To build the clinical skills, confidence and capacity of GPs and practice nurses to better manage diabetes in primary care, the Blacktown Hospital Outpatient Diabetes Specialist and Credentialed Diabetes Educator visit general practices to deliver Joint GP and Specialist Case Conferences (JGPSCC).
More than 600 patients participated in the case conferences involving more than 100 GPs from 35 different general practices. Early evaluation of this program found that three to six months post-session, the patients showed a clinically significant reduction in HbA1c (0.87%), along with beneficial effects on systolic blood pressure, weight and lipid profile.
GPs reported the program improved the relationship and communication between the GPs and specialist. While the majority of GPs reported more confidence in managing diabetes, this program is expected to decrease referrals to specialist services.
This work is further enhanced by the WSPHN practice support team ongoing activity to to build practice capability and capacity including aligned to the Patient Centered Medical Home "The mere fact of discussing such complex cases with Glen (endocrinologist) proved to be invaluable. We were able to exchange ideas, Mx strategies and it was very welcoming, most of all the VIP (the patient) being included in the management was the crowning glory!" Dr S Seelan, Bridgeview Medical Practice GP principles.
Case Conferencing is expanding to the majority of general practices in Western Sydney.
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