1 Alignment of HNE Health Diabetes Services Plan and Regional Diabetes Plan Dr Mark Foster Leanne Martin Dr Sergio Diez Alvarez

The 2008 Diabetes Atlas data  Diabetes prevalence rates have almost doubled in 7 years across NSW, largely due to an increase in prevalence of type 2 diabetes(140%  ) and of gestational diabetes (50%  p.a. over the past 3 yrs)  Increase in prevalence is due to : –True increase in incidence –Increase in average duration of diabetes, because: More young people developing type 2 diabetes Increased screening and earlier diagnosis Better management, leading to people with diabetes living longer

Regional Diabetes Strategy  First presented to GPAC in March with the view to developing and implementing a collaborative regional diabetes strategy incorporating agreed goals and targets for HNE and Divisions that will have a tangible impact on diabetes outcomes for the region.  The brief acknowledges the commitment and current diabetes related activity of both HNE Health and General Practice.  The goals of the strategy: –Improve health outcomes for patients with diabetes –Optimise the use of health resources to meet the needs of patients with diabetes in their own community

Diabetes Services Plan  Strategic Objectives are identified to ensure Diabetes Services remain focussed on the most important issues and needs. These relate to each of the 5 main focus areas: 1. Patients and Communities 2. External Partners 3. Internal Networking and Processes 4. Resource Accountability 5. Our People, Culture and Capability

FOCUS AREA: Patients & Communities  Strategic objectives 1.1 Reducing the burden of living with diabetes 1.2 Improving self efficacy for self-management 1.3 Improving health outcomes for Aboriginal people, with and at risk of diabetes 1.4 A quality health service experience

FOCUS AREA: External Partners  Strategic objective 2.1 Engaging and supporting General Practice and other external partners in improving the prevention and management of diabetes

FOCUS AREA: Internal Networking & Processes  Strategic objectives 3.1 Leading and modelling evidenced-based best practice to deliver diabetes care, which is flexible and responsive to the needs of our patients 3.2 Developing effective clinical and operational management networks 3.3 Supporting disease prevention and health promotion strategies across all service areas 3.4 Developing and integrating information management systems

FOCUS AREA: Resource Accountability  Strategic objective 4.1 Prioritising, optimising and effectively managing resources for maximum health benefit

FOCUS AREA : Our People, Culture & Capability  Strategic objectives 5.1 Demonstrating cultural competence 5.2 Attracting quality staff, developing competence, capability and performance and demonstrating professional accountability and a culture of service 5.3 Demonstrating innovative diabetes healthcare through research and education

Integrated Adult Diabetes Care Framework  Sets out the actions needed across all stages of the patient journey for an adult with diabetes, based on evidence-based best practice  Lists individuals who can have roles and services and organisations that can hold responsibility for actions  Lists resources that can be utilised and other enabling factors for the actions The document may appear to be a “wish list” that currently cannot be resourced BUT it is actually reflecting best practice and optimal care

Using the framework to provide integrated care  Will require identification of duplications and gaps in services provided at each stage  Will require agreements and governance systems  Will require disinvestment and reinvestment in some areas, by some services/individuals  Will require a change in perceptions of current and future roles and responsibilities Can we have endorsement???