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The MK IDS is a service commissioned by NHS Milton Keynes.  It is a Diabetes Specialist Support Service designed to support the Aims of the Health & Social Care Act 2012 (1) in promoting patient choice, improving outcomes and moving care in to the community.

Overview

In 2017 NHS Milton Keynes commissioned a new service to work as a 'proof of concept' service.  This was to develop an integrated, proactive, modern and comprehensive service for adults living with diabetes. 

The service is provided by MK IDS and aims to support all adults with diabetes who are registered with a GP in Milton Keynes CCG.  The 'proof of concept' will run for at least 18 months, whilst we redesign and improve the diabetes pathway in Milton Keynes.

Overarching Service Delivery

The aim of the service is to help improve clinical outcomes, improve the quality of life for people with diabetes and reduce mortality and morbidity rates. 

Improving standards of diabetes care in Milton Keynes by:

  • Ensuring that evidence-based, standardised diabetes care is delivered in line with the National Service Framework (NSF)(2) & National Institute for Health & Care Excellence (NICE)(3) as well as the Department of Health Standards for Better Health 'Your Health, Your Care, Your Say' (4).
  • Improving the understanding and empowerment of people with diabetes to enable them to self-manage their condition.
  • Reducing reliance on hospital services for routine diabetes care.
  • To work within NHS Milton Keynes prescribing guidelines related to diabetes.
  • Reducing costs associated with diabetes care.
  • Ensuring that we provide equitable access and meet the diverse needs of people living with diabetes in Milton Keynes.
  • Diabetes competencies used will be identified by Skills for Health and aligned to the Integrated Career & Competency Framework for Diabetes Nursing. (3rd edition) (3).
  • The assessment and review of care planning will be in accordance with 'Year of Care' (4) guidance and knowledge and information , Care Planning  and Diabetes. (5).

The MK IDS is a service commissioned by NHS Milton Keynes.  It is a Diabetes Specialist Support Service designed to support the Aims of the Health & Social Care Act 2012 (1) in promoting patient choice, improving outcomes and moving care in to the community.

Overview

In 2017 NHS Milton Keynes commissioned a new service to work as a 'proof of concept' service.  This was to develop an integrated, proactive, modern and comprehensive service for adults living with diabetes. 

The service is provided by MK IDS and aims to support all adults with diabetes who are registered with a GP in Milton Keynes CCG.  The 'proof of concept' will run for at least 18 months, whilst we redesign and improve the diabetes pathway in Milton Keynes.

Overarching Service Delivery

The aim of the service is to help improve clinical outcomes, improve the quality of life for people with diabetes and reduce mortality and morbidity rates. 

Improving standards of diabetes care in Milton Keynes by:

  • Ensuring that  evidence-based, standardised diabetes care is delivered in line with the National Service Framework (NSF)(2) & National Institute for Health & Care Excellence (NICE)(3) as well as the Department of Health Standards for Better Health 'Your Health, Your Care, Your Say' (4). 

 

 

 

Overarching Service Delivery

The aim of the service is to help improve clinical outcomes, reduce mortality & morbidity rates and improve the quality of life for people with diabetes by:

 

    • To work within NHS Milton Keynes prescribing guidelines related to diabetes. 
    • Improving the understanding and empowerment of people with diabetes to enable them to self-manage their condition 
    • Reducing reliance on hospital services for routine diabetes care
    • Reducing costs associated with diabetes care
    • Ensuring that we provide equitable access and meets the diverse needs of people in Milton Keynes. 
    •  Diabetes competencies used will be identified by Skills for Health and aligned to the Integrated Career and Competency Framework for Diabetes Nursing (3rd Edition) (3).
    • The assessment and review of care planning will be in accordance with ‘Year of Care’ (4) guidance and Knowledge & Information Repository, Care Planning and Diabetes (5).

The service will provide support with specific projects which include:

Patients who are currently seen by hospital outpatient services are assessed for suitability to transfer back to sole care of their general practice with patient and GP agreement.

  • Supporting primary care through both the training  and direct professional support from the consultants and DSN's.
  • Providing education to General practioner's, practice nurses, district nurse and other HCP through study day's, forums, meetings and 1:1 support
  • Offering direct support to all Health Care Professionals dealing with the delivery of diabetes care throughout MK.
  • Liaising with the Ambulance Service to reduce the number of ‘hypo’ callouts and support primary care in the follow up of these patients.
  • Supporting/updating other health care providers on all the care processes in diabetes.

References:

  1. Department of Health (2012) The Health and Social Care Act
  2. Department of Health (2006) Our Health, our care, our say: a new direction for community services (White Paper).
  3. TREND-UK (2010) An Integrated Career and Competency Framework for Diabetes Nursing. 3rd edition.
  4. Diabetes NHS UK (2011) Year of Care: Report of findings from the pilot programme
  5. NHS Diabetes (2012) Knowledge & Information Repository: Care Planning and Diabetes
  6. NICE Ti &T2

Further Information