Diabetes care areas - click here to navigate to care area page
- Cardiovascular care
- Children and young people
- Diagnosis and continuing care
- Education
- Emotional and psychological support
- End of life
- Equality in diabetes
- Prevention and risk management
- Eye services
- Footcare
- Emergency and inpatient
- Kidney care
- Mental health and learning difficulties
- Neuropathy care
- Pregnancy
- Services for older people
- User involvement
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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999
Care planning
Care planning is a process that puts people at the centre of their care, it is a way of providing them with better support to more effectively self manage their condition and therefore improve quality of life and achieve better health outcomes.
Supported self management recognises that people with diabetes are the primary decision makers about the actions they take in relation to the management of their condition. Emphasis moves away from the clinician doing things to the person to a partnership approach that delivers tailored personal support to develop the confidence and competence the person needs.
Effective care planning relies on three interdependent elements within the healthcare system
- An engaged, empowered patient
- Healthcare professionals committed to partnership working
- Systematic and robust organisational systems
If one element is weak or lacking, the approach will not deliver the desired outcomes.
A fourth element commissioning provides the foundation upon which this approach can be built. Information needs to be captured and used to ensure the appropriate local services are commissioned to support the needs and choices of the population.
The care planning consultation replaces the annual review with a more effective dialogue between patient and healthcare professional. This in turn shapes the delivery of care over the year giving it more structure and focus to achieve better use of time and resources.
The Year of Care Programme, which was supported by NHS Diabetes, has demonstrated how to deliver personalised care for people with diabetes using diabetes as an exemplar. The report from the pilot programme highlight the significant learning they achieved and provides practical examples of delivery for this approach. The final report can be found at
Year of Care
Report of findings from the pilot programme - June 2011
For more information on this approach please use the following link http://www.diabetes.nhs.uk/year_of_care/
Other documents you may find useful
Improving care for people with long term conditions: 'at a glance' information sheets for healthcare professionals
Models of Care
