A new diabetes model was planned in County Durham and Darlington (CD&D) in 2014, in response to the growing prevalence of Type 2 diabetes, which was increasing faster than the national average. The model is clinically led, and is a collaboration between three local Clinical Commissioning Groups (CCGs), namely North Durham CCG, Durham Dales, Easington and Sedgefield (DDES) CCG, Darlington CCG, and three Acute NHS Foundation Trusts (FTs), (CD&D FT, North Tees and Hartlepool FT, City Hospitals Sunderland FT), with primary care input from seven local GP Federations and 78 GP practices across the county. The integrated model commenced in DDES CCG in July 2016, was adopted across North Durham CCG in April 2017 and was rolled out to Darlington CCG in October 2017. The model, focused on integration, patient-centredness and sustainability, aims to reduce the variation in the quality of care and patient outcomes for the population of 43 000 people with diabetes across CD&D. It supports the delivery of diabetes services within primary care, providing specialist resources and skills in all GP practices.
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