The Alphabet Strategy for Diabetes Care: a patient-centred approach to multifactorial intervention

Summary

The Alphabet Strategy for Diabetes Care acts as a basis for patient education, care planning and an evidence-based approach for all healthcare professions in diabetes care. The strategy is based around the seven most important components of diabetes care as follows: Advice, Blood Pressure, Cholesterol, Diabetes Control, Eye-care, Foot-care and Guardian drugs. The strategy allows an integration of NICE guidelines for healthcare professionals into a diabetes care plan for patients.

Challenge

While there are several distinct and separate education programmes for patients and health care professionals (HCPs), none work across the patient and HCP interface.  

This initiative integrates NICE Guidelines for HCPs into a diabetes care plan for patients. Several local diabetes care education programmes have been developed which have been positively evaluated by patients and HCPs alike.

More recently a strategy has been further developed into the diabetes care matrix which sub-divides diabetes care at the societal level, primary and secondary care, into 10 distinct layers. This has prevention at the top, followed by screening, excellent management in primary care, early referral for advice to secondary care, reducing admissions and rationalising long-term care.

Implementing the diabetes matrix will drive clinical care towards preventive management, improving both cost effectiveness and, more importantly, patient experience.

The Alphabet strategy is so named because it is based around the seven most important components of diabetes care: Advice, Blood pressure, Cholesterol, Diabetes control, Eye-care, Foot-care and Guardian drugs.

Objectives

Our overarching objectives of diabetes care are to empower patients and carers to self-manage diabetes and seek early help to improve their quality of life, reduce complications and prevent hospital admissions. The initiative also aimed to improve the quality of diabetes care by a process of HCP education which involved an integrated model of care across primary and secondary care and other sectors. Furthermore, it aimed to increase the focus on prevention and early intensive management of risk factors for the complications of diabetes and other preventable long term conditions and cancer. It would do this by delivering all 13 NICE Quality Standards for Diabetes in Adults (2012) to standards consistent with the best 10% in the UK for the available resources.

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QiC Diabetes Winner 2013
Best innovation in service provision
The Alphabet Strategy for Diabetes Care: a patient-centred approach to multifactorial intervention
by George Eliot Hospital NHS Trust

Contacts

Dr Vinod Patel

Job title:
Consultant Physician
Place of work:
George Eliot Hospital NHS Trust
Email:
vinod.patel@geh.nhs.uk

Dr Ponnusamy Saravanan

Job title:
Associate Clinical Professor and Honorary Consultant Physician
Place of work:
University of Warwick and George Eliot Hospital
Email:
P.Saravanan@warwick.ac.uk

Resources

Diabetes care Plan - 106.9 KB
Diabetes Matrix - 252.5 KB
Poster - 447.5 KB

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