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Bromley Healthcare Diabetes - an introduction June 2014

Bromley Healthcare Diabetes - an introduction June 2014. Introducing… Bromley Healthcare. Specialist community service provider with significant local knowledge. Single Point of Entry. 800 staff. Providing SEL 111 with NHSD & Grabadoc.

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Bromley Healthcare Diabetes - an introduction June 2014

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  1. Bromley Healthcare Diabetes - an introduction June 2014

  2. Introducing… Bromley Healthcare Specialist community service provider with significant local knowledge Single Point of Entry 800 staff Providing SEL 111 with NHSD & Grabadoc Strong partnerships with SLHT, LBB, Voluntary / Community sector Excellent GP Practice links in place 35+ Service Lines DNA reduction from 13% to 4.3% last year Employee-owned Social Enterprise Leg ulcer healing times reduced from 21 weeks to 5 weeks under an innovative pilot service Delivering services in 5 London Boroughs EMDoc GP Out-of-Hours Over ½ million patient contacts per year

  3. A brief history • Previously the community provider unit for Bromley PCT • Took opportunity to define a business case underpinning reasons for spinning out as an independent organisation • Established as a standalone provider in April 2011

  4. Our staff • Employee owned social enterprise • Over 800 staff (many have transferred in through TUPE) • Over 86% of staff are shareholders – giving input into how the organisation is managed • Very high satisfaction (much higher than NHS comparisons) • 99% of staff would recommend their friends and families to be treated by BHC • Low staff turnover and sickness rates (less than ½ of the NHS rate)

  5. The Croydon Diabetes Model

  6. Exceptions • New secondary care referrals will be triaged via the CDS except for: • acute type 1 and adolescent; patients on dialysis • pregnancy and pre-pregnancy • patients using continuous subcutaneous insulin infusion (CS11) • patients with a foot ulcer/suspected Charcot/new foot problem • patients with diabetes in CKD stage 3 or higher • acute diabetes emergencies and urgent cases which will be automatically referred onto secondary care.

  7. Benefits • Dedicated DSN support • Consultant access • Psychological services • Integrated working with Diabetes UK • Patient education DESMOND, Type 2 Education & DAFNE

  8. Desmond • It provides 6 hours of structured group education according to a formal Curriculum • The 6 hours of structured group education can be offered either as a 1 day course, or as a 2 half-day course – the 2 half days being no more than 2 weeks apart • Groups consist of 6-10 people newly diagnosed with Type 2 diabetes • Each person attending a group can choose to be accompanied by a partner, family member or friend • Each person attending a group is provided with patient material especially developed to accompany the programme and intended as a reference guide subsequent to attending the course

  9. Desmond - Benefits • Access to an evidence-based programme with the backing of the DoH • An education programme which meets the standards of the Diabetes NSF • Provides patients with a good start in their self-management of their diabetes • It empowers patients to self-manage by addressing issues of motivation and realistic goal-setting • It brings new skills to the PCT and practices through the DESMOND educators programme • It promotes effective partnerships between primary and specialist services

  10. Referral Process • Patient Education • Continue to refer via CReSS • Referrals as from 1st April • Continue via CRES • New referral form and criteria

  11. Locations Key Clinical Hub Patient Ed Satellite clinic ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------

  12. Contact details Nurse of the day – dedicated support line: 01689-865911 Dedicated e-mail support: BROMH.Croydondiabetesservice@nhs.net Service lead, Michelle Barratt: michelle.barratt@bromleyhealthcare-cic.nhs.uk

  13. Q & A

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