PROMOTING DESMOND COURSE Caroline Mayles Lead Diabetes Educator A - PowerPoint PPT Presentation

PROMOTING DESMOND COURSE Caroline Mayles Lead Diabetes Educator

� A New designated team set up to run, promote and teach DESMOND course. � DESMOND Course- Newly diagnosed patients less than 12months diagnosis. � ADAM course- For Bedford Borough, west Mid Beds, Ivel Valley areas ONLY. Diagnosed greater than 12months. � DESMOND Foundation- For Chiltern Vale and Leighton Buzzard Areas ONLY. Diagnosed greater than 12months. � Now offering more venues throughout South Bedfordshire. Saturdays

� Use VERSION 4 TEMPLATE on System1 to ensure smooth referral process/up to date forms: � via e-mail: bhn-tr.icdsstructurededucation@nhs.net � via post: � Diabetes Education Team � Integrated Community Diabetes Service � Bridge House � Bedford Hospital NHS Trust � Kempston Road � Bedford MK42 9DJ � via Telephone 01234 730428 direct line For advice/queries only

� WHAT is DESMOND? Diabetes Education and Self Management for Ongoing and Newly diagnosed � Why promote DESMOND? New personalised care planning – Patient needs to lead their care, take ownership of their diabetes.

� How often do people see HCP for a diabetes s review? 6-12 monthly. � How can patient lead their care if they do not have the knowledge and skills to do this? They need to know: � Their numbers/Personal targets. � When to seek medical attention sooner � What they can do to improve their diabetes

� Designed to support the patient and make them the expert. � To empower patients to take control of their diabetes and make their own decisions. � We give them the knowledge and understanding of type 2 Diabetes to be able to do this.

� One day programme � Understanding what diabetes is, What the causes are and symptoms of diabetes. � What the treatments of diabetes are – Medication, food and activity choices. � What the complications of diabetes are -how to reduce long term risks through lifestyle choices, medication and reaching targets. � Self management plan- highlighting an area to change, how to make a change, what the barriers might be and how to overcome these barriers

� National Diabetes Audit investigated reasons for non-attendance. � Study Showed: ◦ Practitioners were vague in referring patients. ◦ GPs/Staff don’t emphasise the importance of attending ◦ Not seen as key priority for GPs ◦ Individual differences not considered: Cultural/physical disabilities/learning disabilities ◦ Not held at suitable times ◦ Patients not recognising Diabetes as a serious condition. ◦ Waiting time between referral and actual session.

� Evidence suggests health care professionals do not explain in a clear, motivational language the benefits of attending the programmes. (Lawal 2014) � Poor programme organisation: waiting times. � Poor contact with facilitators prior to the programme. (Lawal 2014) � Poorly advertised � Follow up from Desmond team poor � Poor venues

� Ensure the patient understands what the course entails and how it will benefit them. (personalised care planning) � Attend the DESMOND course as an observer. Consider individual e.g. hearing problems, learning difficulties,language barriers). � For now, refer to ICDS- 1-2-1 appointment. � Contact us if you have any referral concerns both positive and negative. � Let us know how we can make it easier. � Webinar sessions- motivational training skills. � Meet the team- Drop in sessions

� To offer more courses on varying days/times � To look at offering the course to patients with special needs/circumstances e.g. mosques, shorter sessions , picture based sessions, translators � to promote the course more e.g. large companies such as Tesco, BT, twitter � Staff training sessions to motivate patient to attend. � Inform Patient it is part of their care package/treatment plan � Supply patient information leaflets � Prompt on system 1 to offer at a later date � Refer patient to Diabetes UK-Taking control