Winner
Juliana Dike

Executive Summary
There are a number of service users who are reliant on the Community Nursing Teams to administer their insulin. These service users remain on the caseload indefinitely whilst the case load continues to increase year on year. The project will look at how to empower service users and their carers to self-administer insulin and thereby reduce the District Nursing caseload. This can be done by training them at the point of diagnosis and by working with partner organisations to reduce the number of diabetic patients on the district nursing caseload by 20% by January 2025.
Winner
Hillingdon Hospital CYPD Team

Executive Summary
We identified that our standard clinic structure was not suitable for all of our patients, specifically those with neurodiversity or additional mental health needs. Following feedback from these families, we identified key issues including the clinic environment, length of appointment and professionals present. We then introduced a clinic specifically for patients who found the standard approach challenging. Changes included minimising the number of professionals and ensuring consistency, removing the waiting room so the patient goes immediately into one room where they remain for the duration, a structured programme of health checks across the year and availability of appropriate resources.













