The novel use of commonly captured data to assess a district's diabetes service that encompasses both primary and secondary care

摘要

Aim: To identify commonly captured data in the UK to look at the performance of a district's diabetes care that encompasses both primary and secondary care.Methods: Primary care quality outcomes framework (QOF) measures for diabetes, referral rates for first appointment for specialist secondary care and emergency admission rates for diabetes (Dr Foster/HES) were used to produce a performance index scoring system. Illustrative measures from QOF were total diabetes points, DM23 attainment of HbA1c <7 (53 mmol/mol) and its exemption rate (number of patients excluded from analysis). The performance index was used to study the effectiveness of the Medway district diabetes service and this was compared to another district (Guildford) within the same Strategic Health Authority and nationally.