Non-Diabetic Hyperglycaemia (NDH) Enhanced Service
Introduction
The Confederation, Hillingdon CIC, aimed to enhance the quality of information provided to Primary Care Networks (PCNs) in the borough. They identified Primary Care IT to assist practices in delivering their Enhanced Services and IIF targets for the PCN DES, leveraging its specialist industry knowledge of EMIS and wider systems integration. Despite facing complex business rules, particularly in Non Diabetic Hyperglycaemia (NDH) Enhanced Service delivery, Primary Care IT successfully overcame these challenges through a suite of services, including setting up practice alerts and providing templates within the practice’s clinical systems.
Background/Challenge
As part of a partnership working arrangement, the objectives were to:
- Provide a gateway for timely, accurate, and complete NDH business intelligence for 2022/23.
- Provide single-user web portal access for clinicians and non-clinicians with relevant NDH information 24 hours a day.
- Provide data quality assurance for coding and templates against complex NHS England business rules standards.
- Installation of user-friendly resources and tools, in particular, NDH Enhanced Service templates to PCN and practices to optimize patient care.
- Provide education and training operational 365 days a year.
- Be the vehicle to help PCNs achieve value money for public funds for 2022/23.
Solution
Primary Care IT implemented a suite of services to address the project’s challenges:
- Setting up practice alerts and providing templates within clinical systems.
- Developing innovative practice dashboards on the OneAnalytics platform.
- Providing facilitators to assist PCNs in platform navigation and plan development.
Outcome
The project yielded several outcomes:
- On average, 4 weeks earlier performance reporting allowing earlier decision-making to optimize patient care.
- The PCNs achieved a NDH/Diabetes ratio of 1.62 compared to 1.22 across NW London ICS practices, resulting in a wider number of patients being appropriately diagnosed with NDH and benefitting from regular check-ups and screening.
- The PCNs achieved a completed health check rate of 52% for patients with NDH compared to 50% across NW London ICS practices, meaning an additional 701 patients had health checks than expected compared with the background rate.
- This resulted in wider ICS objectives for NDH being met.
- High provider satisfaction against contract requirements in 2022/23.
- Practice-by-practice performance report forecasting the end-of-year position, improving planning and resource allocation.
- Practices achieved 88% against maximum funding available, compared to 76% across the ICS leading to an additional £73,704.68 of funding for PCNs.
Conclusion
The successful collaboration between Hillingdon CIC and Primary Care IT demonstrates the effectiveness of partnership working in improving patient care and achieving NHS objectives. The project’s outcomes highlight the importance of data-driven decision-making and innovative solutions in enhancing healthcare delivery within the community. Moving forward, continued investment in such partnerships and technologies will be crucial for sustaining and furthering these achievements.