Paediatric Diabetes Quality Improvement – Be Brave and Fail Fast
by Sheffield Children’s NHS FT
In the 2014-15 National Paediatric Diabetes Audit, the unit was one of the top 10 in the UK, with 38.4% of patients achieving an HbA1c <58 mmol/mol (national average = 22.0%) and a mean HbA1c for the clinic population of 62.8 mmol/mol (national average = 70.6 mmol/mol). However, benchmarking against 2016-17 data showed that outcomes were deteriorating when those nationally were improving. An application was made to join the Royal College of Paediatrics and Child Health National Diabetes Quality Improvement Initiative Pilot to bring about changes. Outcomes for newly diagnosed patients in the two years since compare favourably to preceding years and other paediatric units.
"The Sheffield Children’s NHS FT showed real innovation and resourcefulness in bringing the team together. They had a great team ethos and achieved really good, clear, measurable outcomes. The judges were impressed with the comprehensive quality improvement work and felt it was something that could be adapted by adult diabetes teams as well."
Diabetes In-Patient Nurse Team Integrated Quality Improvement Project
by Cornwall Foundation Partnership Trust & Royal Cornwall Hospital
The 2016 National Diabetes Inpatient Audit (NaDIA) identified a number of management, clinical and patient safety issues resulting in harm. A Diabetes Inpatient Nurse Team quality improvement project was initiated to improve quality and safety for adult diabetes inpatient care, focusing on key issues. The team worked across organisational boundaries, systems and teams, delivering significant improvements to diabetes inpatient care and safety. Substantial funding has been secured for the team to continue to improve and drive diabetes inpatient care and safety.
"This project really impressed the judges with the results they achieved. The demonstrated good integrated working with measurable outcomes that showed they had genuinely made a huge difference. Educating ward staff is critical and this project achieved all it set out to."