This award rewards those NHS organisations who have successfully implemented innovation in the planning and delivery services (commissioning) that has enabled them to improve overall quality of care within the framework of the QIPP agenda and more effectively deliver right care at the right time around individual patient needs and requirements.
Commissioning an integrated Community Diabetes Team
Portsmouth & South East Hampshire
In November 2011, the community diabetes team in Portsmouth & South East Hampshire expanded to include consultant diabetologists and formed an integrated community, primary and acute care team. The aim was to increase the knowledge and skills in the management of patients with diabetes, carers and clinicians as well as improve communications and relationships across the healthcare community. The new community diabetes team has gone from strength to strength, and feedback has been excellent from both GPs and patients. Following a six month review the team has met its set targets, which include number of clinicians and patients educated and number of patients discharged from acute care.
Integrated community diabetes service
Bedfordshire Clinical Commissioning Group
Bedfordshire Clinical Commissioning Group (BCCG) commissioned a new integrated model of care to enable two secondary care trusts to provide seamless and accessible care in the community across Bedfordshire. After collating views from all stakeholders, including patients, a common set of principles was agreed between providers and commissioners. This has led to staff employed specifically to address the inequalities in care across the county; tailored clinics for black and minority ethnic populations; and patient education groups are being delivered from community settings. Staff are reporting better communication between primary and secondary care, renewed enthusiasm within their role and enhanced working relationships between the two acute hospitals.
Men’s Health Specialist Nurse ED Service
East & North Herts NHS Trust
The Massachusetts’s Male Ageing Study highlighted that erectile dysfunction (ED) was a problem for men with diabetes. Further studies indicated that ED was a marker for diabetes and cardiovascular disease. The Men’s Health Specialist Nurse ED Service was created to provide support and treatment for these men. Patients are seen, assessed and advised regarding management options, giving them an incentive to maintain optimum glucose control. Lifestyle modifications and the importance of medication concordance are also explored. Patients are given a three month follow-up to review any changes and efficacy of the treatment provided. Referrals for this service are now received from GPs outside of Hertfordshire, while men who have used the service regularly express their gratitude that it exists.
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