result, the community setting can offer a new approach to the management of long-term conditions, with healthier and more productive partnerships between healthcare professionals and patients. We have identified four success criteria: skills for leadership, strategic vision, stakeholder partnerships, and shared learning. Results: The success of the diabetes service redesign in West Hampshire is reflected in successful recommissioning of the service by the West Hampshire CCG. This is one of the first such services to be successfully recommissioned in the country. Conclusions: Relocating general diabetes services into the community has been a catalyst for improved integration between specialist and primary care in West Hampshire. The process of service redesign and recommissioning is not widely communicated between consultant diabetologists, who will be pivotal to developing and delivering high-quality community care. Communicating these messages to doctors in training will ensure newly-appointed consultants have the skills required to lead change in local diabetes services and ensure high performing services are recommissioned successfully.

The WISDOM self‐management intervention: A cost‐effectiveness analysis to support the transformation of type 2 diabetes care in England

“…Diabetes care services in the two CCG areas are different in size, range from long-established specialist-led community-based care in West Hampshire to traditional hospital-led care in Southampton City, and cover a variety of population in terms of socioeconomic deprivation and residence and urban/rural area. 7 However, the prevalence of type 2 diabetes and the achieved NICE diabetes targets are very similar between the two CCG areas. 8 Detailed information about WISDOM and a graphical illustration is provided in Appendix 1.…”

“…Facing similar difficulties in reaching the NICE Diabetes targets, the Southampton City CCG started commissioning the WISDOM project in September 2018, with an uptake by GPs of about 54% by the end of this year. Diabetes care services in the two CCG areas are different in size, range from long‐established specialist‐led community‐based care in West Hampshire to traditional hospital‐led care in Southampton City, and cover a variety of population in terms of socioeconomic deprivation and residence and urban/rural area 7 . However, the prevalence of type 2 diabetes and the achieved NICE diabetes targets are very similar between the two CCG areas 8 .…”