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       #Post#: 154--------------------------------------------------
       What are the barriers to the implementation of DAFNE service?
   DIR By: admini5
       Date: May 13, 2015, 5:31 am
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       There are significant variations across the UK with regard to
       access to commissioned structured education that meets the
       national criteria. Also, even where DAFNE has been commissioned,
       the service is not commissioned at a rate to ensure access to
       courses by eligible patients.
       DAFNE requires multidisciplinary team working and challenges
       conventional diabetes care because the patient is more empowered
       and actively manages their diabetes. Structured education needs
       to become part of the routine diabetes service and supported by
       the entire team. There may be a need for changes to local care
       pathways to effectively embed DAFNE within the service, rather
       than it being seen as an 'add on'. As with any new service, it
       can be challenging to introduce and embed DAFNE into service;
       however the central office provides support and regular
       opportunities for centres to share experiences and best practice
       within the DAFNE collaborative.
       For further information, please go to :
  HTML https://arms.evidence.nhs.uk/resources/qipp/899091/attachment
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