G166(P) Has paediatric diabetes best practise tariff improved patient satisfaction in diabetes units in England

Abstract

Aim To identify any association between Diabetes Peer Review (PR) Scoring, clinical outcomes (Median HbA1c), and Patient Reported Experience Measure (PREM). Method and Design Best Practice Tariff was introduced for Paediatric Diabetes Units in April 2012 thus providing increased funding for these units. All hospitals submit HbA1c data to the National Paediatric Diabetes Audit Annually; as well as take part in the PREM feedback. Of the hospitals included in the National Paediatric Diabetes Audit (NPDA), 138 underwent PR process between November 2013–14, these hospitals were also subjected to electronic PR submission in 2012–13. We analysed the changes in the PR scoring between these 2 periods. Median HbA1c of these hospitals was taken from the NPDA for the following 2 years and were analysed. Also PREM feedback was analysed between the periods 2013–14 and 2015–16. These were then compared with the PR scores and the Median HbA1c. Results Of the 138 hospitals included in the PR processes, only 55 hospitals were included in this study as they had the required data to meet the inclusion criteria. The median HbA1c had improved from 68.9 mmol/mol to 67 mmol/mol. 42/55 hospitals had shown an improvement in MDT PR Score with the median value increasing from 43 to 71. Also 47/55 hospitals showed improvement in the Hospital PR score with the median value increasing from 58 to 81. However only patients from 20/55 units, and parents from 24/55 units showed increased satisfaction between the 2 periods. This satisfaction is based on their likelihood to recommend the service provided. Conclusion Following BPT higher PR scores were achieved which has a positive association with improving HbA1c. However it would appear that patient and parent satisfaction has not followed the same trend. This result requires further study due the low number of hospitals adequate responses.