1. National Diabetes Information Service: Masterclass Claire Martin: Diabetes Project Manager: East Kent 12 th September 2013

2. Pushing an elephant up the stairs (courtesy of REM)

4. What I did Prevalence of diabetes (all types), patients aged 17+, 2011/12 Prevalence of diabetes in practices in CCG, 2011/12 (QOF) Information for Acute Hospital admissions with a primary diagnosis of diabetes, 2010/11, East Kent Federation Admissions information for diabetes mellitus, 2010/11, by case type, gender, CCG and diagnosis Directly age-standardised hospital admission rates with a primary diagnosis of diabetes (ICD10: E10x-E14x) Summary information for diabetes, CCGs in East Kent Federation, 2011/12 Diabetic Foot Conditions Condition by Practice Standardised Emergency Admission rates for diabetes Enhanced Services mapping for diabetes SPOT analysis for CCG

5. Data Merge GP Practice Code % of patients receiving all care processes Care Processes and treatment summary Targets Patients on register G8202046.611.2521 G8204664.622.8390 G8205269.124.1570 G8206434.914.3314 G8206651.817.5553 G8207967.816.6574 G8210561.024.3838 G8210759.322.3450 G82126 747 G8215052.212.0430 G82210 112 G8221969.123.3266 G8263039.722.8430 G8264963.525.695 G8265036.912.1144 G8266652.824.2627 G82769 72 G8279679.825.2117 G8281074.025.1239 G82812 98

6. So What? Prevalence Outcome Data Service Cost

7. Menus Data to be cut in different ways depending on the audience CCG data needs to show individual practice variance Triangulate the data from different sources Move towards National Standards? Cost and spend becomes increasingly important

8. Contracting

9. Way forward Our data has to be smarter and it has to be set in an economic context to assist the case for change