Trusts were supported by the GIRFT team to adapt and roll out the IP3D pathway. Trusts also adopted a Diabetes Perioperative Passport, a booklet given to patients before surgery to help them prepare for admission to hospital. Trusts taking part in the pilots each recruited a Perioperative Diabetes Specialist Nurse (PeriopDSN) to offer support and education to staff and people with diabetes undergoing surgery.
Where does diabetes pilot store data professional#
They will present and discuss the evaluation of the pilots at the Diabetes UK Professional Conference 2022 on 28 March, in a session on inpatient care. The project has been led by GIRFT joint clinical lead for diabetes, Professor Gerry Rayman MBE, and workstream delivery manager Emma Page. In 2019, GIRFT began a project to replicate the Ipswich model and roll out IP3D into 10 pilot trusts to see whether similar improvements could be achieved. The IP3D programme was first established at Ipswich Hospital (part of the East Suffolk and North Essex NHS Foundation Trust), where it successfully improved the outcomes and experience of people with diabetes undergoing elective care. To help reduce complications and LoS, the GIRFT report recommended that all trusts should have clear, audited perioperative pathways for people with diabetes, as well as a perioperative diabetes team. Around 330,000 surgical procedures are carried out on patients with diabetes in the UK annually, and their length of stay (LoS) in hospital is on average three days longer than patients without diabetes (four days for those admitted as an emergency).
The GIRFT national report for diabetes, published in 2020, highlighted that up to 20% of all hospital beds in England are occupied by patients with diabetes, although most (92%) are admitted for other conditions and illnesses. Ten trusts* took part in the initial pilot and it there are now plans to roll it out to a further 20 trusts where GIRFT data shows there is an increased length of stay for people with diabetes undergoing surgery.
Where does diabetes pilot store data free#
GIRFT is now exploring avenues for the pilots to be expanded, to help reduce the length of stay for patients with diabetes and free more hospital beds, supporting the post-COVID NHS drive to cut waiting lists for routine operations. Improvements in patient safety, fewer complications, less time spent in hospital and a better overall patient experience are among the benefits demonstrated as a result of the Improving the Perioperative Pathways of Patients with Diabetes (IP3D) programme. A GIRFT-led pilot programme has been successful in improving the care of patients with diabetes before, during and after surgery, according to an independent post-pilot evaluation.
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