hrp0092p1-327 | Diabetes and Insulin (2) | ESPE2019

The Paediatric Diabetes Service in England and Wales – Learning from Sweden's Improvement Journey.

Peng Megan , Warner Justin , Woodhead Tricia , Muszynska Kasia , Eardley Sue , Hopper Neil , Campbell Fiona

A gradual reduction of national median HbA1c levels in England and Wales since 2009 can be attributed to development of a network approach to care supported by the National Paediatric Diabetes Audit (NPDA) and a Best Practice Tariff in England, introduced by the Department of Health in 2012. This delivery of a co-ordinated national programme of support for 173 multi-disciplinary teams distributed across over 140 NHS Trusts and Health Boards, has been at risk of plateauing in r...