In 2007, the borough became a pilot site for the “Year of Care” Project. This involved clinics “redesigning” the annual review that they undertook with patients. The newly-redesigned annual review took the form of a co-productive care plan, where patients were asked what was important to them, and what health outcomes they themselves would like to achieve.
In 2010, it was decided that ALL general practices in the borough should offer a core Service to people with type-2 diabetes. This involved creating additional packages of ideal care for people with type 2 diabetes across four clinical subgroups: newly diagnosed, controlled, off target and complex, with a clear outline of staff competencies required for each aspect of the process. Role delineation was also a feature, with Health Care Assistants (auxiliary nurses) trained in checkups.
