The objective was to improve diabetes outcomes across North East Essex from the bottom quartile to the top in five years. The CCG tendered the service, asking the potential new provider to propose a diabetes community-based model under an Integrated Pathway Hub Contract. The contract was to be delivered under the 2012 spend of £2m with no increase in the contract period, with 25% of the value subject to meeting key performance indicators with no exceptions. The service model implemented by Suffolk GP Federation has been clinically led, designed and delivered by the clinical team supporting Primary Care, to deliver an enhanced service therefore building a sustainable future as the demands of growing numbers of diabetes patients continue in a restricted financial environment. The innovative ‘one provider’ approach brought teams from the acute, community and primary care together to deliver as one. All services are delivered within the community/Primary Care setting leaving only the MDT antenatal, MDT vascular foot clinics and inpatients within the hospital building - although all activity remains under Suffolk GP Federation. Objectives have been met within three years.
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