This award relates to achieving gains in quality and productivity through cross-sector partnership working.
Winner
First Diabetes – a new clinical integrated diabetes service for patients in Derby
Derby Hospitals NHS Foundation Trust
First Diabetes is a not-for-profit organisation designed as a unique partnership between primary and secondary care for the delivery of comprehensive, integrated, patient centred care for 2,500 patients with diabetes in Derby. By bringing diabetes care services under a single budget and single clinical governance structure, it has managed to provide care closer to home in a coordinated and safe manner, resulting in improved quality of care and improved patient experience. Resources used are within the budget that was spent on diabetes care in the previous years, while outcomes have been significantly better. In addition, it has strengthened relationships across traditional NHS boundaries and influenced collaborative working for all long-term conditions. Patients were represented from the beginning and continue to be members of the clinical board which meets monthly.
Judges' comments
"The partnership has been built with a single budget with patients in the centre and is completely patient focused using a single patient record approach. A real achievement to integrate all the IT systems."
Highly commended
PROCEED, Preconception Care for Diabetes in Derby/Derbyshire: a "Teams without Walls" model
Derby Hospitals NHS Foundation Trust
PROCEED is a user centred integrated model for preconception care for women with diabetes that has managed to integrate care both vertically and horizontally. This has included targeting HCPs in contact with women with diabetes to discuss pregnancy plans, as well as providing tailored information to GP practices, pharmacists and specific populations. The clinical pathway has also been redesigned, providing each woman with a care plan that includes individualised achievable targets utilising resources from both primary and secondary care. The service was led by specialist nurses and midwives with a consultant providing clinical supervision and leadership. After 12 months, median waiting time reduced from 13 to 5 weeks and did-not-attend rate from 18 to 5 per cent. The preconception care rate increased to 70 per cent and the stillbirth rate fell from 6 per cent in 2009/10 to 0 per cent. Women valued the flexibility and choice, describing the service as “first-class”, while savings to date are £61,000.
The "Talking T1" Schools Programme: a JDRF and Lilly UK partnership project
JDRF and Lilly UK
The JDRF Schools Programme was initiated to equip schools with the information and support that they need to understand type 1 diabetes so as to safeguard children and incorporate learning about the condition into the curriculum. The programme involves a partnership between the JDRF and Lilly UK to produce and market a new primary school resource pack and accompanying web content, with a secondary school resource pack in development. These packs include curriculum-linked lesson plans, care and management procedure guidelines and parent information guides. JDRF has led on the re-design, re-development and fulfilment of both the primary and secondary school pack, and has supported education on type 1 diabetes to Lilly staff. Lilly’s role has been to provide support with the revision and re-development of the schools packs, including assisting with marketing and PR. More than 1,500 resource packs have so far been distributed to schools and families in the UK.
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