The aim of the Diabetes Atlas is to identify and quantify the extent of ‘unwarranted’ variation that may be due to unjustified geographical differences in medical practice and/or patients not gaining access to the appropriate level of intervention for their need. The resulting suboptimal (either over-use or under-use) uptake of medical intervention is defined as ‘unwarranted’.
The Atlas has been produced in partnership with the National Diabetes Information Service and Diabetes Health Intelligence and Yorkshire and Humber PHO. It includes 22 maps of indicators relating to the key care processes and outcomes, utilisation of secondary care, diabetic complications and prescribing.
National Diabetes Information Service (NDIS)
The National Diabetes Information Service is a partnership of leading diabetes organisations, funded by NHS Diabetes, which supplies health commissioners, providers and people with diabetes with the necessary information to aid decision-making and improve services on a local and national level. NDIS provides free access for the NHS to a comprehensive suite of diabetes information products, datasets and tools through a single web portal: www.diabetes-ndis.org
Examples of resources include the:
Variation in Inpatient Activity: Diabetes (VIA: Diabetes) tool which compares inpatient activity data for those with and without diabetes to give evidence of differing patterns of care. See: VIA Diabetes tool
Diabetes Outcome Versus Expenditure (DOVE tool) which compares expenditure on diabetes care with clinical outcomes. See: DOVE tool
Diabetes Community Health Profiles benchmark key areas of diabetes care against others and can be used as a starting point for health needs assessment work. See: community health profiles
Diabetes Footcare Activity Profiles examine the scale of inpatient care of people with diabetes who are admitted to hospital for a range of footcare conditions and relate this to similar. See: footcare profiles
Other available tools
Diabetes-E can be used to measure and benchmark the performance of all aspects of a system of diabetes care, and its use actively encourages continuous improvement to meet and surpass national standards. Further information
PCT Spend and Outcome Factsheets and Tool (SPOT) helps commissioners to link health outcomes and expenditure using programme budgeting, a technique for assessing programmes of care rather than services. It provides information on spending and outcomes across a range of programme budgets for each PCT. See: SPOT
National Diabetes Audit (NDA) compiles data on the care processes received, treatment outcomes, and hospital admissions and treatment for diabetic complications. A dashboard has been produced that confers the ability to compare care processes, treatment targets and complications at PCT level. Further details
Disease Management Information Toolkit (DMIT) – Diabetes has information on emergency hospital admissions for patients aged less than 19 years with a primary diagnosis of diabetes at primary care trust (PCT) level. DMIT enables PCTs to compare their emergency admission rates, bed-days and lengths of stay with a range of comparators. See: DMIT