Patient Care Pathway, Secondary and Community

Please note type 1 pathways should be entered into the type 1 specialist service category and emotional well-being into the Mind and Body Healthy Together category

Have you or your community, secondary, GP multidisciplinary team (MDT) made significant positive changes to services that are based in the community and/or in hospital?

An efficient patient care pathway is critical to empower self-management and avoid unnecessary complications. Based on patient needs and goals, the focus of the patient care pathway is to improve the quality and delivery of effective integrated services that are based in the community and/or in hospital.

Entries should demonstrate clear, specific goals with outcomes that have been evaluated using appropriate baseline and follow-up measures. There should be evidence of innovation, and detail of project planning, methods, safety considerations, effectiveness, timeliness, user feedback, cost efficiency and economic viability and evidence of potential/demonstrable sustainability and dissemination.

A. Secondary pathways
Entries to this category could include:

  • Best practice for non-specialist healthcare professional and allied health care professional led initiative for hospital settings
  • Goal orientated MDT assessments and annualized care planning
  • Best practice for nutritional and pharmacological management pathways
  • Digital and technology initiatives: should be UK or Ireland based (even if they are used globally). Work must have been conducted during the 18-month period between July 2017 and December 2018 to be eligible
  • Best practice for clinical engagement, leadership and governance to drive improvement and quality of services
  • Best practice for commissioning services supporting new models of care in an integrated framework:
    • Self-management and health literacy
    • Healthcare professional support
    • Community and hospital based integrated care i.e. preconception and antenatal services
    • Paediatric and young adults and/or transition services
    • Addressing variation: postcode, hard-to-reach and vulnerable groups, specialist services
  • Inpatient diabetes team, shared records and advice line
  • Management services for acute diabetes emergencies in varied clinical settings such as:
    • Hospital care pathway
    • Wound care, avoidance of heel pressure sores
    • Patient safety + protecting from harm
    • Cardiovascular
    • Peripheral vascular disease
    • Renal and dialysis
    • Oral health.

B. Community care pathways
Entries to this category could include:

  • Best practice for nutritional and pharmacological management pathways
  • Goal orientated MDT assessments and annualized care planning
  • Best practice for commissioning services supporting new models of care in an integrated framework:
    • Community and hospital based integrated care i.e. preconception and antenatal services
    • Patient centered self-management and health literacy
    • Paediatric and young adults and/or transition services
    • Addressing variation: postcode, hard-to-reach and vulnerable groups, specialist services
    • Addressing variation: postcode, hard-to-reach and vulnerable groups, specialist services
    • Health and social care
    • Diabetes mentoring programmes
  • Management services for acute diabetes emergencies in varied clinical settings such as:
    • Foot pathway
    • Patient safety + protecting from harm
  • Best practice for non-specialist healthcare professional and allied health care professional led initiative for community settings
  • Digital and technology initiatives: should be UK or Ireland based (even if they are used globally). Work must have been conducted during the 18-month period between July 2017 and December 2018 to be eligible
  • Vision – optometrist and ophthalmology
  • Additional support for those with type 2 and poor glycaemic control.

Judging Criteria and points: The judges will be focusing on the following areas when scoring your entry. Write your entry accordingly

Summary: provide background & brief overview of the initiative

5

Innovation: it is essential that applicants explain how their initiative is different and innovative compared with others e.g. novel approaches, creative solutions to longstanding problems, bridging gaps in care etc

20

Project planning: describe the identified need for the initiative. Organisation, stakeholders, planned timeframes and milestones. Evidence of clear, specific goals and outcome measures including reasoning behind these. How did you involve service users?

5

Methods: putting plans into action. What did you do? Describe how the initiative was implemented, and outline the procedures and tools you used to measure outcomes

10

Safety considerations: risk assessment, clinical governance, ethics and any other safety considerations and how these were successfully addressed

5

Effectiveness: demonstrate project effectiveness to illustrate efficiency improvement(s), how the initiative brought about change to support improved outcomes and what was the impact for people with diabetes?

15

Timeliness: did you achieve your goals in desired/required time frame?

5

User feedback: evidence of support from a range of interested stakeholders, e.g. healthcare professionals and/or service users. Please include statements. Describe how feedback was collected and bias was minimised. Provide examples of service user feedback and explain how this is used

15

Cost efficiency and economic viability: evidence of, and maximising quality health outcomes and minimising NHS costs, getting better value from the NHS budget

10

Sustainability and evidence for sharing practice and dissemination:
(1) Detail of potential or secured commitment to the initiative including length of plan, resources, stakeholders, funding sources
(2) For demonstrable sustainability, describe integration, compatibility, barriers encountered, evaluation and milestones
(3) For achieved spread of initiative to wider geographical areas or other healthcare setting, include details of strategy, communication of outcomes, key messages, objectives and evaluation undertaken.

10


Remember: entries without results will not be judged

Don’t forget: provide a copy of any previous submission(s) for this work



Quality In Care Diabetes

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