The publication of the Diabetes National Service Framework (DNSF) in 2001 established for the first time what standards diabetes services in England should be meeting. They were developed against a background of increasing prevalence of diabetes and an awareness of unacceptable divergences in treatment and outcomes. Establishing the standards was one thing however but devising effective strategies for implementing them was another and this took a further two years, with the DNSF Delivery Strategy being released in 2003. This recognised that it would be a ten year journey – 2003 to 2013 – for services to reach the required standards. With national standards and a national implementation strategy came a realisation that diabetes services in England would need some support to help promote and develop the evolutionary way of working now required. This recognition led to the creation of The National Diabetes Support Team (NDST) that would work for a short period, to March 2007, on developing sustainable service improvement through partnership working.
The NDST has a complex role working with local organisations, involving both service users and providers, to provide guidance, support and co-ordination to enable effective implementation of the DNSF. Developing effective relationships with all those in the local diabetes community is an essential requirement if the work is to be carried forward positively and productively. This is underpinned by the NDST promoting an environment and culture of collaboration and team working with everyone, both service providers and users, to help deliver the NSF.This can only be successfully implemented if there is partnership working that involves all stakeholders – including DH, front line staff and people with diabetes. All these stakeholders have their individual roles and responsibilities to play and they are described in the Working Together Triangle.
The NDST has a complex role working with local organisations, involving both service users and providers, to provide guidance, support and co-ordination to enable effective implementation of the DNSF. Developing effective relationships with all those in the local diabetes community is an essential requirement if the work is to be carried forward positively and productively. This is underpinned by the NDST promoting an environment and culture of collaboration and team working with everyone, both service providers and users, to help deliver the NSF.This can only be successfully implemented if there is partnership working that involves all stakeholders – including DH, front line staff and people with diabetes. All these stakeholders have their individual roles and responsibilities to play and they are described in the Working Together Triangle.
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