diabetes in london · national diabetes footcare audit (ndfa): this audit collects data about...
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Date
December 2017
Dr Jane Fryer
Diabetes Senior Responsible Officer, NHE England - London Region
Medical Director, South London, NHS England – London Region
Diabetes in London
London Regional Diabetes Event
Next Steps on the NHS Five Year Forward View
Urgent and emergency
care: 24 hours a day, 7
days a week
Investment in primary
care
Addressing service gaps
between mental and
physical health care
Helping frail and older people stay healthy and
independent
Leverage the potential of
technology and innovation
London Regional Diabetes Event
Government’s Mandate to NHS England
Objective 4: to lead a step change in preventing ill health and supporting
people to live healthier lives
• Specific deliverables by 2020: • 100,00 people through the NDPP
• Measurable reduction in variation
in the management and care for
people with diabetes
• Specific deliverables for 2017-18:
• At least 60,000 people referred to
the NDPP
Date
London Diabetes Context
December 2017
Gemma Snell Vicky Parker Regional Diabetes Lead Quality & Improvement Manager
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London Diabetes Team
Elizabeth Pang –
Senior Project
Manager
Gemma Snell –
Regional Diabetes
Lead
Grace Coombs –
Project Support
Officer
Onome Okonji –
Senior Project
Manager
Paul Trevatt –
London CVD
Lead
Stasha Jan –
Senior Project
Manager
Tarita Turtiainen –
Project Manager
Umar Majid –
Project Manager
Vicky Parker –
Quality &
Improvement
Manager
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What is the NDA?
National Diabetes Core Audit (NDA): This annual audit of primary care
and specialist diabetes services covers care processes, treatment targets,
complications and mortality.
National Diabetes Inpatient Audit (NaDIA): This is a snapshot audit of
every hospital covering inpatient care of people with diabetes.
National Diabetes Footcare Audit (NDFA): This audit collects data about
specialist foot care services for people with diabetes.
Continuous data collection, services can commence participation at any
time
National Pregnancy in Diabetes (NPID) Audit: This audit examines
antenatal services for women with pre-gestational diabetes.
Continuous data collection however submission deadline to be included
in August 2016 annual report was 10th February 2017
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National Diabetes Audit 2016/17
• NDA participation has increased from 83% to 96%
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Why participate in the NDA
Comparative data to support
planning and improvement
activity
CCG accountability and
assessment
High participation ensures
high quality data across all
diabetes audits
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Why participate in the NDA
1. Monitor
2. Compare
3. Identify trends
4. Identify priorities
5. Link to long term outcomes
6. Find omissions
7. Learn from others
8. Demonstrate excellence in
care
9. Improve care
10.Save money
http://content.digital.nhs.uk/nda_collection
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Why participate in the NDA
1. Monitor
2. Compare
3. Identify trends
4. Identify priorities
5. Link to long term outcomes
6. Provides data for other
diabetes audits
7. Learn from others
8. Demonstrate excellence in
care
9. Improve care
10.Use money wisely
Type 1 & Type 2 care
Type 1 patients have lower attainment of 8 care processes and 3 treatment
targets compared to Type 2 patients.
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Type 2 management
• London Treatment Target
(HbA1c, BP, Cholesterol)
attainment increased
from 40% to 41.1%
• Wide variation across
CCGs in completion of 8
care processes – 88.8% to
21.7%
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Structured Education
• Type 2 - 78.6% are offered
structured education with
6.7% uptake
• Type 1 – 45% are offered
structured education with
7.7% uptake
• N.B. it is acknowledged that locally
services can report c.30% uptake rates
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All numbers are rounded to the nearest 5, unless the number is 1 to 7, in which case it is rounded to ‘5’. Rounded numbers are used to calculate percentages.
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London DESP 2016/17
• 437,896 people with Diabetes were invited to the Diabetic
Eye Screening Programme in 2016/17
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London Transformation Board
• Aim – System leadership and oversight of Diabetes
transformation in London
• Membership – Senior Responsible Officer for Diabetes in
each STP, Clinical Directors for Clinical Network and
Academic Health Science Networks, NHS England and
Public Health England, Diabetes UK, Patient
representative
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London Clinical Leadership Group
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Treatment and Care Transformation Projects STP CCG 3 Treatment targets
Structured Education
MDfT DISN
North Central London
NHS Camden CCG
DTCL16 - Islington
DTCL16 - Islington DTCL16 - Islington NHS Haringey CCG NHS Islington CCG NHS Barnet CCG NHS Enfield CCG
North East
London
NHS City and Hackney CCG
DTCL02 - Newham
DTCL01
NHS Newham CCG
NHS Tower Hamlets CCG
NHS Waltham Forest CCG
NHS Barking & Dagenham CCG
NHS Havering CCG
NHS Redbridge CCG
North West
London
NHS Hounslow CCG
DTCL09 - H&F DTCL09 - H&F DTCL09 - H&F
NHS Ealing CCG
NHS Central London (Westminster) CCG
NHS Hammersmith and Fulham CCG NHS West London (K&C & QPP) CCG
NHS Hillingdon CCG NHS Harrow CCG NHS Brent CCG
South East
London
NHS Bexley CCG
DTCL08 - Southwark
DTCL04 - Southwark
NHS Bromley CCG
NHS Greenwich CCG DTCL07 - Southwark from
Lewisham
NHS Lewisham CCG
NHS Lambeth CCG DTCL05 - Southwark
NHS Southwark CCG
South West
London
NHS Croydon CCG
DTCL17 - Wandsworth
DTCL14 - Wandsworth from Kingston excl. Merton
NHS Kingston CCG
NHS Richmond CCG
NHS Merton CCG NHS Sutton CCG
NHS Wandsworth CCG
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NHS Diabetes Prevention Programme
From 18/19
• 1 provider per STP
(excl. NCL)
• Provider selection
process in Jan-Mar
2018
From 19/20
• NCL STP will have a
single contract
London NDPP Delivery
Group
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NHS Diabetes Prevention Programme
• Digital NDPP Pilots
- Barking & Dagenham, Havering and Redbridge are one
site referring eligible individuals to the product on offer
- CWHHE are referring individuals who have declined the
face to face service
More detail later on the agenda!
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Clinical Network portfolio
Treatment & Care Programme
Foot Network and Type 1 Network
Patient Engagement Plan
Freestyle Libre London implementation guidance
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Diabetes Team contact details
Team inbox: [email protected]
Elizabeth Pang – Senior Project Manager - [email protected]
Gemma Snell – Regional Diabetes Lead - [email protected]
Grace Coombs – Project Support Officer - [email protected]
Onome Okonji – Senior Project Manager - [email protected]
Paul Trevatt – London CVD Lead - [email protected]
Stasha Jan – Senior Project Manager - [email protected]
Tarita Turtiainen – Project Manager - [email protected]
Umar Majid – Project Manager - [email protected]
Vicky Parker – Quality & Improvement Manager - [email protected]
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Useful websites
https://digital.nhs.uk/catalogue/PUB30142
http://www.londonscn.nhs.uk/publications/