Diabetes programme

Diabetes
patient receiving eye care treatment

Approximately 20,000 people across the two boroughs don't know they have the early signs of diabetes and many who are diagnosed are lacking clear information, support or education. In 2009-10 alone, £21 million was spent on local diabetes care in Lambeth and Southwark. This excludes the cost of preventable treatment arising from diabetes including amputations, dialysis and blindness. A major programme to transform Diabetes services bringing together acute, community and public health services was launched in 2012 with funding of £4.5 million from the Charity.

The initiative involves a team of health care change professionals working with clinical champions, health service staff and other professionals, as well as people living with diabetes to deliver sustainable change in services across Lambeth and Southwark. The intention is to develop excellent services which result in better outcomes for patients, as well as improving efficiency and cost effectiveness of services. 

There will be a particular focus on reducing emergency admissions; improving the co-ordination of care; preventing diabetes and related complications; reducing the variability of clinical management; and increasing service users' knowledge, skills and confidence to manage their own health.

The Charity's investment reflects its commitment towards supporting large scale programmes which look at the whole system of care in a particular disease, and the evaluation of new approaches towards delivering excellent care.

The indicative measures for the Diabetes Modernisation Initiative are:

  • Every newly diagnosed diabetic offered self-management training and to achieve a 70 per cent take up.
  • Every diabetic is offered refresher training in self-management
  • 78 per cent of all patients achieve controlled HbA1C (blood sugar) and BP (blood pressure) control
  • Improved detection rates from 60 per cent to 80 per cent
  • Care provided in GP practices is increased by 50 per cent
  • Hospital outpatients are reduced by 50 per cent
  • Avoidable emergency admissions are reduced by 20per cent

So far, the programme has reviewed the transfer of care processes, the effectiveness of community clinics and established a patient-led diabetes forum. Specialist diabetes community clinics have been established in the two boroughs to support GPs in the transfer of patient care from Guy's and St Thomas' and King's College Hospital NHS Foundation Trust to general practice.

During 2012 the programme will begin to roll out service improvements and pilot new ways of delivering services.

An evaluation of the impact of the programme is being undertaken and the improved model of excellent services will be shared nationally and internationally when the programme ends.

To get involved or find out more call 0207 188 5654 or email: midiabetes@gstt.nhs.uk 

You can find out more information about the Diabetes Modernisation Initiative, by clicking here to view their newsletter.  

 

 

 

 

 

 

 

 

 

 

 




  • Key facts

    Lead organisation:
    Guy's and St Thomas' NHS Foundation Trust

    Funding amount:
    £4.5 million

    Start date:
    Dec 2010