Local Enhanced Service Integrated Community Diabetes Service 2011-12 Offered to Health Local Commissioning Group Practices The aim of the Cam Health commissioned Integrated Community Diabetes Service is to deliver high quality and cost effective care closer to home. The Service will be responsive to patient need, enabling them to have equitable access to a range of professionals to support better self management and resulting in improved long term outcomes. Timely intervention and improved awareness by patients aims to reduce the numbers who require hospital referral and follow up, elective and non-elective admissions and the numbers developing complications. The model is an Integrated Community Diabetes Service, commissioned by Cam Health, and has a number of interrelated components: A monthly community consultant-led multi-disciplinary clinic to support the process of moving the care of diabetic patients from the hospital to the community and the practices Enhanced support to all practices with strengthened regular input from Community Diabetic Specialist nurses and dieticians, and the community Diabetologist, using virtual case discussions particularly of patients with poor control and/or complications, consultations within the practices and where needed home visits The Barriers Framework will be implemented and patients will have access to personal health planning and enhanced education programmes Primary care will provide the majority of care for patients with Type 2 Diabetes and support the care for patients with Type 1 Diabetes. The LES is intended to support Cam Health practices to engage in the initial implementation of the Integrated Community Service, and to encourage all Cam Health practices to fulfil the primary care element of the integrated service to ensure that a stepped improvement is achieved in management of diabetes patients, particularly those at most risk. All the elements formed part of the Cam Health Diabetes Business Case Contents:
Local Enhanced Service Integrated Community Diabetes Service 2011-12 Offered to Health Local Commissioning Group Practices The aim of the Cam Health commissioned Integrated Community Diabetes Service is to deliver high quality and cost effective care closer to home. The Service will be responsive to patient need, enabling them to have equitable access to a range of professionals to support better self management and resulting in improved long term outcomes. Timely intervention and improved awareness by patients aims to reduce the numbers who require hospital referral and follow up, elective and non-elective admissions and the numbers developing complications. The model is an Integrated Community Diabetes Service, commissioned by Cam Health, and has a number of interrelated components: A monthly community consultant-led multi-disciplinary clinic to support the process of moving the care of diabetic patients from the hospital to the community and the practices Enhanced support to all practices with strengthened regular input from Community Diabetic Specialist nurses and dieticians, and the community Diabetologist, using virtual case discussions particularly of patients with poor control and/or complications, consultations within the practices and where needed home visits The Barriers Framework will be implemented and patients will have access to personal health planning and enhanced education programmes Primary care will provide the majority of care for patients with Type 2 Diabetes and support the care for patients with Type 1 Diabetes. The LES is intended to support Cam Health practices to engage in the initial implementation of the Integrated Community Service, and to encourage all Cam Health practices to fulfil the primary care element of the integrated service to ensure that a stepped improvement is achieved in management of diabetes patients, particularly those at most risk. All the elements formed part of the Cam Health Diabetes Business Case Contents:
cambridge_diabetes_les_agreement.docx