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Improving population metrics for the quality of diabetes care as well as clinical outcomes hinges on effective local and national commissioning of diabetes services. Public Health England uses a Diabetes Outcomes versus Expenditure (DOVE) scoring tool to judge how cost‐effective local Clinical Commissioning Groups (CCGs) are in procuring services for their population. Guidance has been produced (Table 4.3).

Table 4.3 Top Tips For Commissioning Diabetes Services.

Adapted From: NHS Clinical Commissioners: Excellence in Commissioning Diabetes Care, April 2017

Involve PatientsUse Data: to Identify local & national variations and to identify areas for interventionStrong Leadership: Especially from GP’sIdentify Diabetes Champions: Both in Primary & Secondary CareDevelop Partnerships: For example with industry to support implementationOutcome‐Based Approached: Collaborate with healthcare providers to move from activity to outcomes‐based approaches