A1 (P481)Improving population‐based diabetes care through strategic multiple organisational change: First value‐based commissioned service for diabetes in EnglandSJ NAIDU1, M Rosenthal2, J Sandford3 and S Naik41Camden Diabetes Integrated Practice Unit IPU, Central & North West London, London, UK, 2Camden Diabetes Integrated Practice Unit IPU, Royal Free Hospital Foundation Trust, London, UK, 3Camden Diabetes Integrated Practice Unit IPU, Haverstock Health, London, UK, 4Camden Diabetes Integrated Practice Unit IPU, University College London Hospitals, London, UKMethods: Inner city borough had fragmented diabetes care delivered by multiple providers and a population with poor diabetes control, leading to excess in early complications. In 2014, a project was started on developing a single integrated service focused around the needs of people with diabetes. Its aim was to improve outcomes of those with diabetes and increase value to the local healthcare economy. Working together with key stakeholders, outcomes important to people with diabetes were defined and re‐designed services based on best practice pathways. A key element was a joint contract between the four main providers that incentivised and enabled delivery. An important component was specialist services actively supporting, engaging with general practice to manage patients more effectively, through annual visits, diabetes specialist nurse joint clinics, virtual
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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