This case study describes how the team in Cambridge working on the Health Foundation’s Co-creating Health programme worked with a local GP cluster to help them to develop a Local Enhanced Service (LES) which integrates self management support into an enhanced service for patients with diabetes.

The aim of the LES is to support the provision of a quality integrated community based diabetes service, with care provided closer to home. The LES aims to reduce the cost of secondary care treatment by providing care within the practices, community clinic or at home. Including the Personal Health Plans and the enhanced Diabetes Education Programme in the LES shows that self-management is now recognised as an important element of looking after patients with long term conditions and forms part of every day health care.