1 Professional networking / training days
The ABCD Insulin Pump Network UK (IPN-UK) is for healthcare professionals with an appetite for diabetes technology education and support. To keep up to date with IPN-UK, see funding information for CGM and for SAP, or for business cases for setting up a new pump service, please join IPN-UK.
2 Service development / best practice
How to commission type 1 diabetes services: To help ensure they deliver excellent type 1 diabetes services across the capital, the London Diabetes Clinical Network has published (September 2016) 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 they deliver improved patient reported outcomes.
There are three parts to the pack:
· Service specification – How to commission type 1 diabetes services – 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 – How to deliver type 1 diabetes services – Aimed at providers, this document details the expected clinical care for type 1 diabetes.
· Implementation guide – Ensuring excellence in diabetes services – 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.
The pack can be downloaded from this page
Find out how the South London Health Innovation Network improved uptake of insulin pump therapy through a series of 4 workshops over 1 year.
“The Diabetes Improvement Collaborative was launched in November 2014 with the aim of increasing insulin pump uptake to at least 15% (of the type 1 population) in South London by 2018. It was established under joint working arrangements, with 3 industry providers.
The collaborative consisted of a series of four workshops, supported by an online collaboration portal and facilitated on site visits. This approach gave participants the knowledge and skills to implement sustainable improvements to patient pathways, tackling capacity issues in a cost-constrained environment. It provided valuable peer support and sharing of ideas and best practice; bringing together all members of the diabetes service team including consultants, nurses, allied health professionals and service users.
The resulting improvements implemented by the participating teams across London varied, however all had a strong emphasis on the importance of access to high quality structured education; the operational set-up of outpatient clinics; improvements in skill mix within teams; and involvement of the whole multidisciplinary team including pump users to provide a holistic, whole pathway approach to type 1 diabetes.
Between June 2014 and April 2016 insulin pump uptake increased by 30.8%. When reflected against the estimated 8892 adult type 1 population of South London (estimated population from eye screening data applied to QOF 2013) this equates as a rise from 8.8% to 11.9%.
Teams across south London are on track to meet the expected target by 2018 and the HIN continues to support collaboration and shared learning through the London Type 1 Network (now formally organised by the London Diabetes Clinical Network).”
More info and 5 minute video here
The NHS Technology Adoption Centre (NTAC) has a comprehensive online “How To Why To Guide” for Insulin Pump Therapy. Now that it has been archived this site is no longer interactive.
This guide informs clinicians and managers how to successfully implement insulin pump therapy into routine clinical and operational practice.
It includes a Business Case Template, a Costing Model, and a Roadmap Section to support clinicians, hospital managers and commissioners in the implementation of this therapy into routine clinical and operational practice.
You will also be able to access a Purchasing Framework, which has been developed through Healthcare Purchasing Consortium. This provides Trusts with an alternative to running a local tender process.
3 Web resources
Diabetes on the net.com – “High-quality diabetes education for healthcare professionals working in the UK − register for face-to-face events, access journal content, watch videos and participate in online CPD from leading professional societies”
Diabetes Technology Society – an international non-profit organisation whose mission is to spearhead collaborative efforts by experts in academia, clinical practice, industry, and government to accelerate development of practical technology for treating, monitoring, diagnosing, and preventing diabetes mellitus and its complications.
NHS Evidence provides free online access to clinical and non-clinical information – local, regional, national and international. Information includes evidence, guidance and Government policy. NHS staff who have an Athens account can also get free access to paid for journals