The North West London (NWL) Diabetes Improvement Programme began in 2014 in five Clinical Commissioning Groups (CCGs) and has now spread to eight. It has achieved continued quality improvement in key diabetes metrics, including: improvements in nine key care processes; a 12% improvement in treatment target achievement (HbA1c ≤ 58, BP ≤ 140/80, Cholesterol ≤ 4); a 30% increase in structured education attendance in the past year, reaching almost 10% of the prevalent diabetes population; plus a total of 11,473 NHS Diabetes Prevention Programme (NDPP) referrals in 2018/19. The programme operates a large-scale, ongoing clinician education initiative, including 10-point training in secondary care. The Know Diabetes information and support service is about to relaunch, providing a single point of referral, diabetes education and multi-channel campaigns to all patients with diabetes and Non-diabetic hyperglycaemia (NDH) in NWL. The programme is beginning to show impact on diabetes outcomes, including an 8% reduction in diabetes foot admissions in 2018/19 and reductions in myocardial infarction (MI), acute kidney injury and renal failure. The NWL Diabetes Quality, Innovation, Productivity and Prevention (QIPP) scheme this year aimed to show prescribing savings through lifestyle change and complications savings.
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