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The British Journal of Diabetes & Vascular Disease
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Improvements in clinical diabetes care in the first year of the new General Medical Services contract in the UK

Pachaiappan K Jaiveer

Diabetes Centre, George Eliot Hospital NHS Trust, Nuneaton, UK

Saraswathy Jaiveer

Diabetes Centre, George Eliot Hospital NHS Trust, Nuneaton, UK

Sagar B Jujjavarapu

Diabetes Centre, George Eliot Hospital NHS Trust, Nuneaton, UK

John Morrissey

Diabetes Centre, George Eliot Hospital NHS Trust, Nuneaton, UK

Juelene White

Diabetes Centre, George Eliot Hospital NHS Trust, Nuneaton, UK

Roger Gadsby

Warwick Medical School, University of Warwick, Coventry, UK

Vinod Patel

Warwick Medical School, University of Warwick, Coventry, UK, vinod.patel{at}warwick.ac.uk

The prevalence of diabetes and the cost of providing services will increase dramatically over the next ten years. There is a wide consensus that the way forward is for primary care to provide more care to higher clinical standards. The new General Medical Services contract (GMS2) offers incentives to achieve diabetes management targets. We compared the performances of health centres in North Warwickshire in the pre-contract year 2004 and post-contract in 2005. The audit tool comprised the GMS2 quality indicators in Alphabet Strategy format. There were statistically significant improvements in performance against almost all the quality indicators. We conclude with some reservations that GMS2 has considerably improved the quality of diabetes care in our locality.

Key Words: Alphabet Strategy • General Medical Services contract • Quality and Outcomes Framework.

The British Journal of Diabetes & Vascular Disease, Vol. 6, No. 1, 45-48 (2006)
DOI: 10.1177/14746514060060010601
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 British Journal of Diabetes & Vascular DiseaseHome page
N. Gholap, M. Pillai, S. Virmani, J. D Lee, D. James, J. Morrissey, V. Datta, and V. Patel
The Alphabet Strategy and standards of care in young adults with type 1 diabetes
The British Journal of Diabetes & Vascular Disease, July 1, 2006; 6(4): 168 - 170.
[Abstract] [PDF]