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A National Service Framework for People with Diabetes Adrian Sieff December 2001

A National Service Framework for People with Diabetes Adrian Sieff December 2001. NationalService Frameworks National Institute for Clinical Excellence. Patient & Public Involvement. CLEAR STANDARDS OF SERVICE. Prof self regulation. Clinical Governance. Lifelong Learning.

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A National Service Framework for People with Diabetes Adrian Sieff December 2001

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  1. A National Service Framework for People with Diabetes Adrian Sieff December 2001

  2. NationalService Frameworks • National Institute for • Clinical Excellence Patient & Public Involvement CLEAR STANDARDS OF SERVICE Prof self regulation Clinical Governance Lifelong Learning DEPENDABLE LOCAL DELIVERY • National Performance Framework • Commission for Health Improvement • National Patient and User Survey MONITORED STANDARDS The Quality Framework

  3. Purpose of NSFs • Drive up quality • Reduce variations • Help deliver The new NHS,Modernising Social Services and Saving Lives: Our Healthier Nation.

  4. National Service Frameworks Interventions Milestones National Standards Performance indicators Service Models UNDERPINNING PROGRAMMES research & development; clinical decision support systems; information; human resources; revenue and capital

  5. NSF Programme Published • Mental Health, CHD, Older People and Cancer Plan • Older People Coming soon • Diabetes • Renal and children’s • Neurological conditions

  6. Why an NSF in Diabetes:Costs • Individual costs • NHS costs • Society costs

  7. Complications Increase NHS Costs by Increasing In Patient Costs -T2ARDIS survey Primary Care Drugs Out patient In patient 5.6 x 6 5 4 2.7x Cost impact factor 3 2.5x 2 1 0 None (n=904) Micro (n=382) Macro (n=184) Both (n=108)

  8. Why an NSF in Diabetes:Variations

  9. The National ServiceFramework for Diabetes Aims Decrease the incidence of type 2 diabetes Improve health outcomes of people with diabetes By: Improving the overall quality of diabetes services Reducing unacceptable variations in the quality of these services

  10. NSF: Standards • Aim • Standard • Rationale • Interventions • Implications for service planning • Supporting evidence • Service models • Performance indicators

  11. NSF: Delivery Strategy • Underpinning programmes • Actions and milestones • Service models • Performance management

  12. By 2013 • Fewer people develop diabetes • Earlier identification of diabetes • People with diabetes have greater control • Fewer complications • Early treatment of complications • Effective in-patient care • Healthy pregnancies

  13. What will the NSF become?

  14. Non diabetes Related Hospital Admissions Other new complications New CHD Major Life Events New stroke Major Treatment Change e.g. Starting Insulin New Erectile Dysfunction Continuing Care EVENTS Severe Hypoglycaemia Pregnancy Institutional Care DKA HONK At Risk Foot New Protenuria New Eye Complications Pathways in Diabetes PREVENTION Diagnosis Initial Management

  15. A Different Perspective

  16. Bulletin Board www.doh.gov.uk/nsf/diabetes diabetes.nsf@doh.gsi.gov.uk

  17. Involving practitioners andpeople with diabetes • ERG, topic work and cross-cutting areas • Review of existing literature on user views • Further analysis of existing data on user views: Audit Commission, Bradford HAZ • Focus groups and in-depth interviews • Nottingham event • Seeking good practice

  18. Delivering the NSF for Diabetes • ambitious but realistic programmes which “pull all the levers simultaneously’ • recognition that change requires time if it is to be sustainable • determined and effective approach to reshaping clinical and social work practice • a commitment to leadership - within and between agencies, local communities, patients, service users and their carers

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