Skip to main content


The Challenge

Diana faced the challenge of low engagement among minority ethnic patients in diabetes management within her practice. With only 25% initially engaging and a significant number of DNAs, she knew innovative solutions were needed.​



The Innovation

Using her clinical system, Diana identified 140 diabetics aged 18-65 from a minority ethnic background living in deprived areas who hadn’t attended their annual health check.​

She invited them for personalised reviews, incorporating proactive outreach via telephone, letters and email and developed tailored interventions.​

The Impact

  • Practitioner: Diana’s professional fulfilment has risen, and she is now developing new innovative interventions for diabetes education in large groups.​
  • Patients: Improved compliance from 25% to 65% and 40 new prediabetic and 15 new diabetic cases identified.​
  • System: Probable reduction in hospitalisations and future GP visits, alongside enhanced QOF performance.​

Back to News