World Diabetes Day

World Diabetes Day is an opportunity to acknowledge the innovative work of local clinicians who recently won the Integrated Health Care Award at the 2016 NSW Health Awards.

“The Diabetes Alliance project is a real life example of how we are integrating care to benefit, patients, clinicians and the healthcare system”, said Richard Nankervis CEO of HNECC PHN.

“One of the key innovations of this project is that it takes a traditional hospital based diabetes out-patients clinic which is conducted by an Endocrinologist and moves it to a GP’s surgery”

“The consultation takes place at the patient’s regular GP clinic and the Endocrinologist and a specially trained diabetes nurse run the clinics in collaboration with the GP and Practice Nurse”

“This model provides intensive upskilling for the GP and Practice Nurse and results in comprehensive patient information being directly available in the GP’s data base which saves time and resources”

An evaluation of the project to date has shown:

  • 60% reduction in number of patients at very high risk of hospital admission
  • Just over half the patients lost weight
  • Patients who exercised for more than 30 min/day increased from 30% to 75%
  • 88% of patients reported improved skills in self-management
  • 100% involved clinicians felt experience satisfying/very satisfying

“We know that patients with diabetes visit a GP 12 times more often than the general population and in 2013 over 10 000 bed days were used in the Hunter for complications of diabetes. So coming up with new models of care to manage diabetes is essential.”

“A key objective of the PHN is provide our community with “joined up” care so they get the right care, at the right time and in the right place. This project is an example of how we are collaborating as part of an Alliance with Hunter New England Local Health District, Calvary Mater and Hunter Primary Care to develop a person centred model of care that is efficient, cost effective and sustainable.”

“The key to improving the prevention and treatment of chronic diseases is to strengthen primary health care - treating chronic diseases before they become acute and need more expensive hospital care. Saving hospital resources for those who need them is essential for the future sustainability and quality of our health care system.”

“The Hunter Alliance Diabetes project demonstrates our capacity to develop better models of care for patients and is one solution to the major challenge that diabetes poses to our region.”