Diabetes Outcomes Versus Expenditure Tool (DOVE)

Source: Yorkshire & Humber Public Health Observatory

Follow this link to view the full text

Date of publication: January 2013

Publication type: Report

In a nutshell: The Diabetes Outcomes Versus Expenditure (DOVE) tool has been updated to provide data for 2011-12. It enables comparisons of expenditure on diabetes care with clinical outcomes for a selected CCG, other CCGs with similar populations and all other CCGs.

Length of publication: 1 web page

Source: NHS Networks

Diabetes MUR toolkit launched

Source: Devon Local Pharmaceutical Committee

Follow this link to view the full text

Date of publication:  Oct 2012

Publication type: Toolkit

In a nutshell: Devon LPC, working in association with Sanofi Diabetes, Diabetes UK, NPA, PSNC and CPD Easy, have produced a diabetes MUR toolkit which pharmacists can use to support MUR consultations for patients who take medicines for diabetes.

Length of publication: 1 web page 

Source: NHS Networks

Productivity Considerations for Service Design: Diabetes

Source: Map of Medicine

Follow this link for full text

Date of publication: March 2011

Publication type: Beta product

In a nutshell: This document should be used to achieve specific productivity improvements in Diabetes service design whilst maintaining the quality and safety of clinical care. This approach is being trialled as a beta product alongside the Map of Medicine Diabetes pathway, which covers all areas of a patient’s care.

Length of publication: 3 pages

A model of care and service for adult patients with diabetes

Title: Development of a model of care and service specifications for adult patients with diabetes

Source: Diabetes UK

Follow this link for full text

Date of publication: Oct 2009

Publication type: Case Study

In a nutshell: NHS Somerset have developed a model of care involving patients, clinicians, commissioners and providers. The vision is for care to be more integrated and accessible, focussing on prevention, earlier diagnosis and support for self management. The model aims to deliver an equitable service across Somerset including: community based services, seamless care, educational programmes, healthy eating and physical activity programmes, management plans, access to specialist care and equality of access and choice. The majority of care for adult diabetes patients will take place in community settings, with specialist care (level 3) being provided in acute care hospitals.

Length of publication: 1 web page

Transforming community services: ambition, action, achievement

Source:  Department of Health

Follow this link for full text

Date of publication:  July 2009

Publication type:  Best Practice Guides

In a nutshell: These 6 guides can contribute to the deliver of the next stage of High Quality Care for all and should be read in conjunction with the quality framework/quality indicators. Each guide focusses on one of the key areas for community services: health, well-being and reducing inequalities; children, young people & families; acute care closer to home; long term conditions;  rehabilitation; end of life care. The long term conditions guide can be used to benchmark provision, identifiy gaps and have informed discussions about future directions for Diabetes Type 2 specifically.

Length of publications: Various

Acknowledgement: Nursing Times

Developing and using care plans in type 2 diabetes

Source:   Practice Nurse, 37 (10) p.36-39

Follow this link for full text

Date of publication:  May 2009

Publication type:  Journal article

In a nutshell: This article indicates that the use of care plans by practice nurses can help patients feel supported to self care. It outlines the necessity with reference to a range of UK evidence and guidance including the NSF, “Our health, Our care, Our Say”, the NHS Modernisation Agency and the Audit Commission. The article also provides a model for an effective approach to improvement.

Length of publication:  3 pages

Some Important Notes: You will need your NHS Athens username and password to access the full text of this article.

Acknowledgement: Cinahl

Diabetes guide for London

Source: NeLM

Follow this link for the full text

Date of publication: 2009

Publication type: Report

In a nutshell: This guide from Healthcare for London sets out a plan that aims to transform diabetes care in London over the next three years.  It advises clinicians and commissioners how to implement the new model of care, either developing their own care pathways or adapting existing pathways for their local areas.

Length of Publication: 1 page

Some important notes: Includes link to full text [84 page pdf]

Acknowledgements: NeLM

Redesigning Diabetes Services in Enfield

Source: Diabetes UK http://www.diabetes.org.uk

Link here for more information: http://www.diabetes.org.uk/Professionals/Shared_Practice/Care_Topics/Integrated-Care/Redesigning-Diabetes-Services-in-Enfield—Nov-08/

Year of Publication: 2008

Publication type: Case study

In a nutshell: For many years acute diabetes care had been struggling to cope with the ever increasing number of referrals from GPs and the increasing number of follow ups. The PCT has 62 general practices and a diverse population in terms of ethnic and socioeconomic factors. The development of practice based diabetes knowledge and skills had been identified by the PCT as a priority area in 2005, and funding was received by the team for strategic planning. The diabetes project was hence developed to ensure that people with diabetes are seen in the community close to where they live for easier access and to reduce waiting times for diabetes care. No information was available relating to service provision, delivery of care, knowledge and skills relating to diabetes in general practice at the time. One of the first tasks undertaken was a baseline diabetes audit involving a visit to all the practices in the locality. An audit tool developed by A Farooqi was used to examine all areas of diabetes management. The results of the audit were reviewed with the individual practices and gaps in knowledge and skills were identified to help improve the priority areas in which the practice team desired to develop.

Length of Publication: 1 web page

Some important notes:

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Diabetes Education through Adult learning (DEAL)

Source: Diabetes UK http://www.diabetes.org.uk/

Link here for more information: http://www.diabetes.org.uk/Professionals/Shared_Practice/Care_Topics/Patient_education/Diabetes-Education-through-Adult-learning-DEAL–NOV-08/

Year of Publication: 2008

Publication Type: Case study

In a nutshell: National guidance is very clear that future education for people with diabetes must be “a planned and graded programme that is comprehensive in scope, flexible in content, responsive to an individual’s clinical and psychological needs and adaptable to his or her educational and cultural background” (NICE). It is extremely unlikely that a ‘one-size-fits-all’ programme would be able to meet such diverse educational needs well.  The St Helens & Knowsley Hospital Specialist Diabetes Team therefore offers a suite of educational options within DEAL to best meet the needs of local people with diabetes.

Length of Publication: 1 web page

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PBS Phase 3 Diabetes Population Prevalence Model

Source: The Association of Public Health Observatories http://www.yhpho.org.uk

Link here to view selected: http://www.yhpho.org.uk/PBS_diabetes.aspx

Year of publication: 2008

Publication type: Equations & Formulas

In a nutshell: This is a spreadsheet model that generates expected total numbers of persons with Type 1 and Type 2 diabetes mellitus (diagnosed plus undiagnosed combined) for 2005. The model applies age/sex/ethnic group-specific estimates of diabetes prevalence rates, derived from epidemiological population studies, to population estimates.

Length of Publication: Various

Some important notes: There are a number of documents which make up the prevalence model

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Acknowledgements: Diabetes Newsfeed