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Diabetes care in central Lancashire rated outstanding

Posted on the 12th February 2018

NHS England has rated the care of diabetes in Central Lancashire, which is delivered jointly by Lancashire Care NHS Foundation Trust and local Clinical Commissioning Groups (CCGs), outstanding as part of a national assessment of CCGs.

NHS England’s Improvement and Assessment Framework, which provides a snapshot of how CCGs perform nationally, carried out the assessment that showed that diabetes care in Greater Preston, Chorley and South Ribble was outstanding.

The accolade follows the introduction of a new model for diabetes care in the area that was introduced by Lancashire Care’s Diabetes Service in partnership with Lancashire Teaching Hospitals NHS Foundation Trust, Greater Preston CCG, Chorley and South Ribble CCG and primary care colleagues. This involved a drive to upskill GPs and practice nurses working within specialised hub practices across the area to improve diabetes care.

Sue Dermott, Team Coordinator from Lancashire Care NHS Foundation Trust’s Diabetes Service, said:

“Diabetes is a huge challenge to the health of people in the UK and a priority national health concern. Our staff have been extensively working with our partners to develop a new and innovative diabetes model for care and these excellent results reflect the extensive work that has gone into this over the last 18 months.

“This involved our Diabetes Specialist Nurses and dietitians working with GPs and practice nurses to increase their skills, provide training and being involved in case discussions which have resulted in more complex diabetes clinics with specialist support to be run nearer home. The outcome is better experience for patients, allowing specialist time to be focussed on the development of improved and specialist services supporting specialist care in the right place at the right time and a reduction in pressure on hospitals.”

Lancashire Care NHS Foundation Trust’ Diabetes Service works throughout the Preston, Chorley and South Ribble areas and holds a wide range of clinics and programmes for people with diabetes. This includes clinics for people with complex diabetes, the DESMOND (Diabetes Education and Self-Management for Ongoing and Diagnosed) programme, a carbohydrate counting course for people with Type 1 diabetes, and supports specialist diabetes clinics for young people, antenatal clinics, clinics for people with diabetes foot problems and supporting insulin pump clinics in collaboration with services at Lancashire Teaching Hospitals.

The service has also been nationally recognised for its hypoglycaemia pathway, a pioneering piece of work led by the Trust in conjunction with North west Ambulance Service. The pathway ensures patients who have experienced a severe hypoglycaemia episode and are attended by paramedics receive crucial immediate care followed by contact with the Diabetes specialist nurses to ensure advice on treatment change and offer of an assessment appointment within 5 working days. The Trust’s Diabetes Specialist Nurses also operate within Royal Preston Hospital in supporting staff in diabetes care and patients who require education and support.