www.healthinnovationnetwork.com @HINSouthLondon Lambeth Diabetes Learning Event Local update Dr Neel Basudev GP Lambeth Clinical Director Diabetes Health Innovation Network Clinical Lead Out of Hospital Care London Diabetes Network
Things to cover Diabetes state of play • Type 2 diabetes prevention- Healthier You • Diabetes Book and Learn • Tier 3 weight management • Foot care pathway Self-management • Technology Learning today • Programme @HINSouthLondon www.healthinnovationnetwork.com
Diabetes state of play Type 2 Diabetes Prevention @HINSouthLondon www.healthinnovationnetwork.com
@HINSouthLondon www.healthinnovationnetwork.com
@HINSouthLondon www.healthinnovationnetwork.com
Prioritisation Approach • • HbA1c 44-47mmol/mol or Fasting 6 months into new contract Plasma Glucose (FPG) 6.5 – • 82% have reduced weight 6.9mmol/l • 97% reduced Hba1c • Healthier You, NHS diabetes • Average Hba1c change -4.66 prevention programme (NDPP), mmol/mol commissioned by NHS England – first line option • STEPs to prevent diabetes commissioned locally in Lambeth – second line option @HINSouthLondon www.healthinnovationnetwork.com
@HINSouthLondon www.healthinnovationnetwork.com
Diabetes state of play Book and Learn @HINSouthLondon www.healthinnovationnetwork.com
• CDEP structured education module available @HINSouthLondon www.healthinnovationnetwork.com
• Personalised journey from referral • Motivational techniques to to completion of a course encourage attendance from a specialist call center run by Spirit • Allows for referral from multiple Healthcare sources, including self-referral • Provides continued support – self- • Choice of all currently 10 management resources, social commissioned courses across 12 prescribing, patient able to see CCGs & 18 providers including own data (HbA1c etc.) and access remote/digital courses refresher learning • Improves coding in primary care – • www.diabetesbooking.co.uk updating SNOMED codes automatically
Diabetes state of play Tier 3 weight management @HINSouthLondon www.healthinnovationnetwork.com
Overview of 2 year pilot • • A choice of two programmes: Delivered by Dietetics Dept. at Guy’s & St Thomas’ but the programme – BALANCE - Nutritional education alongside behaviour change, psychology itself will be delivered in the and physical activity. 12 group sessions community over the course of a 12 month period • The programme is for: – FAST - Evidence-based total meal replacement programme for more – Over 18’s substantive, rapid weight loss followed by – BMI ≥40 or BMI ≥35 with Type 2 Diabetes food re-introduction, nutritional – Motivated to lose weight education, psychology and physical – Willing to take part in a group based programme activity. 15 group sessions over the course requiring regular attendance of a 12 month period • The referral form can be found on DXS or EMIS and referrals must be sent via eRS @HINSouthLondon www.healthinnovationnetwork.com
Diabetes state of play New Foot Pathway @HINSouthLondon www.healthinnovationnetwork.com
Foot facts • Today, and every day, how • What % of patients survive many people with diabetes for 2 years after major in England will have a toe, amputation in diabetes foot or leg amputated? – Around 50% – 23 • What is % 5-year survival • The NHS in England spends after diabetic foot ulcer? how much per year on – 58%, similar to that for diabetic foot problems colorectal cancer, and lower than for breast or prostate – over £1 billion cancer @HINSouthLondon www.healthinnovationnetwork.com
15
Multi-Disciplinary Footcare Teams (MDfT) - Lambeth • Clinics available at: – St Thomas’ Hospital – Monday to Friday 09:00-17:00 – King’s College Hospital – Monday to Friday 09:00-17:00 – Guy’s Hospital – Thursdays 09:00-13:00 – SOS at King’s before 12:00 Monday to Friday 16 • Don’t wait, refer within 24 hrs via eRS What to refer: • Any foot ulceration • Acute Charcot foot (hot/swollen/painful foot) • Any foot Infection • Septic patients should be referred to A&E with in-patient MDfT support • Concerns or unsure? Refer anyway
Self-management Technology @HINSouthLondon www.healthinnovationnetwork.com
South London Diabetes test bed • Support practices to introduce care and support planning for diabetes • Employ technology that allows people to take their care plan with them, wherever they go. • Link people to the resources that can help them manage their diabetes. • Utilise technology to communicate more meaningfully with our patients about their diabetes. @HINSouthLondon www.healthinnovationnetwork.com
Personalised support Recall Care planning Habituation Maintenance Month 1 2 3 6 12 Booking process Information gathering Care planning Support to access Annual review appointment appointment resources • • • • • Video via text Care planning Detailed care plan Useful resources and Video message to message or e-mail preparation and results available information prepare for annual explains why care in Healum constantly updated in care plan review • Introduction to planning is important Healum • • and what to expect Healum platform Video message with Link to Healum self • their care plan Nudging from app to assessment • • Hyperlink included to Video message with keep focus on goals • make an their results • Linked to education Click to make • appointment and social prescribing Video message to appointment • Better understanding resources keep up motivation at 6 months @HINSouthLondon www.healthinnovationnetwork.com
Communication is key @HINSouthLondon www.healthinnovationnetwork.com
Learning today Programme @HINSouthLondon www.healthinnovationnetwork.com
This afternoon Flash Glucose Monitoring Anna Hodgkinson, Consultant Pharmacist Weight loss interventions for T2DM Alastair Duncan, Principal Dietician GSTT Management of T2DM in practice Piya Sengupta, Consultant Diabetologist GSTT @HINSouthLondon www.healthinnovationnetwork.com
Thanks for listening @HINSouthLondon www.healthinnovationnetwork.com
Recommend
More recommend
