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Welcome to the first King’s Health Partners Diabetes, Endocrinology and Obesity newsletter 
An introduction from our Programme Director,
Hayley Ormandy

 
Since becoming Programme Director nine months ago, I have gotten to know many of you. I have been inspired by the diverse range of skills and experience within the Institute, the impact of your work and commitment to delivering excellent patient care, cutting-edge translational research and innovative training and education – even during a time of unprecedented challenge.
 
I believe that by working even more closely together and deepening collaboration within the Institute, we can deliver tangible improvements for our workforce and in the lives of people living with diabetes, obesity and endocrine disorders in south east London and beyond. It is vital that you - our staff and students working across the Institute – feel engaged with and able to shape our projects and priorities.
 
The purpose of our new quarterly newsletter is to keep you informed about the Institute’s work, including key projects, events, recent publications, and education and training opportunities, and to outline how to get involved.
 
In this first edition, we hear from Dr Louise Goff who co-designed a diabetes education programme specifically tailored for African and Caribbean communities. This is the first in a regular spotlight feature on the Institute’s work. We have also launched a survey and the feedback we receive will help us ensure you feel informed and able to engage with and shape our projects and priorities. Updates on our work, including transforming the obesity pathway, better supporting people’s physical and mental health and our ‘One Team’ programme, as well as new publications, events and job opportunities, are also included. I hope you find the content interesting and engaging.
 
If you would like to hear more about our work and get involved, have an item included in a future newsletter or provide feedback on this edition, please email our programme team at IDEO@kcl.ac.uk.
 
Visit our new web pages to learn more about our work, strategic priorities, and programme team.
Share your views on our Institute
 
We want to hear your views about the Institute to ensure you feel informed about our work and able to engage with and shape our projects and priorities.
 
Please take five minutes to complete our survey.
Join our workstreams and help us work more closely together across the Institute
 
We are seeking clinical and operational colleagues to join workstreams for our ‘One Team’ programme. The programme aims to strengthen integrated ways of working across our current organisational boundaries, leading to coordinated care pathways and improved outcomes for patients and staff.

This includes:
  • Deepening collaborative working across King’s College Hospital and Guy’s and St Thomas’ NHS Foundation Trusts clinical services and across diabetes, endocrinology and obesity.
  • Ensuring holistic care through closer working with South London and Maudsley NHS Foundation Trust.
  • Further collaboration with King’s College London to support the translation of research into clinical practice.
We have established a regular forum to bring together leads from across King’s College Hospital and Guy’s and St Thomas’ NHS Foundation Trusts along with our Institute’s Directors. Earlier this month, we met with colleagues from SLaM to explore opportunities for greater collaboration across physical and mental health within IDEO and are linking with the Department of Diabetes and colleagues across KCL to support greater connectivity between basic scientists and clinicians on common areas of interest to accelerate translational research.

We have agreed a number of initial workstreams covering clinical transformation and value-based healthcare; research and innovation; and education and training – which will begin meeting over the summer. As part of this work, colleagues will have the opportunity to ensure the ‘One Team’ programme is fit for the future and identify tangible next steps, such as how we can work better together around COVID-19 recovery, overcome immediate challenges facing our staff and students, and work together to accelerate the Institute’s research strategy and maximise grant income and industry partnerships.

Building on existing strengths, our long-term ambition is to operate as 'one team, one service, across multiple sites' with links to the wider networks across King's Health Partners and the Our Healthier South East London Integrated Care System. 

If you would like to find out more and join these vital workstreams, please contact our programme team at IDEO@kcl.ac.uk.
 
Spotlight on our Institute; Dr Louise Goff, Healthy Eating and Active Lifestyles for Diabetes

'Learn about our culturally tailored diabetes self-management education and support programme for African and Caribbean communities.'
 
 
 
Learn more about how we are working together to transform the obesity pathway
 
Obesity continues to be a major public health challenge and stigmatisation exists throughout all areas of society. In the UK, two in three adults are considered overweight or obese and each year, the NHS spends billions of pounds on obesity related ill health, including type 2 diabetes, sleep apnoea and cardiovascular disease. Obesity in COVID-19 patients is also shown to be associated with poorer prognosis.
 
Our Institute is working with clinical and operational representatives from our acute NHS Foundation Trust’s, - King’s College Hospital and Guy’s and St Thomas’ - Lewisham and Greenwich NHS Trust and the NHS South East London Clinical Commissioning Group to redesign the obesity pathway and all it encompasses.
 
As part of this programme, we are working to address a number of challenges relating to increasing demand, limited capacity and appropriate healthcare which impact patients, acute providers, and the wider system. For example, patients can wait a long time for appointments. This can lead to deterioration of their physical and mental health and also result in increased inequalities. By transforming the obesity pathway, we aim for patients to receive the optimal intervention at the optimum time, tailored to their individual needs.
 
To get involved in this work, or for more detailed updates, please contact our programme team at IDEO@kcl.ac.uk.
Tools to improve the provision of holistic care for people living with diabetes, obesity and endocrine disorders
 
Evidence shows that mind and body health are inseparable. Approximately one third of people with a long-term physical health condition also have a mental health condition, and this overlap can make the management of both more complicated. We know that when care is considered holistically, patients benefit, however the mind and body have traditionally been treated separately.
 
King’s Health Partners’ Integrating Mental & Physical healthcare: Research, Training & Services (IMPARTS) programme aims to integrate mental and physical healthcare by improving the recognition, documentation and treatment of psychological distress in physical health settings. 
 
Ahead of their appointment at King’s Health Partners acute trusts, patients are asked to answer a series of questions about their health using a tablet-based screening platform, or via a link sent to their smart phone. The questions relate to their wellbeing, smoking, depression and anxiety symptoms, along with others tailored to the patient group.  Once complete, a summary of their responses, a high-level interpretation and recommended actions is sent to the patient’s electronic patient record ready for their appointment.
 
Clinicians using IMPARTS have reported that both they and their patients find the system helpful to support a conversation about their wellbeing and understand their condition better. With the increasing use of remote and telephone consultations as a result of the COVID-19 pandemic, the information provided has also helped identify whether the patient would benefit from attending a more urgent face-to-face consultation.
 
If you are interested in using IMPARTS in your service, please email imparts@slam.nhs.uk
 
Please visit the King’s Health Partners website, to learn more about our programme.
Education and Training
 
The fifth webinar in King’s Health Partners primary care series titled 'The need to think differently about obesity and diabetes' is taking place on 28th July. Primary and secondary care experts from across our Institute will be talking about stigma in this context, how this can increase health inequalities and how we can think and act differently to lessen the effects. Register here.

The British Obesity & Metabolic Surgery Society's 12th Annual Scientific Meeting is taking place from 26th - 28th July. Please note, there is a cost associated with attending. Learn more about the event.
 
Obesity is one of the most pressing public health issues, but many healthcare professionals do not feel they have the time or confidence to address weight loss with their patients. Explore our free course 'Addressing Obesity in a Consultation' on the King’s Health Partners Learning Hub to learn useful tools to discuss weight-loss sensitively and effectively with patients.
Recent Publications
 
Explore recent publications on diabetes, obesity and endocrine disorders.

'Obesity: what’s in a word?', published in The Lancet Diabetes & Endocrine, is a commentary linked to a large study by Caleyachetty et al. Prof Francesco Rubino and Prof David Cummings have reflected on the meaning of obesity and asked if BMI should be used at all to define it. They argue that one of the implications of this new study is that we cannot use traditional BMI cut offs to inform diabetes-prevention strategies or indications to treatments of obesity. Click here to read.

'Association of metabolic-bariatric surgery with long-term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies with 174 772 participants', published in May in The Lancet. Click here to read.
Job opportunities
 
Faculty of Life Sciences & Medicine is seeking RD Lawrence Chair and Head of King’s College London Department of Diabetes. Closing date for applications is 22st August.

 
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