Torbay Paediatric Diabetes Team - Working with you, for you - RCPCH
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Torbay Paediatric Diabetes
Team
Art work and wording by Lilia, age 8 Art work and wording by Megan, aged 10
Working with you, for you
Where are we?
• Torbay covers an area of over 24 square miles
• It is made up of the three towns of Torquay, Paignton
and Brixham
• Over 20 beaches and secluded coves along 22 miles of
coastline, also known as the English Riviera
However the team cover the wider area in South Devon,
from Dawlish warren to Kingsbridge, Ashburton and
Dartmoor
Inequalities have been widening as relative deprivation
worsens; Torbay is ranked as the most deprived local
authority in the South West region (JSNA, 2018)
PZ152 Case load total - Jan 2020: 133 Patients
125 diagnosed with Type 1 Diabetes
4 diagnosed with Type 2 Diabetes
1 diagnosed with MODY
3 currently Undiagnosed
Team finally starts their
journey together………………...
• The number of children looked after by
PZ152 have 709 per 10,000 who are either a child the local authority remains amongst the
in need, looked after child or on the child highest in England
• Around 1 in 4 children continue to live in
protection register compared with the south west households where income is less than
that has 407/10,000 and England and Wales that 60% of the median income (living in
poverty)
has 350/10,000
• Torbay’s economy is amongst the
weakest in England, and has declined in
recent years
……..following on from the newly diagnosed pathway
PZ152 Data
Adjusted Mean HbA1c Results
80 78 77.3
75 72.1 72.2
70.6 69.2
70 68.3 67.3 67.5 Torbay
65 UK
60
2014/15 2015/16 2016/17 2017/18 2018/19
Case Load Ages
19
16
15
12
9 9 9 9
7 7
5
4 4 4
3 3
4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years 16 Years 17 Years 18 Years 19 Years
& BelowQi Begins……………..
Communication
Education DRIFTERS One Team
One Message
Patient
discharge
TEAM CLINIC
Statement QI Meetings Paperwork Technology
Questionnaire Clinic
Review ExperienceOur purpose and work to
date
July saw…………………………..
Common • Lots of small incremental changes
on the Newly diagnosed patient
Language
“Drifters”
pathway post discharge
• First team pub social !!
Equal access to August started well…………..
information • Compiling advice files
Led to…………………………
• Summer Holidays impacting QI
team project progress
Engagement • Adhoc coffee/lunches !!
September currently.………….
Monitoring & • Team Re-focus
• Measuring & monitoring parameters
Measuring agreed
• More adhoc met ups !!What have we learnt ?
What has the team tried?
Team message to be consistent Team Communication Sheet
Team questionnaire on language
Increased contact time as a team
Team meetings timed agenda
Clear goals
Learn from peers and adult team
Resource Files
Online advice – download sheets
Technology – Advantageous
Education for patients
Social media presence
Patient communication – smart
phones, emails, newsletter
Ipads PREM & Deapp
Optimising Clinic Experience Patient handheld clinic outcome
sheet/clinic
Ten Top Tips
Quarterly topic in clinic area
Raising Expectations of Patients Post-discharge pathway
Increasing self managementOur improvement journey
The steps we continue to take:
One Team Reviewing Technology
Team Well Patient
One Clinic Download Education
Being Feedback
Message Journey ClinicsThoughts after TorQi
Continue Supporting Need to keep
to laugh each other momentum
going
Remember
same team,
Excited to same message
be part of Every idea Open to new
the project doesn’t always ideas of
work but that’s ok working
Improved our
team Liaison
Made us
Protected time
Cohesive dedicate time
together
working, feeling to review and
Team of unity improve care
commitment
Motivating, gave us Keep focused
To not be on patient
To keep the chance to
afraid, to just journey
making time evaluate and review
go for it!
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