2015 QiC Case Study Series
QiC Diabetes aims to recognise, reward and share innovative practice demonstrating quality in diabetes management, education and services for people with diabetes and/or their families.
The Diabetes Times has teamed up with QiC Diabetes to share the 2015 winning case studies by entry category. Download case studies and supporting materials at QiC Connect.
| Best initiative supporting self-care |
| WINNER
Service innovation to help people live well with diabetes – Royal National Institute of the Blind (RNIB) Developing and testing interventions to increase access to eye care services for people with diabetes and improve self-management to prevent complications including avoidable sight loss. HIGHLY COMMENDED The Royal Wolverhampton NHS Trust Using structured and personalised diabetes information as a tool to activate patients to self-care. To prove that a centrally integrated and validated electronic database to generate person-specific reports was possible in fragmented NHS systems. |
| Best integrated IT/digital applications initiative |
| WINNER
#Type1uncut – digital resource for young adults with type 1 diabetes Diabetes UK/#Type1uncut Young Peoples’ Group Developing a resource that would be attractive and relevant to the young adult type 1 population in the UK and fill a gap in service provision that currently exists for this demographic. FINALIST Parent engagement for the CYPWMDN and CYPEMDN networks Birmingham Children’s Hospital/ East and West Midlands Paediatric Networks The Children and Young People’s East Midlands Diabetes Network (CYPEMDN) and the Children and Young People’s West Midlands Diabetes Network (CYPWMDN) implemented the use of regular Skype meetings to ensure contact, views and help is offered and available in a timely fashion. FINALIST The Solent Diabetes Voice – reaching out to the community Queen Alexandra Hospital, Portsmouth NHS Trust Enhancing diabetes care in Portsmouth through improving knowledge via an IT solution relevant to delivery of this care. FINALIST Virtual promotion of physical activity in type 2 diabetes Raigmore Hospital Investigating what forms of technology have been used to promote physical activity in people with type 2 diabetes and which appeared to be the most effective. |
| Best initiative for the prevention, or earlier detection, of diabetes and or its complications |
| COMMENDED
Reducing pre-diabetes risk in North East Lincolnshire Care Plus Group Identifying people in community settings who were likely to develop type 2 diabetes in the next ten years, unless preventative action was taken. COMMENDED Birmingham City Hospital Assessing whether specialist nurse-led clinic could influence CV risk through basic education, increasing drug compliance and uptake of statins/aspirin/ACE/ARB and halt progression of renal disease in patients with DN using a simple ‘ABC’ approach of targeting HbA1c, blood pressure and cholesterol. |
| Best dietary management initiative |
| WINNER
Paediatric Diabetes Team, Southport and Ormskirk NHS Trust The Paediatric Diabetes Team at Southport and Ormskirk NHS Trust developed a rolling education programme to tackle the staff’s need for proper training on carbohydrate counting and nutritional advice in diabetes. |
| Best improvement in quality of inpatient care initiative |
| WINNER
The DICE programme demonstrates the effectiveness of inpatient diabetes teams Ipswich Hospital NHS Trust Improving inpatient diabetes care across a whole organisation and to evidence this by establishing an innovative inpatient diabetes team. COMMENDED Subcutaneous insulin for DKA safe, efficient, and cost effective St Mary’s Hospital/Imperial College Healthcare NHS Trust Demonstrating that subcutaneous administration of rapid-acting insulin analogues is as effective and safe as intravenous infusion of regular insulin for the management of uncomplicated DKA – and to show that the use of subcutaneous insulin in the management of DKA is far more compatible with earlier start on training and structured education leading to shorter stay in hospital. |
| Best innovation in integrated commissioning, or integrated care, model |
| WINNER
Genetic Diabetes Nurse initiative: translating genetic knowledge into clinical care Royal Devon and Exeter NHS Foundation Trust/University of Exeter Medical School To raise awareness of monogenic diabetes across the UK amongst healthcare professionals involved in diabetes care leading to improved recognition and treatment of these patients. FINALIST North East Essex Integrated Pathway Hub Suffolk GP Federation Improving diabetes outcomes so that North East Essex achieves upper quartile nationally against a range of process and clinical indicators. |
| Best initiative for children, young people and emerging adults |
| WINNER
Making connections youth engagement toolkit Diabetes Scotland Developing and deliver innovative youth engagement training and supportive materials to be used by HCPs working with YP in diabetes clinics in Scotland to improve the clinic experience for YP, and promote positive relationships between HCPs and YP. COMMENDED Introducing joint multi-disciplinary clinics for children with T1DM and coeliac Musgrove Park Hospital Providing school staff with an awareness of all stakeholders’ responsibilities for managing a CYP with diabetes in school; the difference between type 1 and 2 diabetes; causes, signs and symptoms; treatment options; how to manage acute complications; and a basic understanding of the practicalities of insulin administration and blood glucose/ketone monitoring. COMMENDED Helping children and families increase confidence in managing blood glucose University College London Hospital Developing an acceptable and deliverable programme that is age-appropriate and addresses the needs of children and young people with type 1 diabetes and their parents. To collect data on potential screening measures using validated questionnaires. FINALIST Improving children and young people diabetes services through co-production South East Coast and London Paediatric Diabetes Partnership Recruiting four parent representatives to work with the SEC and London Partnership to offer co-produced solutions and seek feedback on service improvement initiatives and help improve outcomes for CYP with diabetes. FINALIST Inside out paediatric diabetes – a 360 degree approach Imperial College Healthcare NHS Trust Providing the patient with a unique gold standard service that was built around them and their needs outside the hospital; to improve their experience and their engagement; to increase the time we were able to provide to them and place that suited them; to improve patient HbA1c levels and therefore improve their overall long term health; and to reduce DNAs. FINALIST CYPWMDN diabetes awareness education for schools – regional study day Birmingham Children’s Hospital/East and West Midlands Paediatric Networks Providing school staff with an awareness of all stakeholders’ responsibilities for managing a CYP with diabetes in school; the difference between type 1 and 2 diabetes; causes, signs and symptoms; treatment options; how to manage acute complications; and a basic understanding of the practicalities of insulin administration and blood glucose/ketone monitoring. |
| Best initiative in specialised services |
| WINNER
Reducing amputations in the UK: unlocking the door – Sheffield Teaching Hospitals NHS Foundation Trust Designing and implementing a series of different interventions that would result in the primary objective of reducing the rate of amputations and secondary objectives of reducing delays and improving patient experience. COMMENDED Transforming diabetes foot care in Wakefield – Mid Yorkshire Hospitals NHS Trust, NHS Wakefield Clinical Commissioning Group and Wakefield Council Developing a community-based FPT working across three different locations in Wakefield and ensure that people with diabetes receive a correct foot assessment and risk stratification leading to them being seen by the right person at the right time. COMMENDED Embracing technology to help promote self-care – Surrey & Sussex NHS Trust Maintaining continuous ongoing support in between clinic, home and school visits and improve patient-centred care and using technology to enhance self-care management and improve quality of life for patients and families. FINALIST Insulin pump patient database linking clinical care to commissioning North East Essex Diabetes Service (NEEDS) Providing easy access to all information on insulin pump patients in the NEE area via an easy to use database to determine funding and replacement issues. |
| Best initiative to support equality of care in vulnerable and “hard to reach” groups |
| WINNER
DiabEtes at your Finger Tips – DEFT Diabetes Scotland Getting 90 older people from BME communities with Type 2 diabetes, or at risk of developing it, to have increased confidence to look after their own health. HIGHLY COMMENDED Structured group diabetes education for the non-English speaking BME community North Manchester Clinical Commissioning Group Providing equity of access to structured group type 2 diabetes education for the underserved BME community of North Mmanchester CCG, ensuring that course design and delivery was culturally sensitive and appropriate, the local community engaged with the service, and participants felt that the course helped them to better manage their diabetes and adopt a more healthy lifestyle. COMMENDED The Hull INCA programme; Diabetes awareness for care home staff Hull and East Yorkshire Hospitals NHS Trust Creating ‘Diabetes Awareness’ education for care home staff so they could understand the difference between the types of diabetes and an introduction to diabetes medications. FINALIST North West Surrey (NWS) Shifa diabetes project North West Surrey (NWS) Clinical Commissioning Group (CCG) Improving engagement and education among this community, a patient diabetes education programme called Shifa Diabetes has been developed by a diabetes specialist nurse and a health link worker who works with BME communities and speaks seven languages. |
| Best peer-to-peer support services |
| WINNER
The highs & lows children’s choir Leicester Royal Infirmary Allowing the children to share an enjoyable experience with others who understand the difficulties of living with diabetes, enabling them to feel confidence to be open about their condition and access support from peers. COMMENDED Sugar Buddies: demonstrating the need for flexible peer support West Hampshire Community Diabetes Service, Southern Health NHS Foundation Trust Using a variety of survey methods, to assess the need for a buddy scheme for people with diabetes and the best way this could be provided. FINALIST Advocate for rights of children in education T1 Rights at School Group Supporting and advise parents who have a child with type 1 diabetes on their rights regarding education and any issues arising from schools and education departments not adhering to their duty of support. |
| Best initiative to reduce variation in diabetes care |
| WINNER
(Data)sets, Drugs and Rock’n’Roll improve Camden diabetes care! Royal Free London NHS Foundation Trust, Central and North West London NHS Foundation Trust, University College London Hospital NHS Foundation Trust and Haverstock Health To put in place processes so that staff from different providers work clinically and managerially across the health system to support person-centred care and best practice in primary, community and specialist settings. |