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
Other pages you may find interesting:
End of life
This page is aimed at commissioners and providers of diabetes care. It brings together guidance, policy, commissioning guides, links to care pathways and examples of how end of life care can be improved for people with diabetes.
The challenge
Around half a million people die in England every year with almost two thirds aged over 75. If people with diabetes had the same mortality rate as people without, there would be up to 15% fewer deaths in the 20-75 age range (www.yhpho.org.uk/resource/item.aspx?RID=9941).
People have the right to privacy, dignity and involvement in the decisions surrounding their care at the end of their life and to be aware of the impact that their condition may have on their life expectancy. Nationally there is a dedicated NHS care programme to support end of life work which can be accessed here: www.endoflifecareforadults.nhs.uk .
What NHS Diabetes is doing?
We aim to support improvement in the services people with diabetes experience in relation to the impact their condition may have on their life expectancy and their experiences as they approach the end of their life by:
- Working closely with partners including the Institute of Diabetes for Older People (IDOP) and Diabetes UK to improve the quality of end of life care for people with diabetes in a variety of care settings.
- Developing new relationships with groups and teams who are approaching this topic from a national perspective (see national programme link above).
- Extending the patient-centred approach promoted in diabetes ongoing care and the care planning process to achieve active participation in the decision making processes important at this time.
- A commissioning guide (395KB) for diabetes and end of life care has been published by NHS Diabetes. The guide includes an intervention map detailing all of the elements needed for the service as well as a contracting framework and service specification template. It supports our commissioning approach which offers a step-by-step guide in how to deliver high quality, efficient and cost effective diabetes services.
