Winner

Integrated Diabetes Care for People with Advanced CKD : Clinical Research Programme (Dr Hellena Habte-Asres)

by Royal Free London Foundation Trust

Executive Summary

My doctoral study identified care gaps in managing diabetes in people with advanced CKD.

Recognising these gaps, I co-led a grant application in October 2022, securing funding to establish a diabetes service at the North Central Dialysis Unit. I implemented a new care model in NCL’s renal satellite unit.

This multifaceted approach included self-management education, lifestyle advice, medication optimisation, cardiovascular disease prevention, and psychosocial support, resulting in significant metabolic improvements, increased guideline-directed therapies, and greater access to diabetes technology. This model significantly improved health outcomes and reduced inequalities. The findings are published in Diabetic Medicine (http://doi.org/10.1111/dme.15381).

Judges’ comments:

“The entry from the Royal Free London Foundation Trust had lots of information and was very well researched. The objectives were clear and it had demonstrable clinical outcomes that could be replicated. This blew the judges away and the improvement in care was fantastic.”

Highly Commended

All Wales Diabetes Audit Plus Module

by Dr Sarah Davies, GP, National Diabetes Strategic Network, Wales

Executive Summary

Clinical prioritisation and a value based health care approach to patient care requires access to accurate, contemporaneous, accessible data. The development of the All Wales Diabetes Audit plus module enables every practice in Wales to access up to date practice level data across many aspects of diabetes care enabling a variety of Quality Improvement work. Cluster and Health board level data utilising this platform is driving improvements in care nationwide and the identification and targeting of inequalities in care.

Judges’ comments:

“The ‘All Wales Diabetes Audit Plus Module’ project imposes a high floor, so nobody falls though the net. The judges liked the breadth, national impact and fundamental building blocks. It had real life data that seemed to be updated daily.”

Commended

Population Health Data Enable Collaboration to Improve Diabetes Care

by CLCH

Executive Summary

The Brent Diabetes Service work collaboratively to meet the needs of the local population using data from Northwest London dashboard and National Audit data. With the aim to improve uptake of Structured education for newly diagnosed and ongoing people with Type 2 diabetes and injectable therapy, support of care home staff, clinical pharmacist, people with complex needs, work towards improving National Three Treatment Target (HbA1c, Cholesterol, Blood Pressure) with initial focus on HbA1c over 100 mmol/mol to get to an individualised HbA1c target while addressing health inequalities, and use of digital continuous blood glucose monitoring.

Judges’ comments:

“The CLCH work was a big project with big implications across a large community. It was a fantastic example of population health outcomes. The judges liked that it covered diversity with good use of the data.”

Finalist

”What gets measured, gets managed!” From Negative to Positive Outlier: Quality improvement using PDSA cycles improves performance on NPDA key care processes for Birmingham Children Hospital

by Birmingham Women’s and Children’s Foundation Trust

Executive Summary

From 2018 to 2021, Birmingham Children’s Hospital (BCH) was a negative outlier in the National Paediatric Diabetes Audit’s seven key care processes. To address this, BCH adopted Quality Improvement (QI) initiative using Plan-Do-Study-Act (PDSA) cycles in 2022. The team initially focused on enhancing the annual review clinic, resulting in improved care delivery. By 2023, they expanded their efforts to include all clinics, integrating data driven insights and accountability, leading to novel approaches. This data-driven methodology significantly improved the completion of care processes, transitioning BCH from a negative outlier to an above-average performer by 2023 and anticipated positive outlier in 2024.

Judges’ comments:

“Birmingham Women’s and Children’s Foundation Trust’s project had a clear, methodical approach and a solid set of results. The patient outcomes were impressive and was a whole teach approach, with not just the leads taking it forward.”