Best initiative supporting self-care

This award recognises that improved self care is both empowering to patients, and reduces the incidence and costs of complications associated with diabetes.

Winner

Co-creating Health by Whittington Health

Co-creating Health aims to transform the patient–clinician interaction into a collaborative partnership and to transform healthcare for people with long-term conditions by making self-management an integral part of care. At every stage of its development patients have been fully involved and are participating in a selfmanagement programme, building skills to self-manage. Clinicians are undertaking an advanced development programme to develop consultation skills. Services are being improved to support self-management, and skills and learning are being spread and shared.

Second place

Diabetes Education through Adult Learning (DEAL) by St Helens & Knowsley

DEAL addresses the needs of all people with diabetes, not just selected groups, and it has been incorporated into routine care with no additional resources. DEAL is a suite of seven learner-centred programmes of structured patient education developed in partnership with people with diabetes, underpinned by the principles that learning is experiential, interactive, refl ective and collaborative. Patients and their carers are empowered to manage their diabetes by giving them the confi dence and the skills to do so.

Third place

KICk-OFF by Sheffield Children’s NHS Foundation Trust

The KICk-OFF course is the fi rst intensive, structured, self-management education course for adolescents with Type I diabetes. This fi ve-day course is taught to groups of children aged 11-13 and 14-16 years. Reviewed by experts in education it has been shown to improve quality of life and confi dence in managing diabetes – for both the children who participated and their parents. A teaching skills course for healthcare professionals who teach children with diabetes demonstrates educational theory and provides effective feedback on how to deliver effective education with the aim of raising the standard of all paediatric diabetes education across the UK.

Special commendation

National DAFNE Programme by Northumbria Healthcare Foundation Trust

DAFNE is a robust evidence-based, high-quality structured education programme for adults with Type 1 diabetes, proven to provide signifi cant improvements in both biomedical and psychological outcomes and is the only programme of its type to meet the national criteria for structured education. Audit data has shown that DAFNE provides shorter-term fi nancial gains through reduced rates of severe hypoglycaemia and DKA. Ongoing research enables the programme to be improved continually to ensure the best possible outcomes.

Finalists:

Eat Smarter, Live Smarter by Abbott Diabetes Care

Eat Smarter, Live Smarter is an online educational resource from Abbott Diabetes Care for people treated with insulin, offering expert information on topics affecting insulin dose adjustment for greater blood glucose control and freedom of lifestyle. From advice on carbohydrate counting to maximising control of blood glucose with self-monitoring, Eat Smarter, Live Smarter helps patients live life the way they want to and puts intelligent eating and living at the heart of insulin-treated diabetes management.

1-Greatlife by 1-Greatlife Ltd

1-Greatlife is a programme derived from both medical and fitness expertise, and has proved very successful since it launched a few years ago. This pioneering, holistic service is dedicated to changing behaviour and improving medical outcomes by enabling comprehensive change to healthier lifestyles. The service also brings valuable and demonstrable cost savings to healthcare Trusts, which can be reinvested back into the service to improve quality of care continually.

Getting Sorted by Leeds Metropolitan University

The 'Getting Sorted' programme for diabetes is a model of self-care based on the views of young people with Type 1 diabetes about how it impacts their lives and what they want in a self-care programme. The programme’s ethos is about actively engaging young people at every stage of development and enabling them to meet the key objective of increased understanding and self-management of their diabetes. In this way the programme also aims to reduce the risk of long-term complications and, potentially, to avoid diabetes related hospital admissions, together with unnecessary and costly treatment.

Insulin Pump Workbook by Leeds Teaching Hospital Trust and University of York

The Leeds' Children's Diabetes Team has, with support from parents and children, and in conjunction with the establishment of the University’s Insulin Pump module, developed an Insulin Pump Workbook. The workbook is suitable for use by staff, parents and older children/teenagers, enables units across the region to fulfi l the NICE guidelines for the introduction of insulin pumps in children, starting at a high level of expertise and minimising the early learning curve found with the introduction of new technologies. It has required minimal investment combined with close understanding and good working relationships between PCTs/Commissioners and the Y&H Children's Diabetes Network.

E-learning Programme and Aide Memoir by Leicestershire Partnership NHS Trust

This project aimed to develop an e-learning programme and Aide Memoir for sustainability of knowledge to assist staff in supporting South Asian people with a diagnosis of mental health problems together with diabetes. The whole process will enhance and enable equitable development of improved performance of high-quality services for these people and enhance the capability of mental health service staff to support individuals in managing their diabetes, while still supporting the management of their mental health condition.

Care Planning by Milton Keynes Diabetes Care

Due to a growing population Milton Keynes needed a diabetes system of care that would reduce the rising costs both in human terms and financially. Care planning acknowledges that it is people themselves who manage their own care, and this system gives support and tools to people with diabetes to manage their own care planning, thus reducing the incidence and cost of complications and improving quality of life. As a result of implementing the Care Planning system, QOF figures have improved and 16 out of 29 practices in the area have signed up to the scheme.

Gumsaver by Dr Hani Mostafa

Periodontal disease is a major public health problem with epidemiological studies confirming its links to systemic diseases such as Type 2 diabetes. Traditional treatments rely on invasive dental treatments that are associated with discomfort and have limited evidence for sustained efficacy. Gumsaver™ is a novel solution for the treatment and prevention of periodontal disease. Based on research and knowledge, Dr Mostafa developed a unique double-headed brush, and patient education system to tackle the problem and to prevent progression and further complications.

Our Health, Our Care, Our Say by NHS Portsmouth

NHS Portsmouth identified the challenges of living with and managing long-term conditions, where sufferers are not given enough information about their disease to manage it effectively, resulting in high levels of health resource utilisation. After a self-assessment exercise identified differences in the quality and delivery of diabetes management in the area, the Diabetes Care website was developed to improve skills in diabetes care. It provides information for health professionals, patients and the public about all aspects of diabetes and diabetes care, with an emphasis on promoting shared decision-making and care planning.

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