Commended

Reducing pre-diabetes risk in North East Lincolnshire

by Care Plus Group

This project is about raising awareness of the risk factors that affect whether a person may develop Type 2 diabetes in the future.  Not many people know that they may be at risk, nor that they could potentially prevent or delay the development of the condition by making small lifestyle changes.  The initiative draws on a team of community volunteers who have been trained to undertake risk assessments in the community, which are then followed up – where appropriate – by a range of offers to suit the individual. The approach has been successfully implemented throughout North East Lincolnshire, rapidly enlisting local people in providing a participative solution to early recognition, increased awareness and timely intervention.

Judges comment:

“Inspiring that the team took this out in to the community, but judges would have liked to have heard more about the patient story & the benefits to them.”

Commended

Does intensive management of patients with diabetic kidney disease using a protocol-based, nurse-led clinic improve renal and cardiovascular outcomes?

by Birmingham City Hospital

Diabetes is more prevalent in Sandwell and the West Birmingham area than the national and regional average. Diabetic Nephropathy (DN) is a major cause of premature death in patients with all types of diabetes. Although nurse-led clinics are generally believed to be successful, there is very little data on their impact with DN patients. The team set up a protocol-driven, diabetic renal nurse-led review clinic to specifically target education and adopt an ‘ABC’ approach, evaluating results over 3 different time periods between 2003 and 2014 in a mixed ethnic population. There were statistically significant reductions in HbA1c, patient satisfaction scores were high and medication compliance increased. A quarter of patients were referred to a Low Clearance Renal Clinic in a timely manner as per renal/NSF guidelines.

Judges comment:

“There is a lot of potential here and it IS transferrable to other trusts and centres around the country. Love the statement “patients like the service and are eager to attend & have commented on the time they get to spend with the nurse…” in this climate, that is a fantastic achievement from a patient perspective!”