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Diabetes News Update - June 2017

15th June 2017

Diabetes_footcare_pic_1.pngOver recent months the Diabetes Network has been working hard to support numerous diabetes transformation funding bids across the North West Coast, as well as planning our flagship Diabetes Footcare conference for Lancashire and South Cumbria which took place in April this year.

Our support has helped secure nearly £4 million in funding, including £162k from a joint bid across the Lancashire and South Cumbria STP, one of the very few STP bids submitted.

Diabetes transformation

Roller_banner_pic.pngIn December 2016, NHS England invited CCGs to submit bids for funding from the Treatment and Care Programme. Each CCG had the opportunity to bid on four priority areas, which each required a separate bid:

  1. Improving achievement of the NICE recommended treatment targets and reducing variation
  2. Improving uptake of structured education
  3. Reducing amputations by increasing availability of multidisciplinary footcare teams
  4. Reducing lengths of stay for diabetes in-patients by increasing availability of diabetes in-patient specialist nurses.

Acting as a vital link between NHS England and CCGs, the SCN encouraged CCGs to make bid submissions and helped write bids, where appropriate, solving queries, coordinating commissioners, local councils and providers. As a result, our involvement contributed to the region securing nearly £4 million in funding. This included £162k from a joint bid across the Lancashire and South Cumbria STP, one of the very few STP bids submitted.

We are now encouraging the successful parties to work together and share good practice with other CCGs, through steering groups and locally-focussed groups, facilitated by the SCN.

NHS England also held an ‘inequalities fund’ of around £2m for those areas needing support but which had been unsuccessful in securing funding through the bidding process. The SCN is now working with CCGs who are eligible for this funding.

Report-back: diabetes footcare event

There were 244 diabetes-related amputations in Lancashire and South Cumbria last year; 80% of these were thought to be preventable.

The context

VAPPG_in_house_of_commons.pngThe SCN was recently invited to collaborate with the All Party Parliamentary Group for Vascular Disease (VAPPG) in a joint event looking at amputations in Lancashire and South Cumbria. Prior to this the VAPPG had published and presented their report ‘Saving Limbs, Saving Lives: A Review of Strategic Clinical Networks’ to the Government in 2016. They are now working with SCNs across England to share best practice before producing a further report for government, with recommended actions for reducing regional variation in service provision and patient outcomes.

View or download the detailed event report 

Neil_Carmichael_MP_Chair_VAPPG.pngSpeaker highlights

Over 70 delegates gathered for what proved to be a very inspirational and fruitful conference, with a series of excellent presentations, followed by a really successful  ‘unconference approach to the rest of the day.

Lancashire’s Director of Public Health and Wellbeing Dr Sakthi Karunanithi opened the event and introduced Cllr Robert Redfern, the Mayor of Lancaster, himself a diabetes patient. The mayor spoke about his involvement in fundraising for the Royal Lancaster Infirmary’s new diabetes centre which was originally inspired by a patient’s story shared at a Board meeting and which he opened in April this year.

Neil Carmichael MP and Chair of the All-Party Parliamentary Group for Vascular Disease reported, via a pre-recorded video, on the VAPPG’s work and collaboration with the SCN. Led by an assembly of MPs and members of the House of Lords, the VAPPG was established to raise awareness of vascular disease and drive forward the cause for diabetes prevention and treatment to government.

Anne_Costich_at_Diabetes_footcare_event.pngAnne Costich, a patient speaking on behalf of Diabetes UK, talked about her own experiences of diabetes footcare. Her tag line “You must treat your feet like you treat your face” inspired some great conversations on the day and afterwards too.

Highlights from the ‘unconference’

Although the open space style of ‘unconference’ working felt risky, expert facilitation by Kev Wyke from Leap Further ensured it was a great success. 16 delegates put themselves forward to lead sessions of their choosing and everyone was encouraged to move freely around the 13 sessions that took place, contributing and even breaking away to network where they saw fit. The result was many informal yet in-depth and productive conversations which are now being taken forward to inform our future actions and priorities.

Know_your_diabetes_risk.pngInteractive ‘Know your Risk’ sessions with Diabetes UK

Delegates were also able to attend breakout sessions with the Diabetes UK ‘Know Your Risk’ team and learn about their risk of developing Type 2 Diabetes in the next 10 years. Anyone identified as moderate or high-risk was signposted to their GP with a letter and at least one delegate has since embarked upon lifestyles changes off the back of their advice. Some of us were just delighted that we’re slightly taller than we thought! Take the test

Delegate feedback praised how the event brought people together to discuss issues peer to peer and enabled some great discussions through high quality, smaller group conversations.

What happens next?

The Diabetes Network is now taking forward the continued development of the proposed North West Coast Diabetes Footcare Pathway blueprint including:

  • Scoping existing pathways
  • Root cause analysis work
  • Setting up a structured working group to look at diabetes education and develop e-learning footcare materials.

Plans for a patient and public diabetes footcare information and awareness campaign are also in progress.

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