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.
