A team from Worthing who developed an integrated diabetes service have won the Nursing in Practice Diabetes Award.
Diabetes nurse consultant, Sara Da Costa and her team were responsible for implementing an integrated diabetes service, and transforming a fragmented, secondary care based service, into a co-ordinated primary and secondary care service, which delivers specialist care earlier and closer to home.
To gain evidence of benefit, Sara piloted a diabetes specialist nurse (DSN) and practice nurse clinic in primary care. The moving of services out into primary care also had the potential for Payment by Results savings. This enabled funding for three primary care DSNs to set up collaborative clinics in 32 practices. Collaboration includes the practice nurse in these clinics, thus leaving a legacy of evidence-based care in the practice.
The model was developed over the last 5 years and now involves liaison with other departments within the acute trust- endoscopy and preassessment, where patients have treatment changes discussed and control optimised prior to procedure or surgery, reducing surgery cancellations and improving patient satisfaction and safety.
Co-location in the diabetes centre, with access to regular clinical supervision, and effective management and leadership have been key to the success of this change which has affected the whole health community.