The desire to improve patient satisfaction and reduce admissions to hospital for diabetes related problems, the diabetes team despite small numbers decided to introduce an admission avoidance project.
The project consisted of the diabetes specialist nurses making themselves available to see patients from A&E or the ambulatory care unit from 8am-2pm mon-fri, so that patients with diabetes related problems only could be seen and discharged instead of them being admitted.
The A&E department were able to book the patient into slots within the ambulatory care unit for patients to return to, so that those patients that would have previously been admitted over a weekend could now be safely discharged to come back to have the issue dealt with.
The aim was for 1 admission a week to be prevented in the 4 months since it has started 20 admissions have been prevented at a cost saving of £8,500.
The aim is now to get an increase in staffing numbers to be able to extend the service into the evening and possibly the weekend.