Step 2 - supporting information

Current national priorities for diabetes care

The operating framework for 2012 – 2013 includes specific priorities for diabetes as referenced below.

4.47 All people with diabetes should be offered screening for early detection and, if needed, treatment of retinopathy. NHS commissioners and providers must do more to ensure insulin pumps are available for those people with diabetes that meet the criteria recommended by NICE.

4.48 PCTs should be commissioning the relevant structured patient education to support people newly diagnosed with diabetes and at appropriate points in their life as their condition progresses.

4.49 NHS providers should consider the overall management of in patients with diabetes in order to reduce their length of stay, improve their experience of care, ensure that they do not develop diabetic foot complications whilst in hospital and that their blood glucose is managed safely. This is particularly relevant to the safe administration of insulin by healthcare professionals.

NICE diabetes in adults quality standards 

(full guidelines can been see on the NICE website)

1. Structured education
   
2. Advice on nutrition and physical activity
   
3. Annual care planning
   
4. HBA_1c target
   
5. Medications in accordance with NICE guidance
   
6. Insulin initiation with structured programme
   
7. Pregnancy and pre pregnancy
   
8. Assessment for the risk and complications
   
9. Psychological issues
   
10. High risk feet 
    
11. Inpatient care
    
12. Ketoacidosis
    
13. Hypoglycaemia
    
14. Full diabetes in adults quality standard (PDF format)

NHS Diabetes priorities

• Safety - delivering e-learning modules for health professionals
  
• Improving inpatient outcomes - improvement of the delivery of the care pathway
• Footcare - reducing high risk diabetes foot ulcers
• Older people - improving care outcomes for older people
• Care planning -  processes that put people at the centre of their care