Guest Editorial December 2010

December's guest editorial was written by Erika Ottley, Associate at the NHS Institute, who lead the next Expert on Call on 16th December 2010. Click here to hear the recording of the session.

Practical Implementation of ThinkGlucose

ThinkGlucose was launched in 2009, with a focus on improving the quality of care for in-patients with a secondary diagnosis of diabetes. ThinkGlucose aims to increase the appropriacy of referrals; reduce medication errors; improve staff knowledge, skill and confidence regarding diabetes care within the hospital setting. This session will share the advice for implementation and bring together practical examples and tips from those using the tools. In addition, there will be opportunity to share the added value reported by attendees on the support programme.

Presentation team: Erika Ottley, Dr James Kennedy and Emma Innes

Erika OttleyErika Ottley has been working on ThinkGlucose at the NHS Institute since the testing phase of the toolkit protoype over 2 years ago. She is now the Programme Lead.  With 24 years of experience in the NHS and a clinical background, Erika has spent the last 7 years working with NHS trusts and partner organisations in service improvement and workforce redesign in a range of acute and community settings on a national and regional basis.



Dr James KennedyDr James Kennedy, Joint Clinical Lead, has been involved with the inpatient diabetes clinical pathway for the last 4 years.  A practising GP, he has experience as a medical director and adviser for a rage of regional and national quality and medical forums.




Emma InnesEmma Innes, Lead Nurse for Diabetes, leads a trust wide service for diabetes care. She has a wealth of experience as a Diabetes Specialist Nurse and has been a Diabetes Centre Manager for many years. Emma was the Implementation Lead at one of the ThinkGlucose toolkit prototype development sites. She is a member of the ThinkGlucose steering group for NHS West Midlands and is developing strategic links within her Strategic Health Authority.


The current context:

Services are being redesigned and acute hospital beds reduced as community services are transformed and integrated with acute providers. ThinkGlucose will play a key role in helping organisations to enable patients to return home fitter, faster and safer.

Questions you might wonder about:

  • We have started but run out of steam, how can the NHS Institute help?
  • How can ThinkGlucose be integrated to other service improvements?
  • How do I encourage very busy senior leaders that ThinkGlucose is a priority? 
  • What information will the tools provide me with?  
  • How can I evidence the ‘softer’ improvements? 
  • How can I keep up the momentum?

What will I learn?

  • How to implement ThinkGlucose as a programme in acute hospital trusts
  • How to use the ThinkGlucose toolkit  
  • How the organisation can benefit from ThinkGlucose  
  • How to share your experiences with others  
  • Some opportunities to profile your impact data