The NHS Next Stage Review puts quality at the heart of everything that we do in the NHS, with the need to take an evidence based approach to avoid unnecessary reinvention of the wheel. In 2009 as part of the Quality and Productivity Challenge the 'Establishing the Evidence' project an evidence database was established populated with real examples of the best available, quantified evidence and examples for quality and productivity improvements, provoking ideas and discussions about changes that can be made locally in the NHS.

Of more than 200 applications the DAFNE programme was one of only 56 examples of evidence accepted and published as part of the first phase of the database and is currently the only example of evidence for type 1 diabetes. The DAFNE evidence can be viewed at NHS Evidence - QIPP.

Public spending will come under increasing pressure and from 2011 and the Quality and Productivity collection will help the NHS identify efficiency savings that can be made while continuing to deliver high quality care.