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<p>The management of people with diabetes is measured and reported on through the
Quality and Outcomes Framework (QOF), the CCG Outcomes Indicator Set (OIS) and National
Diabetes Audit. These publications and data are used by local commissioners, providers
and healthcare professionals to assess the quality of the services provided and to
drive improvements.</p><p> </p><p>General practitioners (GPs) are incentivised to
ensure completion of the care processes recommended by The National Institute for
Health and Care Excellence (NICE) through the QOF. The latest available data (2011-12)
shows a 60.5% completion rate of all the eight measurable NICE-recommended care processes
for diabetes. However, it is for individual GP practices, working with the CCGs in
their area, to assess their own performance on completion of the care processes, and
take action where improvement is necessary.</p><p> </p><p>CCGs can use the information
reported from the OIS indicator on completion of the care processes for people with
diabetes to assess progress in improvement in their area and against their peers.
Where completion rates are low, CCGs can then take action jointly with other practices
in their area to make improvements.</p><p> </p><p>To support local commissioning,
NHS England has also developed a non-mandatory service specification for diabetes,
based on the diabetes NICE Quality Standard, which is currently being piloted with
some CCGs. The pilot will be evaluated to assess how useful the specification has
been to commissioners, and this will inform decisions about its future development.</p><p>
</p><p>The Patient Experience of Diabetes Services survey, part of the National Diabetes
Audit, is measuring the healthcare experiences of people with diabetes in England
and Wales. The survey pilot tested an online-only approach to measure patient experience
in GP and specialist diabetes services. Any diabetes service in England and Wales
should be able to use the survey to get feedback from their patients. The survey can
help to raise standards and drive out variation, and also empower services to understand
at a local level how satisfied their patients are with the service being provided.</p>
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