The Evolvement and Expansion of the DICE Programme
by Ipswich Hospital, East Suffolk and North Essex NHS Foundation Trust
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The Diabetes Inpatient Care and Education (DICE) programme won a QiC award for ‘Best Improvement in Quality of Inpatient Care Initiative’ in 2015, and after this sought to build on these results. The programme demonstrated reduced harm to patients with diabetes in Ipswich Hospital after establishing a fully-staffed, proactive inpatient diabetes team focused on improving care through staff education, and new systems of care. Among the new initiatives is the ‘Perioperative Passport’ aimed at improving the experience of patients with diabetes undergoing elective surgery and to reduce length of stay. After a successful pilot, charity funds were used for expansion, including the recruitment of a perioperative DSN and rollout of a perioperative and day case booklet.
"The judges thought the Evolvement and Expansion of the DICE Programme was an outstanding, excellent project. There was clear evidence of successful outcomes and dissemination. It was very well structured and showed the continuous learning in place. It is evidently sustainable and embedded with clear reference about what is new within the programme. An exceptional winner!"
North East Essex Diabetes Service – Service Redesign
by Suffolk GP Federation
There are over 19,000 people with diabetes in North East Essex, with prevalence 5.6% higher than the national average. Suffolk GP Federation has delivered a new, clinically-led integrated model of care under the North East Essex Diabetes Service (NEEDS). Launched in 2014, the aim was to improve diabetes outcomes, moving the region from the bottom to the top quartile within five years.
The model has seen diabetes care transferred away from hospitals into a community setting, including a new role for consultants, supporting GP practices and providing governance. Services are now easier to access and understand for patients, which has led to better outcomes and improved self-management.
"The North East Essex Diabetes Service has proven to really improve patient care in the area. It is done on a vast scale and working under one budget has enabled the work to be shared and demonstrated savings. It really shows what can be achieved when teams work together. The Service has also clearly moved on and developed since it was initially submitted in 2016."
Improving Outcomes for Families through the ‘Type 1 Kidz’ Project
by Investing in Children
Investing in Children (IiC) has established the Diabetes Project for children and young people (CYP) with type 1 diabetes in Co. Durham and Darlington to help them build confidence in managing their condition.
The monthly group session named Type 1 Kidz has created a forum for them to meet, take part in activities and learn from each other. IiC has now secured funding until 2020 and the project has spread out across the region.
There have been many examples of improved health outcomes, with CYPs encouraged to become resilient, confident young people and adults who can manage diabetes well throughout their lives and have improved long-term outcomes.
"The ‘Type 1 Kidz Project’ showed the development and sustainability of their programme with a good inclusion within the diabetes community. It focuses on the holistic care of patients and really engages parents/carers and service users."
Expanding the Reach of the Cambridge Diabetes Education Programme (CDEP)
by Cambridge Diabetes Education Programme (CDEP)
The Cambridge Diabetes Education Programme (CDEP) is a competency-based online diabetes platform supporting both non-diabetes specialist, and diabetes specialist HCPs to demonstrate the diabetes skills relevant to their role through continuing professional development (CPD). CDEP is built on the UK national diabetes competency frameworks and utilises adult education principles and Miller’s Pyramid of Competency to underpin its functionality.
After training, 90% of those taking the course rated their knowledge of inpatient foot care as ≥6/10 compared to just 64% of untrained staff, with 98% rating their confidence in assessing the diabetic foot as ≥6/10 compared to 72% of untrained staff.
"The judges liked this project which had clear evidence of increased uptake with diverse groups. It has a good spread with many stakeholders and is well-documented. They look forward to seeing how it further develops to keep up with the continued growth."