New NHS London Type 1 service guidance

New NHS London Type 1 service guidance

To help ensure the NHS in London delivers excellent type 1 diabetes services across the capital, the London Diabetes Clinical Network has just published a comprehensive commissioning pack.  It has recommendations to help local commissioners (Harrow CCG for us) assist in 'buying' and delivering excellent services, self-assessments to identify any service gaps, and performance targets expected to ensure we improved patient-reported outcomes.

This is a great step forward for patients as it will guide our local services to improve the quality of care we receive.  It also states that every CCG should have a team that looks at and monitors progress.  Patient involvement will be key to helping monitor progress.  There's an expectation that this will be measurable and by March 2017, a plan will be in place for furutre improvement work.

There are three parts to the pack:

  • Service specification - How to commission type 1 diabetes services - Aimed at commissioners (CCGs), this document details the care to be commissioned for adults with type 1 diabetes, including an overview of diabetes, elements of an excellent service plus commissioning recommendations. (LINK)
  • Clinical management: Optimal pathway - How to deliver type 1 diabetes services – Aimed at service providers, this document details the expected clinical care for type 1 diabetes. (LINK)
  • Implementation guide - Ensuring excellence in diabetes services - This document provides the tools for both commissioners and providers to measure, analyse and develop improvement plans for their local diabetes service. It includes a summary of expectations and self assessments for commissioners and providers, performance targets and a sample patient reported outcome measures (PROM) form to collate patient feedback. It also highlights the type 1 care consultation tool (developed by Health Innovation Network and King’s Health Partners), which can be used in the management of people with type 1 diabetes. (LINK)