More than 100 leading experts set out to answer this question, reaching unprecedented consensus on the steps and actions needed to reform this critical and costly segment of the US health care system.
This report summarises the Vulnerable in Pregnancy (VIP) project. VIP was developed from the drug liaison midwifery service in partnership with addiction and social work staff. Families for whom there was concern were identified at an early stage of pregnancy. Staff worked closely together to share information about vulnerable women. They assessed risks and needs of families. Staff planned well together and women had an individualised pregnancy plan to support them.
The project by NHS Hammersmith and Fulham used co-production and developed from a diabetes service user group who wanted to provide more support and education for people with diabetes, and to raise awareness of diabetes in the local community. Volunteers were recruited to undertake champion, peer educator or peer mentor roles in Hammersmith and Fulham and Harrow.
Women with diabetes are two to four times more likely to give birth to a baby with an abnormality, and five times as likely as women without diabetes to experience a stillbirth. Effective preconception care improves outcomes, but nationally only a third of women access this care.
The Scottish Diabetes Foot Action Group: Delivering comprehensive screening services for people with diabetes in Scotland
This improvement report by Duncan Stang reviews the approach taken in Scotland to delivering comprehensive screening services for people with diabetes.