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#Post#: 164--------------------------------------------------
How to reduce risk of developing long term complication of diabe
tes?
By: admini5 Date: May 13, 2015, 5:47 am
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To develop a systematic approach to improving the outcomes of
people with diabetes by reducing their cardio-metabolic risk. By
improving the outcomes of care delivered within primary care,
the programme aimed to reduce admission rates to hospital.
In 2008, people with diabetes living in Greenwich had some of
the poorest outcomes in the country as measured through Quality
Outcomes Framework (QOF) achievement rates. Only 53.7% of
patients with diabetes had an HbA1c <7.5% (DM20), which was in
the bottom 1% of PCTs. 76.7% of patients with diabetes had a
cholesterol level of <5 mmol/L (DM17), which was also in the
bottom 1% of PCTs. 76.9% of patients with diabetes had a blood
pressure of <145/85 mmHg (DM12), which was in the bottom 14% of
PCTs. As a result, a new initiative was launched to develop a
more systematic approach to secondary prevention in primary
care. As part of this initiative NHS Greenwich joined a
partnership with MSD (UK subsidiary of Merck) to deliver
improvements using the established EVIDENCE into PRACTICETM
programme, which provided assisted, structured cardio-metabolic
risk management and supported sharing of best practice and
continuing professional development. This programme ‘aims
to ensure that people with diabetes and those at increased
cardio-metabolic risk receive optimal care through the effective
implementation of national policy and guidelines, particularly
NICE Type 2 Diabetes Guidelines’ (NICE 2009, see contacts
and resources).The programme was designed to improve health
outcomes of people with diabetes through the implementation of
national and/or local guidelines. An additional aim is to ensure
that the practices are self-sustaining in the future.
The service objectives were:
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general practice in order to improve secondary prevention
outcomes, including blood pressure, HbA1c and cholesterol
management.
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identifying pre-diabetes, managing patient-centred plans and
reviews, educating patients about self-management and any other
aspects of diabetes care.
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NHS and Social Care Long Term Conditions Model' (Department of
Health 2005).
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obesity, cardio-metabolic risk and established disease including
diabetes, occlusive arterial disease and chronic kidney disease.
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what needs improvement.
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clinical behaviour and interventions.
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example, people with diabetes and occlusive arterial disease
with increased cardio-metabolic risk factors.
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benefit from a structured lifestyle intervention and
cardio-metabolic risk reduction programme.
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behaviour and service provision to improve outcomes.
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knowledge and potential training needs.
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The pilot practices were selected according to a number of
criteria, including prevalence rates of coronary heart disease,
diabetes registers and deprivation rates. Practices were
included if they had a diabetes prevalence that was higher than
the national average, a coronary heart disease prevalence that
was higher than the national average and/or an index of multiple
deprivation score that was higher than the national average.
For further detailed information, visit:
HTML https://arms.evidence.nhs.uk/resources/qipp/899089/attachment
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