The structure and function of Sandwell & West Birmingham Hospitals NHS Trust DiCE teams- a unique model for engagement with primary care partners

1. DICe Diabetes Community Care
Extension
Nicola Taylor
Diabetes Clinical Lead
Sandwell and West Birmingham Hospital

2. What is DiCe ?

3. History of Diabetes Care

4. The Need for Change
 The number of diabetic patients with diabetes in
England is rapidly rising.
 Diabetes is a major cause of premature death.
 The cost of diabetes treatment and the associated
care.

5. Aims of DiCE
 Aims
 To increase primary care expertise and management to enable a
greater percentage of diabetes care for type 2 and stable type 1
diabetics to take place within the GP practice with the support of
the Diabetes Community Care Extension (DiCE) team.
 To enable primary care clinicians and diabetes specialists to work
together in the best interests of the patient
 To improve patient experience with more care delivered locally.
 To empower patients to take responsibility for their health,
ensuring that patients are offered the opportunity to learn
about and self-manage their condition through structured
education programmes.

6. What is integrated care ?

7. What Is Integrated Diabetes Care ?

8. Integrated Diabetes Care
Benefits Risks

9. The Perfect Diabetes Service

10. The way DiCE is provided
 4 hours every 8 weeks with each practice
 Assigned Diabetes specialist nurse and consultant
 Options to suit your practice to support diabetic
patients

11. How will DiCE work in your practice

12. Referral process

13. What still remains at City and
Sandwell

14. Education

15. Summary

16. Questions