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Diabetes rapid access clinic: a bridge between primary and secondary care

Halfyard, C, McGowan, D, Whyte, MB and Gayle, C (2010) Diabetes rapid access clinic: a bridge between primary and secondary care In: Diabetes UK Annual Professional Conference 2010, 2010-03-03 - 2010-03-05, Arena and Convention Centre, Liverpool, UK.

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Background: Our health our say (1) and Diabetes Guide for London (2), recommend a move from hospital services to the community encouraging collaborative working between primary and secondary care. At a foundation hospital a joint Diabetes Rapid Access clinic (RAC) has been established to provide prompt access to specialist care, with a hospital Consultant Diabetologist and Community Diabetes Specialist Nurses (CDSN) from two local Primary Care Trusts. Patients are seen within 4 weeks of referral, with a view to a single assessment visit, with a discharge action plan and support from the Community DSN for implementation. Aims: To evaluate the dynamics and outcomes of a newly established Diabetes RAC, responding to the needs of the local diabetes population. Method: We looked at clinic attendance; route of follow up and glycaemic control at six month. Results: An analysis of the clinic dynamics including attendance rate showing low non-attendance at 10% (national average 18%). A comparison with a previous new patient clinic’s audit (3) with an 18% discharge to primary care; whilst RAC follow up was 61% to primary care (21% CDSN support; 21% primary care alone and 19% RAC follow up for 1 to 2 appointments). Only 39% required referral into secondary care services. The median HbA1c improved at 6 months by -0.9%, with an interquartile range between 1.85 and 0.2. Conclusions: The RAC has shown: improved access to specialist support, with high rates of attendance, joint working across primary and secondary care associated with positive patient benefit in improved glycaemic control.

Item Type: Conference or Workshop Item (Conference Paper)
Subjects : Nutrition
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine > Department of Nutritional Sciences
Authors :
Halfyard, C
McGowan, D
Whyte, MB
Gayle, C
Date : 3 March 2010
DOI : 10.1111/j.1464-5491.2009.02936.x
Copyright Disclaimer : © 2010 The Author. Journal Compilation ©2010 Diabetes UK. Copyright © 1999-2016 John Wiley & Sons, Inc. All Rights Reserved.
Depositing User : Symplectic Elements
Date Deposited : 21 Oct 2016 11:42
Last Modified : 31 Oct 2017 18:49

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