G447 Improvements in paediatric diabetes service and health outcomes in the north west following best practice tariff and national peer review programme

IntroductionT1DM is a common condition which continues to pose a serious health risk with devastating long-term complications. Compared to comparable countries, the UK has a higher mortality rate and significant variation in paediatric diabetes health outcomes are evident. In 2012 a Best Practice Tariff (BPT) was introduced in the UK and a National Peer Review Quality Assurance Programme was developed by the Diabetes Quality Improvement Network System (DQUiNS). Both national initiatives were developed to drive improvements in diabetes care.AimTo explore trends in paediatric diabetes care in the North West Diabetes Network and assess impact of BPT and DQUiNSAbstract G447 Figure 1Staffing levels before and after BPT and DQUiNsAbstract G447 Figure 2Trends in HbA1C by PDUAbstract G447 Table 1HbA1C outcomesMethodData was collected from each paediatric diabetes unit (PDU) in the region for staffing levels and extracted from the National Paediatric Diabetic Audit (NDPA) for HbA1C values for 2010–2014. We compared staffing levels before and after BPT and DQUiNS and compared values for mean HbA1C and percentage of patients with HbA1C