Appendix 1: How our recommendations correspond to sections in this document
Effectiveness of the Get Checked diabetes programme.
| Original recommendations | Sections in this document | |
|---|---|---|
| 1 | We recommend that district health boards work with programme administrators to identify those patients in patient management systems who have been diagnosed with diabetes. | Identifying people who have been diagnosed with diabetes (Part 2) |
| 2 | We recommend that district health boards work with programme administrators to identify those people in the population diagnosed with diabetes who are not taking part in the programme, ensure that they have been invited to join the Get Checked programme, and (if possible) note and address their reasons for declining. | Identifying people diagnosed with diabetes who are not getting checked (Part 2) Encouraging people to participate in the programme (Part 2) Recording why people decline the free annual health check (Part 5) |
| 3 | We recommend that district health boards work with primary health organisations to monitor the preparation and audit the quality of treatment plans, and establish the effectiveness of these plans over time. | Checking diabetes treatment plans (Part 4) Establishing the effectiveness of treatment plans (Part 4) |
| 4 | We recommend that the Ministry of Health review and, if necessary, update the national referral guidelines. | Not discussed in this document because the recommendation is for the Ministry of Health. |
| 5 | We recommend that district health board specialist diabetes services maintain enough data on the numbers of patients attending their clinics, the complexity of patients’ conditions, and waiting times to enable the district health board to identify and plan for the funding and resources needed to provide adequate diabetes services at this level. | Managing service demand (Part 3) |
| 6 | We recommend that those district health boards where there are shortfalls in specialist diabetes services investigate the shortfalls and provide additional services as considered necessary. | Managing service demand (Part 3) |
| 7 | We recommend that district health boards ensure that the information in their diabetes registers is accurate and updated, and work with programme administrators to identify, clarify, and resolve current problems affecting data quality. | Ensuring that diabetes registers are accurate and up to date (Part 2) |
| 8 | We recommend that district health boards ensure that enough audit processes are in place to verify that payments are being made for genuine annual checks, and that they work with their programme administrators to achieve this. | Not discussed in this document because our focus here is on improving the effectiveness of the programme. |
| 9 | We recommend that district health boards work with programme administrators to ensure that the data from the Get Checked programme is thoroughly analysed and the results regularly reported back to general practices to improve diabetes care. | Regular reporting of programme data to general practitioners (Part 3) |
| 10 | We recommend that district health boards work with primary health organisations and programme administrators to ensure that adequate clinical audit is carried out to provide assurance that general practices are providing diabetes care in line with the evidence-based best practice guidelines and national referral guidelines. | Clinical audit of diabetes care (Part 4) |
| 11 | We recommend that district health boards work with local diabetes teams to carry out a more robust analysis of supply and demand for diabetes services at both the primary and secondary care levels, so that any shortages in services provided at both the primary and secondary care levels can be identified. | Analysis by local diabetes teams of secondary diabetes service gaps (Part 6) |
| 12 | We recommend that the Ministry of Health and district health boards review the role of the local diabetes teams to establish how these teams are best able to adequately fulfil the role of providing advice on the effectiveness of healthcare services for people with diabetes. | Improving the effectiveness of local diabetes teams (Part 6) |
| 13 | We recommend that the Ministry of Health and district health boards consider how to improve the adoption of the local diabetes teams’ recommendations. | Listening to your local diabetes teams (Part 6) |
| 14 | We recommend that district health boards work with primary health organisations to continue to focus on removing the barriers to Māori and Pacific Island peoples accessing the Get Checked programme. | Removing barriers for Māori and Pacific Island peoples to diabetes care (Part 5) |
| 15 | We recommend that the Ministry of Health and district health boards work with primary health organisations to evaluate existing initiatives for removing barriers to accessing diabetes care, and ensure that there is a mechanism in place to disseminate successful initiatives throughout district health boards and primary health organisations. | Evaluating and sharing successful initiatives to remove barriers to diabetes care (Part 5) |
| 16 | We recommend that district health boards consider whether initiatives need to be put in place for populations within their districts other than Māori and Pacific Island peoples who also experience barriers to accessing diabetes care. | Removing barriers for other groups to diabetes care (Part 5) |
| 17 | We recommend that district health boards and the Ministry of Health carry out further analysis (for example, cohort analysis) of the effect that the Get Checked programme has had on diabetes care and management, to better understand how the programme and other factors contributing to diabetes care are linked and to identify what further improvements can be made in diabetes care and management. | Identifying improvements to the programme (Part 3) |
| 18 | We recommend that district health boards work with local diabetes teams and programme administrators to make more use of the data available from the Get Checked programme to plan their diabetes services. | Managing service demand (Part 3) |