mental health



Bringing together physical and mental health

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The 3DfD team has received positive feedback from professionals and is credited

with having increased the skillset of the various diabetes teams – for example,

in relation to the types of mental health issues that people with diabetes can

experience, and the psychological interventions that can help.

The 3DfD model has been adapted for implementation elsewhere at the Hillingdon

Hospitals NHS Foundation Trust and Central and North West London NHS

Foundation Trust.

Key enablers


Strong leadership and advocacy from the clinical lead for diabetes and

the consultant liaison psychiatrists was key to embedding the service and

overcoming initial doubts that a bespoke service for diabetes and mental health

was needed.


The 3DfD service has followed an explicit improvement methodology, namely

the Plan-Do-Study-Act (PDSA) cycle.


Close working relationships between 3DfD team members and the hospital and

community diabetes teams were helped by consistent multidisciplinary team

meeting attendance, an easy referral process and swift responses to referrals.


Team members have offered and delivered various forms of training to health

care professionals in Lambeth and Southwark.


Advance planning for continuation funding was crucial. The team has engaged

with six different commissioning bodies during piloting, which was very

challenging; advance communication and negotiation with commissioners

was vital.

Further information

• • Dr Anne Doherty, Consultant Liaison Psychiatrist, King’s College Hospital

NHS Foundation Trust. Email:

Appendices: case study site profiles 76

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