It is a condition which affects an individual in every way, every hour, every day, as glucose profiles and insulin requirements vary on a daily basis depending on multiple factors.
To help ensure we deliver excellent type 1 diabetes services across the capital, the London Diabetes Clinical Network has just published a comprehensive commissioning pack, containing recommendations to assist in the commissioning and delivery of excellent services, self-assessments to establish current gaps in commissioning and delivery, and performance targets expected which will ensure we deliver improved patient reported outcomes.
There are three parts to the pack:
• Service specification (http://www.londonscn.nhs.uk/storage/dia-t1-commissioning-pk-bk1-092016.pdf) - Aimed at commissioners, this document details the care to be commissioned for adults with type 1 diabetes, including an overview of diabetes, elements of an excellent service plus commissioning recommendations.
• Clinical management: Optimal pathway (http://www.londonscn.nhs.uk/storage/dia-t1-commissioning-pk-bk2-092016.pdf) – Aimed at providers, this document details the expected clinical care for type 1 diabetes.
• Implementation guide (http://www.londonscn.nhs.uk/storage/dia-t1-commissioning-pk-bk3-092016.pdf)- This document provides the tools for both commissioners and providers to measure, analyse and develop improvement plans for their local diabetes service.
It includes a summary of expectations and self assessments for commissioners and providers, performance targets and a sample patient reported outcome measures (PROM) form to collate patient feedback. It also highlights the type 1 care consultation tool (developed by Health Innovation Network and King’s Health Partners), which can be used in the management of people with type 1 diabetes.