Commissioning and the future of diabetes care
AbstractThe creation of clinical commissioning groups has provided a unique opportunity for diabetes specialist teams and other stakeholders to collaborate directly with local commissioners to rationalise and improve diabetes care provision. We describe here the process by which the diabetes service in the Vale of York has been redesigned and a community diabetes service has been commissioned to help embed the new model of care. The process has involved getting key personnel in place to identify and drive change, creation of a model of care that is simple, removes artificial barriers and is based on clinical need rather than financial structures. Engaging and listening to stakeholders, particularly patients, was critical to the development as was participation of influential board level representatives to act as champions. Facilitative negotiation of the content and provision of the service helped build the business model to complement the clinical model. Developing a unified brand and image that would associate both commissioner and provider helped cement the alliance and provide patients with a single needs-based service.
Hex N, Bartlett C, Wright D et al. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabet Med 2012;29:855-62. http://dx.doi.org/10.1111/j.1464-5491.2012.03698.x
NHS Diabetes. Commissioning excellent diabetes care: an at a glance guide to the NHS Diabetes commissioning resource.2nd edn. February 2012. http://www.diabetes.org.uk/Documents/nhs-diabetes/commissioning/commissioning-at-a-glance-guide-2nd-edition.pdf
Diabetes UK. State of the Nation. England. 2013. http://www.diabetes.org.uk/Documents/About%20Us/What%20we%20say/0160b-state-nation-2013-england-1213.pdf (Accessed May 2014).
National Audit Office The management of adult diabetes services in the NHS. -. May 2012. http://www.nao.org.uk/wp-content/uploads/2012/05/121321.pdf (Accessed May 2014).
Goenka N, Turner B, Vora J et al. Commissioning specialist diabetes services for adults with diabetes: summary of a Diabetes UK Task and Finish group report. Diabet Med 2011;28:1494-500. http://dx.doi.org/10.1111/j.1464-5491.2011.03410.x
NHS Diabetes. Best practice for commissioning diabetes service: An integrated care framework. March 2013. https://www.diabetes.org.uk/Documents/Position%20statements/best-practice-commissioning-diabetes-services-integrated-framework-0313.pdf (Accessed May 2014).
Kar P. The 'super six' for the acute trust, all else under primary care? Pract Diabetes 2011;28:308-09. http://dx.doi.org/10.1002/pdi.1622
Rea RD, Gregory S, Browne M et al. Integrated diabetes care in Derby: New NHS organisations for new NHS challenges. Pract Diabetes 2011;28:312-13. http://dx.doi.org/10.1002/pdi.1624
NHS Diabetes. Commissioning diabetes – an integrated care framework. March 2013. http://www.leicestershirediabetes.org.uk/816.html (Accessed May 2014)
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