Diabetes team awardBMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h1553 (Published 26 March 2015) Cite this as: BMJ 2015;350:h1553
- Nigel Hawkes, freelance journalist, London, UK
Diabetes sans frontières
“Diabetes care tends to be entirely reactive,” says Ian Gallen, consultant community diabetologist at Royal Berkshire Foundation Trust. “Patients are seen yearly, they’re tested, they come back and hear the results, then they’re reviewed again in six months. The scale of the decline is faster than the rate at which patients are seen.”
In west Berkshire four clinical commissioning groups collaborated to turn round results that in 2009-10 were among the worst in England. The approach included better education for patients and professionals, monthly team meetings, and virtual clinics supported by excellent IT. As community consultant Gallen spends the bulk of his time out and about, visiting the 52 general practices in the area to see patients identified by IT as being at particular risk.
“It works,” he says. Data show better control, with more patients completing care processes and more achieving glucose targets. There have also been savings of more than £800 000 a year in prescribing costs.
Digital technology and diabetes
Type 1 diabetes in children and young people has its own set …
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