Benefits 'v' Barriers

The following table outlines the main benefits and common barriers identified during this NTAC project by members of the project teams at the NTAC project implementation sites. Although these examples are by no means exhaustive, this table aims to provide a succinct overview from our experiences.

They have been categorised by patient, commissioner, clinical and Trust/Service Managers.

  • Our Who Benefits Guide gives an essential overview of the benefits that can be achieved.
  • Click here to view a list of attendees from the final project away day (who contributed to the formulation of this table).

Patients

Potential Benefits of Implementing the Technology Reasons for resistance to the Technology
  • Improved patient outcomes (e.g. lower HbA1c without increased risk of severe hypoglycaemia)
  • Greater diabetes control and accuracy
  • Fewer blood glucose swings and reduced insulin dose
  • Lower risk of complications (e.g. possible reduction in heart disease, stroke, blindness, kidney disease, nerve damage and amputations leading to disability and premature mortality)
  • Greater freedom in eating and less disruption to sleep patterns
  • Improved quality of life for patients and their family
  • Better general health and improved treatment satisfaction
  • Reduced anxiety and depression
  • Reduces potential hospital admission as a result of Diabetic Ketoacidosis and hypoglycaemia.

Commissioners

Potential Benefits of Implementing the Technology Reasons for resistance to the Technology
  • Meet the NICE guidance for insulin pump therapy and objectives laid out in the Diabetes National Service Framework
  • Collaborative working partnership with provider Trusts
  • Effective and enhanced management of diabetes within the health economy
  • Opportunity to improve buying power
  • Potential benefits to the Diabetes Network(s) with the introduction of specialised diabetes units within a given health economy
  • funding is complex as it sits outside of the NHS Payment by Results regime
  • The risk of change is seen as greater than the risk of standing still
  • Implementation may be complex to initiate, monitor and evaluate.
  • Availability of professional resources to deliver the additional patient education and pump starts may not be in place

Clinical Staff

Potential Benefits of Implementing the Technology Reasons for resistance to the Technology
  • Improved patient outcomes.
  • Enable the provision of an outreach and further developed outpatient service
  • Ensuring patient choice.
  • Continued professional development
  • Informed patients and emphasis on self management
  • Ability to reach QOF Targets
  • Ability to respond to changes in healthcare requirements (e.g. PCT / SHA lead)

Trust / Service Managers

Potential Benefits of Implementing the Technology Reasons for resistance to the Technology
  • Opportunity to offer service to other providers
  • Reduce acute emergency admissions and overall length of stay
  • Opportunities to create a robust agreement with commissioners to secure the funding to enable service delivery
  • Opportunity to develop a new, integrated service
  • Change the way in which care is delivered and received in the community
  • Ability to respond to changes in healthcare requirements
  • Collaboration with Diabetes Network(s)
  • Framing the arguments / articulating the downstream savings
  • Procuring the technology
  • Implementation can be time consuming and difficult
  • Selection of cases (revision) and capacity planning
  • Availability of professional resources to deliver the additional patient education and pump starts may not be in place
  • Coping with the backfill for healthcare professional training may have an impact on service delivery
  • Availability of sufficient funding within a PCT or set of PCTs to purchase the pumps may be complex to agree

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