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Practice/ service reorganisation
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Restructure of practice
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·Multidisciplinary team care
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·Greater focus on screening
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·Changed appointment system
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·Disease specific clinic
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·Enhanced risk assessment
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·Same day appointments
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·Group attendance
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·Nurse facilitated program
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Systems to support practice
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·Personalised patient call/recall systems
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·Office systems to identify
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·Telephone triaging
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·Diabetes information and decision support systems
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·compliance
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·Reminders of appointments
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·Call/ recall/reminder systems
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External support for practice
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·Diabetes register
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·Establishment of condition specific registers
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·Doctor-operated after-hours telephone triage system
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·Community awareness programs
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·Population based programs
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Patient support
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·Patient education /awareness raising
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·Education / awareness programs personalised invitation to attend
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·Telephone follow up of patients
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·Enhanced self-management
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·Culturally appropriate materials and services
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·Increased availability of same day appointments
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·Personalized invitations
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New services
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Outreach service
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·Community based culturally specific clinic
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·Outreach clinic,
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·Outreach through home visits or phone
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·Home visit service
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New services to improve access
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·Diabetes screening campaign
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·Establishment of screening service
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·Walk-in centres
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·Introduction of women’s health clinic
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·After-hours care e.g. hospital based GP co-op
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·Nurse-led telephone triage
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Workforce development
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·Education of doctors about guideline-based diabetes care
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·Education of doctors (e.g. use of screening guidelines)
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·Enhanced role for other health providers
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·Enhanced role for other health providers Training of lay health educators
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·Education of other PHC providers, e.g. Nurses
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·Culturally appropriate workforce
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Financial incentives
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·Financial incentives for providers
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·Reduce costs of screening
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·Reduced cost/free service
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·Reduced cost for patients
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·Change in funding rules
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