In 2012, the Berkshire West Federation diabetes stakeholder network was formed from the four federated CCGs, with the aim of driving up standards of care for people with diabetes in the community.
The network is known as Diabetes Sans Frontières (DSF) and its aims are to reduce the burden of diabetes on people within the community, to improve outcomes, and to do this whilst reducing the unit cost of care. The network also aims to reduce referral to secondary care and the use of emergency unplanned care.
The work has now been recognised by the National Institute for Health and Care Excellence (NICE), which provides national guidance and advice to improve health and social care.
DSF has been shortlisted for the NICE Shared Learning Awards, which recognise and reward examples of how NICE guidance has been put into practice in the NHS, local authorities, voluntary and a range of other organisations. The Awards are presented annually at the NICE Conference and members of the DSF team will be given a platform at the conference to present their work to peers.
Dr Richard Croft, Primary Care Diabetes & COPD Lead across Berkshire West CCGs, commented, 'Being shortlisted by such a prestigious organisation is a tribute to the openness and enthusiasm, not only of those involved in the Stakeholder Network, but of the CCG Chairs and Boards, GPs, Practice Nurses and HCAs.'
About Diabetes Sans Frontières
- The DSF network has established a community based diabetes specialist, who provides virtual diabetes clinics, visiting practices and reviewing cases with the practice HCPs, with a capacity of around 1,500 case reviews per year.
- We have established a team of Diabetes Specialist Nurses who give advice and guidance to practice nurses and GPs. They also deliver training to people with Type 2 diabetes, using the X-pert 6 week course.
- Virtual consultation by email or phone with a community specialist is also in place for difficult urgent cases and admission avoidance, as well as community based diabetes clinics. This has resulted in a significant reduction in referrals to secondary care and unplanned care. The community specialist also holds 'virtual clinic' in GP surgeries to discuss complex cases and advise on management.
- Care planning is now established in over 20% of West Berkshire practices, where it is changing clinical care by allowing patients to get all their results before their consultation, when they will be able to set realistic goals and action plans for the coming year with their nurse or doctor. The aim is for the service to be in at least 50% of practices by the end of the year.