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Clinical service redesign

This award rewards those NHS organisations who have successfully implemented service redesign that has enabled them to deliver the standards in the National Service Frameworks for diabetes and more effectively deliver the right care at the right time.

Winner: Bringing specialist care into primary care - Enhancing the team by Nigel Stones, Jackie Price, Ruth Seabrook

The aim of this work was to evaluate the effects of providing specialist diabetes care to a hard-to-reach cohort of high-risk people with complex diabetes in a high-achieving general practice. It found that risk reduction is not optimised in many people with diabetes and that the current one-size-fits-all approach frustrates both patients and healthcare professionals. The transferable, novel model that it developed for delivering personalised, complex care demonstrated that improved outcomes can be achieved in primary care with considerable cost savings.

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Second place: ThinkGlucose by Royal Berkshire NHS Foundation Trust

The RBFT implemented the NHS Institute for Improvement and Innovations ThinkGlucose project following an unsatisfactory National Inpatient survey (2009) and a worrying Trust point prevalence survey. After just one year of hard work from four dedicated work streams, the project achieved a number of rewarding successes over the last year. Referrals to the diabetes specialist team have increased, staff are now graded as above the national average in “ability to answer questions on diabetes”, length of stay in hospital has reduced for patients diagnosed in secondary care, and patients feel that their diabetes care whilst in hospital has improved since their last admission.

Third place: Year of Care project by NHS Tower Hamlets

In 2007 NHS Tower Hamlets recognised that, if you were living there with diabetes, your experience of care was likely to be poor as were overall medical outcomes for diabetes. This project worked with patients to identify what was needed to improve the experience of care. Findings enabled the team to develop and pilot an integrated care package that has delivered signifi cant improvements in patient satisfaction, delivery of care processes and in the proportions achieving control of their HbA1c, BP and cholesterol levels.

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