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...successful popular Coventry among both the healthcare professionals and the service users.
Key words
- GPwSIs
- Triage
- Care pathway
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Coventry city has population of approximately 305000, with 11% from an Asian background (National Statistics, 2006). In the Indices of deprivation 2004, Coventry was ranked at 64 out of 354 local authorities in England (with number 1 being the most deprived; Department for Communities and Local Government, 2004). The latest survey of people with diabetes suggested that there were just under 12000 such individuals in Coventry (Health and Social Care Information Centre, 2005), although epidemiological modelling suggests that the figure should be closer to 15000 (Yorkshire & Humber Public Health Observatory, 2005).
Before the establishment of the GP with a Special Interest (GPwSI) in diabetes service, referrals from primary care went to the local hospital: University Hospitals Coventry and Warwickshire. In common with many other diabetes units, the secondary care team found themselves overwhelmed by 'revolving door' patients (who previously would have been on continual review in the diabetes clinic), with insufficient resources to absorb the growing numbers of referrals and to adequately address diabetes complications.
In 2004/2005, the local diabetes implementation group agreed a new integrated model of care supported by additional investment from the primary care trust (PCT). The GPwSI service was considered an important component of the Coventry diabetes model of care that was to be implemented from 2005.
The Coventry diabetes model
The Coventry diabetes model (see Figure 1) is a system of care designed to empower primary care. The whole emphasis of the model is to continue the care of patients in primary care who previously would have been followed up in a secondary care clinic. This process of empowerment is mediated via initiatives such as the two-stop GPwSI clinic model (McMorran...
NOTE: All illustrations and photos
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