What is an Audit for DESMOND?
An audit is a review of all of the DESMOND activities that have been provided over a certain period of time.
Auditing helps us to identify trends and differences from our Sites providing DESMOND. We can use monthly figures to see how DESMOND is doing across the nation; what is working in one Site, what is not in another so we can support and implement changes to help DESMOND grow and provide the best self-management diabetes education for the diabetes population. Auditing is also a key criteria of the national standards for diabetes structured education programmes.
Benefits of Auditing at DESMOND
There are many benefits of auditing, especially for us at DESMOND.
What Audits do DESMOND carry out?
In this article you will learn about the two Audits that we carry out here at the DESMOND National Office and how they complement each other and will help provide a detailed picture of the current DESMOND landscape:
At the beginning of each month an automated email from Redcap, our database system, is sent to one coordinator (or designated recipient) from each local DESMOND provider/site, requesting the following minimum core data-set:
It is a very quick and easy process to complete. You will need to click on the link within the automated email and complete all necessary fields.
Please note that if your coordinator leaves the organisation, we will need to be notified with the above information for your new Coordinator so we can update this on Redcap and the new Coordinator will get the monthly notifications.
If you have submitted a monthly returns and you need it amended, you should see a message at the bottom of the page on Redcap, informing you to contact the DESMOND administrator on 0116 258 8989 or by email on firstname.lastname@example.org. We will change this for you.
Data is stored on the University of Leicester’s (UofL) secure servers on behalf of the DESMOND National Office (based at the University Hospitals of Leicester NHS Trust [UHL]). Access is limited and securely administered in accordance with the relevant UHL and UofL privacy and GDPR policies. All data for this audit shared by your organisation is anonymised.
Sites will then receive annual feedback based on the information received by DESMOND National Office.
We are gathering a range of patient data to help us to provide more rigorous real-world evaluation of our programme. This means asking patients a set of questions before attending a DESMOND course and then repeating the same measures at 6 and 12 months after attendance. We do this by providing interested sites (we would like all sites to take part in the future!) with a box of questionnaire packs. There is 100 questionnaire packs in one box.
The questionnaire packs contain:
Sites are advised to send the questionnaire packs to patients with their booking confirmation letter and Preparing for DESMOND leaflet – that way they can be completed prior to the patient attending DESMOND.
Once patients have completed their pack, they are asked to return it to DESMOND National Office in the freepost envelope. DESMOND National Office will contact the patient directly 6 and 12 months after receipt of the initial pack. We provide patients with 2 options for receiving the questionnaires at both points; by post or an automated survey from Redcap. The patients can opt-out at any point by contacting DESMOND National Office.
We will use the information provided in a manner that conforms to the General Data Protection Regulation and which is supported by the Data Protection Act 2018. We will endeavour to ensure information is accurate and up to date, and that it is kept for no longer than is necessary.
All data collected will be entered and stored on secure servers. Anonymised reports will be created from the data to better understand the impact of DESMOND and inform future service delivery. These anonymised reports may be shared through publication in relevant health or medical journals and/or with NHS England and local providers of the DESMOND programme. This is to ensure that NHS England and local healthcare providers can evaluate and plan the best way to provide care for people with Type 2 diabetes as part of service evaluation.
To conclude, the Site Activity Reporting is an automated monthly email to each Site to provide the key five data-points. And the National Patient Audit is to collect patient self-reported data before attending DESMOND and 6 and 12 months thereafter.
If you want to book some time in with us to discuss the above, if you need further guidance or have any questions feel free to contact us here at the National DESMOND Office.
How to get involved
If you are already a DESMOND Site and you want to take part in the Site Audit email us at DesmondNationalProgramme@uhl-tr.nhs.uk with the following information:
If you want to take part in the Patient Audit email us at DesmondNationalProgramme@uhl-tr.nhs.uk with a name and full postal address and we will send you a box of questionnaire packs.
We hope that you will support us in this work and if you have any further questions about this, please contact us on 0116 258 8989 or by email at DesmondNationalProgramme@uhl-tr.nhs.uk
If a patient asks you questions about the packs at a DESMOND course and the above does not help you to answer their question, ask them to call us on 0116 258 8989/8923 for further clarity.