January 27, 2005,
We started the week with an initial prototype of a tool (a deck of cards) which we hoped could be used across the board by patients and professionals and which would be supported by service redesign work that used this tool as an access route to various different services.
From our initial prototyping with patients and professionals we have developed these ideas and have seen that
Whilst:
. The key principle of providing a way for patients to set their agenda holds true
. We are still positive about the idea of the deck of cards as a valuable tool
We also need to be aware that in addition:
.There is a requirement for a new set of motivational interviewing and "people" based skills and training that can fill the space between existing services
. That some of these skills should come from new resources which form a new tier of care between GP's and the Diabetes Centre
. The cards are not a universal entry point for these services but that they are one of a series of tools which can help patients to set their own agenda
. We need to ensure that the tools are developed to reflect the environment in which they will be used
We are working on these ideas but just a reminder the next few weeks are critical so any comments from people who have been involved (or others) will help us to develop our thinking.
CATEGORY: HEALTH PROJECT

I am concerned about the Asian patients. I feel that their concerns arenot being fully met.
Suggestions 1 Pictorial cards add this to existing cards.
2. Telephone contact is an easy way to communicate.
3. Think about the links with supermarkets as Asian patients tend to shop at local corner shop, could they have a dietary assistant to as a shopping coach.
4. Thinking needed about suitable mentors for asian patients.