Abstract

Practice based commissioning (PBC), payment by results and financial deficits have all placed a financial imperative on primary care trusts (PCT) to deliver savings by reducing referrals to secondary care. In many London PCTs, referrals to secondary care diabetes services have been a priority and this has led to intermediate PCT led services springing up all over London. Hounslow Diabetes Intermediate Care Service is one of them and at a time when many PBC groups are trying to develop intermediate services I sent Lauren Baines to meet the Hounslow team and tell us about their journey to becoming a well established service.

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