This case study was created by Changing Health using data from one GP practice. It's designed to illustrate how digital innovation and collaboration can help overcome challenges in uptake of structured education. If you'd like to learn how this model can improve uptake for your practice or wider area, please get in touch. This solution is now being applied in partnership with a number of NHS organisations.
Challenge
Nationwide, attendance at structured education for Type 2 diabetes has declined each year since 2012 and is currently at only 7.6% of those newly diagnosed, despite the fact that 71% were referred. Whilst referrals have increased, attendance has not, despite now being part of the CQC improvement and assessment framework
Nationwide, attendance at structured education for Type 2 diabetes has declined each year since 2012 and is currently at only 7.6% of those newly diagnosed, despite the fact that 71% were referred. Whilst referrals have increased, attendance has not, despite now being part of the CQC improvement and assessment framework
Over a period of several months, our team in collaboration with NHS partners developed an innovative solution to tackle this large drop in attendance by identifying barriers across the 3 key areas noted below:
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Users become disengaged
Lack of personalised support at point of referral, physical meetings require time off work, and long waits to get on to available sessions reduces urgency, drives disengagement and creates a perceived low value. |
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Staff are swamped with volume
Analogue systems require significant levels of administrative support to recruit people onto programmes (letters and phone calls). |
Trainers in limited supply
Scarcity of coaches with the skills and knowledge to deliver high quality education. Illustrated by the 40,000 nurse vacancies and
Scarcity of coaches with the skills and knowledge to deliver high quality education. Illustrated by the 40,000 nurse vacancies and
Solution
By taking a holistic approach across, we overcame key barriers thereby significantly increasing attendance, whilst laying the foundations for rapid scale with no further resource.
Below are our recommendations and learnings:
By taking a holistic approach across, we overcame key barriers thereby significantly increasing attendance, whilst laying the foundations for rapid scale with no further resource.
Below are our recommendations and learnings:
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Instant access keeps engagement
Ensure a person can be referred, registered and begin within minutes of diagnosis. This rapid access treats diabetes seriously and with the respect it deserves. |
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Digital referral frees up staff
Move the referral process from PDF forms and phones to a simplified digital approach. Ensure the new registration system integrates directly into primary, community and secondary care settings. |
Support HCPs VS. increasing work load
Providing HCPs CPD accredited training on how to implement evidenced based behaviour change techniques into day-to-day clinical practice.
Providing HCPs CPD accredited training on how to implement evidenced based behaviour change techniques into day-to-day clinical practice.
Outcomes
Our pilot practice achieved great success with an increase from 2.4% to 12.7% attendance in just 14 days by applying our innovative approach.
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The Changing Health brochure provides insight on the market’s challenges around Type 2 diabetes and potential savings through Changing Health.
Download it now to discover:
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