Transcript PROCEED (Preconception Care for diabetes in Derby

Paru King, Consultant Physician
On behalf of the PROCEED team
PROCEED : WHY?
National drivers
Poor outcomes in Diabetes and
Pregnancy
Preconception Care reduces risks
Only a third access this care
NICE Quality Standard in Diabetes
Local situation
PROCEED: HOW?
Raise Awareness
Delivering Care
Cross
Boundaries
Pharmacists
Health
Visitors
Users
Consultant
Role
Refer
6 Cs
Family
Planning
Clinics
Educators
Practice
Nurses/
GPs
Competent
Choice
Continuity
Consistent
PROCEED – what was achieved (1)
Efficiency and
Productivity
Non-inferiority
PROCEED – what we achieved (2)
Impact of preconception
Reduction in maternal
length of stay and neonatal
unit admissions
Outcomes
PROCEED - impact
Savings
User views
• “First class ”
• “I feel privileged to be
part of your service”
£68, 000 savings year 1
£40, 000 dark green dollar
• “so much more convenient
to have support by
telephone and e mail”
PROCEED: www.derbyproceed.co.uk
• Doubled numbers
• DNA 18 to 5%
• Waiting time
13 to 5 wks
• Better prepared
• PCC rate 48 to 70%
• Stillbirths 6% to 0.
Efficient
Productive
Savings
• £68,000
• £40,000 “dark
green dollar”
Improved
outcomes
Improved
User
Experience
•
•
excellent
feedback