Type 1 diabetes London commissioning pack

This comprehensive commissioning pack aims to ensure excellent type 1 diabetes services for all Londoners. There are three parts:

• Service specification – Aimed at commissioners, 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.
• Clinical management: Optimal pathway – Aimed at providers, this document details the expected clinical care for type 1 diabetes.
• Implementation guide – 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.

Diabetes commissioning pack
London Clinical Networks
September 2016

Access the pack here.

Implementing MDI with carbohydrate counting for children at diagnosis of type 1 diabetes

"It was agreed within the team to improve glycaemic control in this first week of diagnosis we needed to start using carbohydrate counting and insulin correction doses at diagnosis. Therefore, in January 2015, in all newly-diagnosed children and teenagers, we started MDI with carbohydrate counting education, and insulin correction doses from the first time insulin is given."

Implementing multiple daily injection insulin regimens (MDI) with carbohydrate counting for children and young people at diagnosis of type 1 diabetes: education provided by the Children’s Diabetes Service for patients, families and staff
Oxford Health NHS Foundation Trust
NICE Shared learning example
April 2016

Read more here.

Improving patient outcomes with technology and social media in paediatric diabetes

"The digital initiatives at Southport and Ormskirk Hospital NHS Trust provide strong evidence that the effective use of information technology and social media can significantly improve patient outcomes."

Improving patient outcomes with technology and social media in paediatric diabetes
S May Ng
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u209396.w3846

Read more here.

Type 1 diabetes pregnancy toolkit

"The research showed that there was very little easy to understand information available aimed solely at women with type 1 diabetes... Furthermore, advice for women with type 1 diabetes advice was often mixed with advice for women with type 2 diabetes.

We identified a clear patient need for a simple, downloadable, information resource about all aspects of pregnancy with type 1 diabetes that identified pre-conception goals."

Type 1 diabetes pregnancy toolkit
JDRF
NICE Shared Learning example
May 2015

Read more here.

Improving the Quality of Assessment and Management of Hypoglycaemia in Hospitalised Patients with Diabetes Mellitus

"We demonstrated that the introduction of ‘Hypo Boxes’ to diabetes wards significantly improved the assessment and management of episodes of hypoglycaemia. The appropriateness of treatment and the time to correction improved, and ultimately this aims to improve patient outcomes, something which can be adversely affected by hypoglycaemia."

Improving the Quality of Assessment and Management of Hypoglycaemia in Hospitalised Patients with Diabetes Mellitus by Introducing 'Hypo Boxes' to General Medical Wards with a Specialist Interest in Diabetes
R Livingstone, J Boyle
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207686.w3067

Read more here.

Insulin pump therapy: clinical audit tool

NICE have published a cost saving audit tool to assist in comparing practice against the NICE technology appraisal guidance for insulin pump therapy.

TA151 Diabetes - insulin pump therapy: clinical audit tool
NICE
December 2014

Read more here.