Impact of Locally Enhanced Services on diabetes management
- The number of people diagnosed with diabetes in the UK rose by 50% between 2005 and 2011.
- The condition is a major challenge to healthcare services worldwide, with diabetes potentially leading to reduced quality of life and an increased mortality, particularly from cardiovascular disease.
- In diabetes, patient control of blood pressure, blood sugar (glycaemic) and lipid (cholesterol) levels has been shown to reduce the risk of complications.
- The NHS has developed locally enhanced service (LES) initiatives to provide comprehensive care for diabetes patients within their GP practices.
- Not all GP practices have participated in the LES initiative. We measured the quality of diabetes care in LES practices and non-LES practices.
- Using Department of Health data, the study found that GPs offering locally enhanced services (LES) for diabetes were 10% more likely to achieve the NHS targets for control of glycaemic levels.
- LES practices were also less likely to refer patien