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PBC can cut diabetes outpatient visits

Practice-based commissioning can be a 'powerful tool' to reduce the number of hospital outpatient appointments for patients with diabetes.

A pilot project in Manchester PCT showed 150 patients had been moved from secondary to primary care and 10 practices had now started initiating insulin treatment in patients with diabetes.

Shifting the provision of care for patients with diabetes and other chronic illnesses from hospitals to community settings – principally primary care – is a key Government target.

In the pilot, 41 practices were supported through the PBC directed enhanced service to perform an audit of type 2 diabetes patients, to identify those receiving care from an acute secondary care provider for primary care management.

The NHS Institute for Innovation and Improvement said the approach could be used in other PCTs and for other conditions.

Dr Michael Eeckelaers, a GP in Manchester and chair of the central Manchester PBC group, said the project had 'delivered real change and benefits to patients'.

He said GPs who took part now had 'the confidence to tackle other care pathways such as COPD and heart failure'.

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