But I wonder if all of you could all help?
Do you know who your CCG Lead GP and Lead Diabetes Commission Manager is?
If you do, can you forward this blog to them? If you don’t, could you find out and pass this blog to them?
I am hoping this blog will help them to support improvement in the CCG Improvement and Assessment Framework indicators for diabetes.
I’ll try and explain how.
This year’s National Diabetes Audit report was published on the 31st of January 2017.
The data for this report was uploaded last Summer.
The National Diabetes Audit is the source data for the CCG Improvement and Assessment Framework.
The participation rates in the National Diabetes Audit dramatically increased from 57.3% in 2014/15 to 82.4% in 2015/16. The data this year for most CCGs will be much more reliable.
So the report gives us some clues about how each CCG will be preforming in this year’s CCGIAF Assessment for the 2 diabetes indicators:
· “Diabetes patients that have achieved all the NICE-recommended treatment targets: Three (HbA1C, cholesterol and blood pressure) for adults and one (HbA1C) for children.
· People with diabetes diagnosed less than a year who attend a structured education course”
We are expecting the CCGIAF assessment to be published sometime in early Spring. The results were published last year on My NHS.
6 CCGs already know that they will be ranked automatically as “Greatest Need for Improvement” for their diabetes indicators because they had less than 25% of practices participating.
We also already know, that based on the NDA report, most CCGs will find that they have not improved since the CCGIAF report last year.
Do not panic!
There is a reason for this.
We only knew what the indicators were in April 2016. This gave us only 3 months before the national diabetes audit upload period in the Summer of 2016. 3 months did not give enough time to deliver any significant improvements.
HOWEVER, the next audit upload period is provisionally expected during June and July this year. By this point we would have known about the 2 diabetes indicators for 15 months. So we should expect to see some improvement when the data is reported on early in 2018.
Do you think we will see improvement?
My urgent advice is to get some retrospective data inputting done.
Use the recently published guidance on simplifying coding for structured patient education and work with your providers to identify those patients that have been referred to structured diabetes education since April 2015. Then find a method to get that data into your GP systems………….. and do it before the 1st of June 2017.
Why all the way back to April 2015? Well the NDA data capture for attendance at structured education has changed:
“Structured Education was collected differently in the 2015-16 audit. This has meant that the time between diagnosis and the offer of structured education to the person with diabetes can be determined in days. Therefore the numbers of people newly diagnosed within the calendar year and gives the number and percentage of people that have been offered structured education in the following 12 months, and the number and percentage of people that have attended a structure education programme in the 12 months following diagnosis .” NDA Report 2015/16
We know, from the work done by the York and Humber Clinical Network, that the “attendance” at education is poorly captured in GP systems.
If want a quick win it would be helpful to work with structured education providers and GP practices to input this retrospective information.
Also I have a hunch that data capture for Type 1 treatment targets in GP systems could be improved too.
I know this is dull stuff but could you help to make sure your CCG Diabetes Leads read this blog?
I need to thank Surrey Heath CCG for inspiring me to write this blog and the East Midlands Clinical Network Diabetes Lead who pointed out some important technical detail.
And ...... thank you for your help too.