

Diana Igwe
Diabetes Specialist Nurse Prescriber
St Peters Street Medical Practice
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.
Black, Asian and Minority Ethnic groups are six times more likely to develop Type 2 diabetes.
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.