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Step 3: Involve all stakeholders

It is essential to involve all stakeholders, including patients, providers, and clinicians throughout the improvement process, to ensure that proposed changes are based on a firm understanding of local circumstances and patient needs and that service improvements are locally supported. It will also be important to identify a clinical champion and to release some time for them to devote to this.

In Somerset, regular meetings between providers to build trust and understanding were a key driver of success.

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Dr. Julia Thomas is a consultant diabetologist at Taunton and Somerset NHS Foundation Trust.

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