Health services

Tender description

This service delivers two elements being the Community Specialist Nurse and Outpatients provision as part of the diabetes integrated pathway model. The fundamental aim of the integrated pathway model is to provide a seamless service for the management of diabetes where the majority of patients are supported to self-manage through primary care interventions, with referral to community care to support patients with short term problems. Access to secondary care is reserved for complex cases and specialist clinics that are consultant led and supported by specialist nurses. The fundamental aim of the integrated pathway model is to provide a seamless service for the management of diabetes where the majority of patients are supported to self-manage through primary care interventions, with referral to community care to support patients with short term problems. Access to secondary care is reserved for complex cases and specialist clinics that are consultant led and supported by specialist nurses. The objectives of an integrated pathway service model of care are to: — ensure that all healthcare organisations involved in providing diabetes care, through partnership, clearly own the responsibility for delivering excellent care to their local population, — provide clearly defined terms of accountability and responsibility for each health care professional/provider, — develop and deliver integrated pathways of care to support diabetes patients discharge after an acute admission, including community services and primary care, — ensure that users of the service have a co-ordinated and positive experience of care and that the service responds to patient’s views, — proactively contribute to a reduction in health inequalities for the population of Barnsley, — ensure equity of access to the integrated diabetes service. — improve patient experience. — reduce duplication of time, tests and information.