Patient Care Pathway – Adults
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Improving Diabetes Competencies in Dietitians
by Oxford Health NHS Foundation Trust and Oxford University NHS Foundation Trust
The specialist diabetes dietetic team has been inundated with requests from dietetic colleagues of all grades and across both the acute and community teams to support them in delivering dietary advice to patients with diabetes. To assist them the team developed a diabetes competency training programme for dieticians working. Seventy five percent of dieticians within the adult service Oxfordshire have since attended it and assessments have shown the structured education improved diabetes competencies in dieticians.
"The judges recognised this innovative programme that addresses a clear need. They were impressed with comments in the entry that showed how much established professionals had learned from this programme and noted that the ever-changing nature of diabetes practice makes training like this essential. They saw great potential for taking this programme forward."
Identifying Quality Indicator of DKA Management and Regular Feedback Improve Acute Diabetes Care
by University Hospital Birmingham NHS Foundation Trust
To improve the management of diabetic ketoacidosis (DKA) and develop condition-specific key performance indicators for long-term monitoring of quality of care, this work focused on time-to-resolution of DKA. Adopting this focus and then initiating changes to achieve it led to a reduction of resolution time of DKA on average from 22 hours to 7.4 hours, which translated into savings of over £32,000 per year for the Trust and could have a still wider impact if rolled-out on a national scale.
"A very well-written entry with excellent methodology and good results. It was targeted and well-structured, demonstrating a pragmatic intervention."
Derby Inpatient Improvement Project (DIPS)
by Derby Teaching Hospital NHS Foundation Trust
In both 2012 and 2013, the National Inpatient Diabetes Audit (NaDIA) showed the Trust had higher numbers of medication, prescription, management and insulin errors than the national average. In response the Derby Insulin Safety Group (ISG) comprising a senior diabetes inpatient specialist nurse (DISN), a pharmacist, head of patient safety, quality and improvement and a consultant diabetologist was formed. The Group made change at multiple levels to improve the standards of all aspects of diabetes care in the hospitals.
"This entry scored highly for safety, cost, timeliness and effectiveness, plus having multi-agency staff from an early stage really paid off."
Co-producing a Virtual Diabetes Pathway for Cornwall and IOS
by NHS Kernow CCG
Traditional diabetes pathways require formal referral for secondary care opinion, subject to the 18-week referral to treatment targets and are prone to high non-attendance rates. With a rural geography and an island population, travel times are a particular issue for people in Cornwall and IOS. This pilot was established to develop a pathway that allowed care to be delivered closer to the patient’s home with a reduced turnaround time for advice, that was sustainable in terms of clinical workload and increasing patient numbers and that reduced outpatient costs.
"NHS Kernow CCG showed innovation in this entry’s methodology and it has worked. They have clearly picked out things they wanted to improve and given a mechanism for how to improve each one. The outcomes are impressive and the judges look forward to seeing further outcomes across a wider data set."
To register your interest in QiC Diabetes 2018, please contact Amy Watson at firstname.lastname@example.org