NHS RightCare Pathway: Diabetes

NHS RightCare, in partnership with the Healthier You: NHS Diabetes Prevention Programme(NHS DPP) has published NHS RightCare Pathway: Diabetes.

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NHS RightCare Pathway: Diabetes is a tool that aims to support local commissioners to review local diabetes pathways in order to identify where potential improvements could be delivered. The pathway has been developed in collaboration with the National Clinical Director for Diabetes and Obesity at NHS England and Associate National Director for Diabetes, the NHS Diabetes Prevention Programme, Public Health England, Diabetes UK and patient groups.

NHS RightCare Pathway: Diabetes has two key elements:

  1. It describes the core components that should be present in an optimal diabetes service; right from detection and diagnosis through to ongoing treatment, management and care of people with diabetes
  2. It provides guidance for commissioners that will:
    1. Allow them to think through their existing diabetes service and compare it with an optimal diabetes service; and
    2. Provides guidance for commissioners about the scale of improvements that could be delivered through optimisation of local pathways.

Full resource: NHS RightCare Pathway: Diabetes

See also: Appendix 1: Examples of good practice

This resource outlines examples of models of integrated care between primary and secondary care, and contains useful links and resources.

 

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Treatments and technologies matter, but patients most want to be seen as people

Patient stories are a raw and compelling new kind of online feedback. They can prompt rapid improvements in services – if the NHS is willing to embrace them | The Guardian Healthcare Network

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People have always shared their experiences of healthcare, usually privately, with family, neighbours or workmates. But online, patients and carers are increasingly willing to share accounts of their health service encounters with the wider world, often in intimate detail. There are websites devoted to collecting and publicising patient ratings and reviews of healthcare professionals, services, diagnoses and treatments.

The stories of patients and carers are becoming an unavoidable part of modern healthcare. In the US, people searching online for information about local services are more likely to read patient comments than official clinical outcome measures or patient experience metrics. In the UK, staff routinely read online patient feedback and share it on social media. NHS regulators have even started to think in terms of monitoring and analysing patient stories to provide an “early warning” for when things might be going wrong.

Read the full news story here

Best practice case studies

The NHS Confederation has published further case studies highlighting examples of best practice:

Best practice case studies

The NHS Confederation has published a series of case studies highlighting examples of best practice:

Clinical audit in commissioning

The Health care Quality Improvement Partnership has published Using Clinical audit in commissioning healthcare services.

This guide outlines how clinical audits can be used by commissioners to assure both quality and drive continuous improvement in patient care. It examines the strengths and limitations of clinical audit outputs for monitoring and assurance as well as considering how clinical audit can drive quality improvement as demonstrated through case studies and practical guidance.

STP governance and engagement

NHS Clinical Commissioners and NHS England have published CCG lay members, non-executive directors and STP governance and engagement. 

This briefing brings together ideas from four workshops organised in February 2017 for lay members on CCG governing bodies and non-executive directors from NHS Trusts.  The report reflects the discussions that took place on issues such as the importance of governance and accountability and developing working relationships across STP footprints.

The report also sets out some recommendations from NHS England and NHS Improvement which include:.

  • Consider a central online resource showcasing examples of national good practice.
  • Consider the governance and engagement issues relating to the development of accountable care systems.
  • Take a coordinated approach to embedding the role of lay members and NEDs in sustainability and transformation partnerships.

It also includes next steps and actions for lay members/NEDs, national bodies and STP leads which are intended to support the successful implementation of STP and new models of care.

Read the report here

Information Governance in local quality improvement

This guide describes how Information Governance laws and principles apply to the use of personal data in local or regional multi-agency healthcare quality improvement studies such as clinical audit, productivity reviews, intervention testing, and service evaluation.

It is designed to assist clinicians, Quality Improvement specialists, support staff and service users who lead, take part in, or review, local and regional quality improvement studies such as clinical audits, with the application of IG law to their work.

Information governance in local quality improvement is available to download here