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Mapping Diabetes against the needs for London. Leena Sevak: National Improvement Lead, NHS Improving Quality – Delivery Team. Challenge: National reduction in amputations by 50% in 5 years. Overall objective:
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Mapping Diabetes against the needs for London Leena Sevak: National Improvement Lead, NHS Improving Quality – Delivery Team
Challenge:National reduction in amputations by 50% in 5 years Overall objective: To see diabetic foot care pathway included in the Joint Strategic Needs Assessment on the Health and Wellbeing Board
Nationally agreed outcomes 2012 Implementation of integrated foot care pathway MDT/FPT group established in each district, including commissioners and service users Ensure competencies in HCPs including ulcer awareness, patients education on diagnosis, patients know risk status Engage commissioners in the network 24/7 facility for receiving foot care patients by a competent member of MDT team and seen within 24 hours by the foot care specialist team. Map foot care services in primary, community and acute sectors to identify gaps Participate in foot care audits Root cause analysis for minor & major amputations
Opportunities Alignment between Public Health, NHS & Adult Social Care Outcome Frameworks Prevention & early detection NHS England priority Integration of health & social care Public health integrated in LA with reach in local communities – opportunity for self-care Health & Wellbeing Boards driving health improvement – influence CCGs & primary care
Recent Developments & foot care Strategic Clinical Networks – setting local priorities CVD Outcome Strategy – driver for integration of heart, diabetes, stroke and renal Academic Health Science Networks NHS England & NHS IQ - Integrated care pioneer sites
Resources www.diabetes.nhs.uk - http://webarchive.nationalarchives.gov.uk/20130513172055/http://www.diabetes.nhs.uk www.kidneycare.nhs.uk- http://webarchive.nationalarchives.gov.uk/20130504185629/http://kidneycare.nhs.uk