BSPED2018 Poster Presentations Diabetes (40 abstracts)
RCPCH QI diabetes collaborative: improving the clinic experience
Vellore Abithakujambal , Joanne Brown , Debbie Harris , Sarah Cheney , Mihirani Balapatabendi , Kate Dembenski , Sam Adams , Emily Yiend , Faye Cave , Jodie Padmore , Rosie Shield , Raphaella Rookes , Irene Odeny , Henry Tellwright , Iga Kasperek , Nicky Dobbin , Sandra Harrison , Alison Wood & Susan Matthai
Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Introduction: Gloucestershire Paediatric Diabetes Team has implemented several innovations including carbohydrate counting from diagnosis, annual review clinics and family events. We seek to improve our patient engagement and experience to improve health outcomes.
Aim: Improve the clinic experience for patients, their families and staff, based on their input, thereby encouraging greater engagement and patient attendance as part of the RCPCH quality Improvement programme.
Methods: We undertook mapping of our current clinic process and ideal clinic. We collected feedback from patients, families, clinic staff and our team members. We identified main areas for improvement. Interventions were implemented and evaluation done.
Interventions and results:
| Aim | Areas identified for improvement | Solutions implemented | Results based on patient survey |
| To improve clinic experience for patients | Clinic feeling ‘interview like’ | Clinic layout and furniture rearranged into ‘coffee table’ setting | 88% were positive about changes in clinic layout, 12% neutral |
| Patient engagement in clinic and wanting greater involvement in care decisions | Development of ‘getting ready for Clinic’ sheet enabling patient-led consultation and to provide clear written action plans to be taken away from clinic | 94% positive responses, 6% neutral | |
| Need for patients to have greater ownership of their diabetes management | Providing instruction leaflets and guidance on Diasend downloading in clinic to enable all patients to download from home Introduction of Hba1c record charts in clinic | 86% found instructions valuable 72% were happy to download at home. Some indicating that knowing they would need to download in clinic would encourage to download at home prior to clinic. | |
| Reduce time spent waiting in the MDT clinic | Data on clinic waiting times were collected. Amending appointment letters to request patients arrive 15 minutes early for clinic | Amendments made recently and clinic times being reviewed (as 3 monthly clinics) |
Conclusion: Verbal and written feedback has shown families and children are engaging to a greater extent and more involved in their own diabetes management. They are more relaxed and have now found their voice. The project has enabled us to improve our team working.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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