Table 1.

Model of intervention.

Input	Objective	Output
audit/diabetes dashboard	-to identify areas of unmet need in the individual surgeries	-a list of the individual surgery’s outcomes against the local and national average
screening	-to identify patients at risk of developing complications from diabetes	-a list of patients referred to the virtual clinic
virtual clinic	-to discuss diabetes outcomes of the practice (audit/diabetes dashboard)	-action points
	-to discuss care of individual patients identified during screening	-reviewed treatment plans
	-to discuss care of any other patients in need of an urgent review as identified by the primary care health care professionals	-reviewed treatment plans
	-to disseminate information about patient education	-primary care knowledge of available patient education
	-to educate about diabetes treatment and management and highlight local pathways