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The Diabetes Manager – WW2

By Editor
20th October 2016
Latest news, The Diabetes Manager

Abigail Kitt is a healthcare manager who has worked in the diabetes sector since 2004.

Over the course of her career, she has built up knowledge in translating diabetes NHS policy into improving outcomes.

Her blog, The Diabetes Manager, shares Abigail’s passion for all things diabetes from a manager’s perspective.

Don’t worry, I’m not about to start a history lesson. Infact, history is not my strongest subject, partly because I was too busy sending love notes to the cute boy in my class at school. But I digress…

WW2 stands for Welcome Wave 2

The anecdotal evidence suggests  interest is very high and that there will be a healthy cohort of wave 2 sites ready to start work by the end of the year.

So here are some initial top tips from a Wave one site to Wave two sites.
1.       Get the LMC involved:
Primary care is stretched to breaking. However, I haven’t met anyone in primary care who doesn’t feel frustrated that they will see patients on a daily basis that are at risk of diabetes and there is very little they can offer.
The Diabetes Prevention Programme is directly funded by NHS England. But the identification and referral of patients is not. CCGs need to identify ways to reduce workload for primary care and look for solutions for incentivisation and support.
Some of the Demonstrator sites and Wave one sites are coming up  with creative ideas, i.e. auto populated referrals; hiring of someone to identify and discuss risk and referral with patients; text messages, review of local enhanced diabetes services/agreements etc, etc
2.       CCGs don’t need do any “Contract Management” with the provider:
NHS England is funding the service provision and has hired the South, Central and West CSU to do the contract management. You might want to get someone from the South Central and West CSU at one of your first Steering Group meetings to share how this will work and what reports you will get locally
3.       Stakeholder Communication:
Make sure you have regular steering group meetings that include, GPs, Diabetes specialists, Commissioners, Public Health – PHE and Local Authority, Diabetes UK, Biochemists, Communications, Service users and the Provider (once confirmed).  Remember that one size does not fit all.  Holding clinical Webinars might be useful.
4.       Lead Organisation: 
There is not getting around it the project takes a minimum of 3 days a week project management time, probably irrespective of site size.  There is a lot to do.
It is also helpful to have a lead clinician.  The Lead Organisation needs to develop good relationships with all the partner organisations and the provider and be prepared to share learning.
5.       Sign up:
The Memorandum of Understanding (MOU) will need to be signed by the lead organisation and NHS England.  Although not a requirement, it is really helpful to get all partner organisations (CCG and LA) to have high level physical sign off on the MOU as well.
6.       Alignment with other programmes:
It is important to identify any existing diabetes prevention programmes and consider alignment with NHS Healthcheck and weight management programmes.  NHS England can provide 2 very helpful documents one of which is published here:
7.       Champions:
Start working with CCGs about how to identify “Champion Practices” who would be willing to be early referrers.
8.       And Finally:
Don’t forget to subscribe to the NHS England Diabetes Prevention Programme newsletter:
We know that the NHS Diabetes Prevention Programme is not the panacea.  We all eagerly await more information about the CCG Improvement & Assessment Framework, Improvement Offer” which we know will include £40m for treatment and care for people with existing diabetes.
Sticking with the theme I started with – we know we have a battle on our hands but we will know that we will have several things in our armoury to support the fight for improvement in diabetes.

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