Date

December 2017

Dr Jane Fryer

Diabetes Senior Responsible Officer, NHE England - London Region

Medical Director, South London, NHS England – London Region

Diabetes in London

London Regional Diabetes Event

Next Steps on the NHS Five Year Forward View

Urgent and emergency

care: 24 hours a day, 7

days a week

Investment in primary

care

Addressing service gaps

between mental and

physical health care

Helping frail and older people stay healthy and

independent

Leverage the potential of

technology and innovation

London Regional Diabetes Event

Government’s Mandate to NHS England

Objective 4: to lead a step change in preventing ill health and supporting

people to live healthier lives

• Specific deliverables by 2020: • 100,00 people through the NDPP

• Measurable reduction in variation

in the management and care for

people with diabetes

• Specific deliverables for 2017-18:

• At least 60,000 people referred to

the NDPP

Date

London Diabetes Context

December 2017

Gemma Snell Vicky Parker Regional Diabetes Lead Quality & Improvement Manager

6

London Diabetes Team

Elizabeth Pang –

Senior Project

Manager

Gemma Snell –

Regional Diabetes

Lead

Grace Coombs –

Project Support

Officer

Onome Okonji –

Senior Project

Manager

Paul Trevatt –

London CVD

Lead

Stasha Jan –

Senior Project

Manager

Tarita Turtiainen –

Project Manager

Umar Majid –

Project Manager

Vicky Parker –

Quality &

Improvement

Manager

7

What is the NDA?

National Diabetes Core Audit (NDA): This annual audit of primary care

and specialist diabetes services covers care processes, treatment targets,

complications and mortality.

National Diabetes Inpatient Audit (NaDIA): This is a snapshot audit of

every hospital covering inpatient care of people with diabetes.

National Diabetes Footcare Audit (NDFA): This audit collects data about

specialist foot care services for people with diabetes.

Continuous data collection, services can commence participation at any

time

National Pregnancy in Diabetes (NPID) Audit: This audit examines

antenatal services for women with pre-gestational diabetes.

Continuous data collection however submission deadline to be included

in August 2016 annual report was 10th February 2017

8

National Diabetes Audit 2016/17

• NDA participation has increased from 83% to 96%

9

Why participate in the NDA

Comparative data to support

planning and improvement

activity

CCG accountability and

assessment

High participation ensures

high quality data across all

diabetes audits

10

Why participate in the NDA

1. Monitor

2. Compare

3. Identify trends

4. Identify priorities

5. Link to long term outcomes

6. Find omissions

7. Learn from others

8. Demonstrate excellence in

care

9. Improve care

10.Save money

http://content.digital.nhs.uk/nda_collection

11

Why participate in the NDA

1. Monitor

2. Compare

3. Identify trends

4. Identify priorities

5. Link to long term outcomes

6. Provides data for other

diabetes audits

7. Learn from others

8. Demonstrate excellence in

care

9. Improve care

10.Use money wisely

Type 1 & Type 2 care

Type 1 patients have lower attainment of 8 care processes and 3 treatment

targets compared to Type 2 patients.

12

Type 2 management

• London Treatment Target

(HbA1c, BP, Cholesterol)

attainment increased

from 40% to 41.1%

• Wide variation across

CCGs in completion of 8

care processes – 88.8% to

21.7%

13

Structured Education

• Type 2 - 78.6% are offered

structured education with

6.7% uptake

• Type 1 – 45% are offered

structured education with

7.7% uptake

• N.B. it is acknowledged that locally

services can report c.30% uptake rates

14

All numbers are rounded to the nearest 5, unless the number is 1 to 7, in which case it is rounded to ‘5’. Rounded numbers are used to calculate percentages.

15

London DESP 2016/17

• 437,896 people with Diabetes were invited to the Diabetic

Eye Screening Programme in 2016/17

16

London Transformation Board

• Aim – System leadership and oversight of Diabetes

transformation in London

• Membership – Senior Responsible Officer for Diabetes in

each STP, Clinical Directors for Clinical Network and

Academic Health Science Networks, NHS England and

Public Health England, Diabetes UK, Patient

representative

17

London Clinical Leadership Group

18

Treatment and Care Transformation Projects STP CCG 3 Treatment targets

Structured Education

MDfT DISN

North Central London

NHS Camden CCG

DTCL16 - Islington

DTCL16 - Islington DTCL16 - Islington NHS Haringey CCG NHS Islington CCG NHS Barnet CCG NHS Enfield CCG

North East

London

NHS City and Hackney CCG

DTCL02 - Newham

DTCL01

NHS Newham CCG

NHS Tower Hamlets CCG

NHS Waltham Forest CCG

NHS Barking & Dagenham CCG

NHS Havering CCG

NHS Redbridge CCG

North West

London

NHS Hounslow CCG

DTCL09 - H&F DTCL09 - H&F DTCL09 - H&F

NHS Ealing CCG

NHS Central London (Westminster) CCG

NHS Hammersmith and Fulham CCG NHS West London (K&C & QPP) CCG

NHS Hillingdon CCG NHS Harrow CCG NHS Brent CCG

South East

London

NHS Bexley CCG

DTCL08 - Southwark

DTCL04 - Southwark

NHS Bromley CCG

NHS Greenwich CCG DTCL07 - Southwark from

Lewisham

NHS Lewisham CCG

NHS Lambeth CCG DTCL05 - Southwark

NHS Southwark CCG

South West

London

NHS Croydon CCG

DTCL17 - Wandsworth

DTCL14 - Wandsworth from Kingston excl. Merton

NHS Kingston CCG

NHS Richmond CCG

NHS Merton CCG NHS Sutton CCG

NHS Wandsworth CCG

19

NHS Diabetes Prevention Programme

From 18/19

• 1 provider per STP

(excl. NCL)

• Provider selection

process in Jan-Mar

2018

From 19/20

• NCL STP will have a

single contract

London NDPP Delivery

Group

20

NHS Diabetes Prevention Programme

• Digital NDPP Pilots

- Barking & Dagenham, Havering and Redbridge are one

site referring eligible individuals to the product on offer

- CWHHE are referring individuals who have declined the

face to face service

More detail later on the agenda!

21

Clinical Network portfolio

Treatment & Care Programme

Foot Network and Type 1 Network

Patient Engagement Plan

Freestyle Libre London implementation guidance

22

Diabetes Team contact details

Team inbox: england.diabetescn@nhs.net

Elizabeth Pang – Senior Project Manager - elizabeth.pang1@nhs.net

Gemma Snell – Regional Diabetes Lead - gemma.snell@nhs.net

Grace Coombs – Project Support Officer - grace.coombs@nhs.net

Onome Okonji – Senior Project Manager - onome.okonji@nhs.net

Paul Trevatt – London CVD Lead - paul.trevatt@nhs.net

Stasha Jan – Senior Project Manager - stasha.jan1@nhs.net

Tarita Turtiainen – Project Manager - tarita.turtiainen@nhs.net

Umar Majid – Project Manager - umar.majid@nhs.net

Vicky Parker – Quality & Improvement Manager - v.parker@nhs.net

23

Useful websites

https://digital.nhs.uk/catalogue/PUB30142

http://www.londonscn.nhs.uk/publications/