1. Development of community diabetes services Ian Gallen

2. Opportunities for the new integrated Community Diabetic Service in the next 5 years Vision is to develop a seamless diabetes service which leads national standards. A service which – will put the individual with diabetes at it’s core – is robust to manage the increase in prevalence and complexity – is equitable – will provide care at the appropriate site as close to the patient as possible And whilst achieving these goals is cost effective

3. High level aims To improve outcomes for people with diabetes To promote effective and cost effective care To promotes local care To reduce the burden of diabetes on the individual Work to support reduction in diabetes incidence

4. Educational Diabetes stakeholder network now established Knowledge base of Practices is already increasing (Warwick course) Skills building for healthcare professionals via “virtual clinic”. Virtual clinic to discuss any new patient as MDT Patient education Xpert/ DAFNE – Proven to improve patient outcomes and reduce complications of treatment – With this knowledge, “Care Planning” can put the person with DM in the driving seat

5. How Education – HCP teach on courses such as Foundation – Patients DAFNE – Bring developments and best practice to the Network

6. Promoting effective and cost effective care The virtual clinic – Visiting practices and reviewing cases – Making management plans – Cases identified by practice, but also from Eclipse – Case review, plan and the review at following virtual clinic. – Capacity c1200 review p/y The virtual consultation – E mail consultations. – Mobile number available for rapid consultation.

7. Community diabetes clinics Review cases identified as more complex at VDC requiring further input. Reviewing case from RBFT suitable for discharge but requiring some specific specialist follow up Patients requiring specialist input but unable to go to Melrose House