Personalised SMS Care Plan for Diabetes


West Green Surgery wanted to improve the identification and management of diabetes and hypertension in its patients. In November 2017, the practice had a National Diabetes Audit (NDA) achievement of 37% and 28% of patients had poorly-controlled hypertension. The practice had spent much clinical and administrative time recalling all diabetics/hypertensives through telephone/letter in a non-prioritised alphabetical approach, but many continued to miss appointments. Software was developed that recalled patients more efficiently while educating them about their most recent results. It analysed the disease registers and sent personalised messages to patients informing them of their latest health values, comparing them with previous, urging medication compliance, providing URL links to health information or directing them to make an appointment to see an appropriate clinician. The software used protocol-driven artificial intelligence to determine poor/good control, tailor advice and direct patients accordingly. Patients have become more empowered with their own health data and more actively engaged in their health management. The software also analysed the practice’s database, identifying patients at risk of diabetes (HbA1c 42-47).

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QiC Diabetes Winner 2019
Diabetes Team of the Year
Personalised SMS Care Plan for Diabetes
by West Green Surgery

Quality In Care Diabetes

  • 2020 KEY DATES
  • Open for entry: Wednesday 18 March 2020
  • Entry deadline: Monday 20 July 2020
  • Judging day: Thursday 10 September 2020
  • Awards ceremony: Thursday 15 October 2020
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