Hertfordshire diabetes education, a step closer to integration of diabetes care

Hertfordshire has a 1.2 million NHS-registered population, with 47,000 of them having diabetes. The model of care, aims to provide 70% of care in primary care (general practitioners–GPs), 20% in intermediate care (diabetes nurse specialists–DSNs) and 10% in secondary (consultant diabetologists). The service is commissioned by two clinical commissioning groups (CCGs) for 10 localities, provided by: 130 GP practices, two acute trusts and one community trust. There are six different IT systems used to record encounters with patients.