Does the service fully or partially adhere to NICE guidelines and quality standards? (If partially please set out how the service does not conform with NICE) If the service does not fully conform, please confirm whether this will form a core requirement of your service specification from 2017/18. Also, has there been any external or internal (please state which) assessment of whether the service meets NICE guidelines and quality standards: Within the last two years or More than two years ago (Please state which?). If not, has there been any formal internal consideration as to whether the service meets NICE guidelines and quality standards? Appraisal dashboard criteria reference(s): DISN safety/quality and clinical – outcomes Please describe the future role and approach of the DISN service (whether enhancing an existing team or introducing a new team) in terms of: Analysis of required staffing year by year to 2020/21. Why you consider that the staffing set out in Q5 below will be sufficient to meet this need. How your knowledge of the needs of differing cohorts of local diabetes populations and their communities/services have influenced this model. Criteria for which inpatients will be referred to DISNs. How referral processes when in hospital will operate so as to ensure timely, appropriate access. The impact upon length of stay and the reasons for this. How reductions in in diabetes inpatients across the hospital, such as from medication errors and from hypoglycaemic and hyperglycaemic episodes, will be supported, including in terms of reviewing such episodes and promoting change in clinical practice. How the service will enhance the diabetes skills of other inpatient staff. Appraisal dashboard criteria reference(s): DISN cohort size, clinical – outcomes and safety/quality Describe your proposed implementation plan. Arrangements for clinical supervision of should also be set out. Use the following table to outline key actions, who will be responsible for delivering these and the expected timescales for completion, including for recruitment and/or training of DISNs. Appraisal dashboard criteria reference(s): DISN clinical outcomes – Please set out the specific actions you propose to take
Does the service fully or partially adhere to NICE guidelines and quality standards? (If partially please set out how the service does not conform with NICE) If the service does not fully conform, please confirm whether this will form a core requirement of your service specification from 2017/18. Also, has there been any external or internal (please state which) assessment of whether the service meets NICE guidelines and quality standards: Within the last two years or More than two years ago (Please state which?). If not, has there been any formal internal consideration as to whether the service meets NICE guidelines and quality standards? Appraisal dashboard criteria reference(s): DISN – safety/quality and clinical outcomes Please describe the future role and approach of the DISN service (whether enhancing an existing team or introducing a new team) in terms of: Analysis of required staffing year by year to 2020/21. Why you consider that the staffing set out in Q5 below will be sufficient to meet this need. How your knowledge of the needs of differing cohorts of local diabetes populations and their communities/services have influenced this model. Criteria for which inpatients will be referred to DISNs. How referral processes when in hospital will operate so as to ensure timely, appropriate access. The impact upon length of stay and the reasons for this. How reductions in in diabetes inpatients across the hospital, such as from medication errors and from hypoglycaemic and hyperglycaemic episodes, will be supported, including in terms of reviewing such episodes and promoting change in clinical practice. How the service will enhance the diabetes skills of other inpatient staff. Appraisal dashboard criteria reference(s): DISN – cohort size, clinical outcomes and safety/quality Describe your proposed implementation plan. Arrangements for clinical supervision of should also be set out. Use the following table to outline key actions, who will be responsible for delivering these and the expected timescales for completion, including for recruitment and/or training of DISNs. Appraisal dashboard criteria reference(s): DISN – clinical outcomes Please set out the specific actions you propose to take
tf-diabetes-app-form-part-b.docx