RCPCH QI Diabetes Collaborative: Improving the Clinic Experience

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RCPCH QI Diabetes Collaborative: Improving the Clinic Experience

Introduction

Gloucestershire Paediatric Diabetes Team has implemented several innovations and seek to improve our patient engagement and experience to improve health outcomes.

Aim

Improve the clinic experience for patients, families and staff, based on their input, thereby encouraging greater engagement and patient attendance as part of the RCPCH QI programme

Methods

We undertook mapping process. We collected feedback from patients, families and staff. We identified areas for improvement, implemented Interventions and evaluation done.

Results

1. Clinic layout and furniture rearranged into ‘coffee table’ setting and 88% were positive about changes in clinic layout, 12% neutral
2. Patients wanting greater involvement in care decisions - Development of ‘getting ready for Clinic’ sheet enabling patient led consultation and to provide clear written action plans to be taken away from clinic with 94% positive responses, 6% neutral
3. Patients to have greater ownership of their diabetes management-

• Provided instruction leaflets and guidance on Diasend downloading in clinic to enable all patients to download from home
• Introduction of Hba1c record charts in clinic

86% found instructions valuable and 72% were happy to download at home.

4. Data on clinic waiting times collected and amended appointment letters to request patients arrive 15 minutes early for clinic.

Reveiw of clinic waiting times showed no significant changes.

Conclusion

Verbal and written feedback has shown families and children are engaging to a greater extent and more involved in their own diabetes management. They are more relaxed and have now found their voice.