The improvements have been achieved within existing resources, but problems are emerging. Over 6,000 telephone questions have been asked of the four specialist nurses, and accommodating this within other clinical work is difficult. It provides reliable monthly and quarterly analyses to allow monitoring of the service. This IT system in now in use in about 40 diabetes services in other UK hospitals. Put the development of information high on the agenda.
Information is the key to a good service.
Select the most appropriate approach to achieve the required results and agree a strategy. Assess staffing levels and ensure that local service managers are party to discussions. Don't leave them out and expect them to deliver increased budgets. Encourage all staff to play a part in staffing issues. Give patients information about local services and how to access them - but ensure that the service will be able to cope with demands.