1 / 19

DIABETES

DIABETES . Dr Rowan Hillson, MBE National Clinical Director for Diabetes. I strongly believe that…. Everyone with diabetes deserves the highest standards of personalised diabetes care, no matter where, when or by whom it is delivered.

niabi
Télécharger la présentation

DIABETES

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DIABETES Dr Rowan Hillson, MBE National Clinical Director for Diabetes

  2. I strongly believe that… • Everyone with diabetes deserves the highest standards of personalised diabetes care, no matter where, when or by whom it is delivered. • People providing diabetes care must be trained in diabetes and must know the boundaries of their knowledge. • They must have opportunities to extend these boundaries and to keep up-to-date. • People with diabetes and professionals must have ready access to specialist diabetes expertise.

  3. NHS Diabetes(National Diabetes Support Team) • Within NHS Diabetes and Kidney Care • Promoting service improvement • Knowledge • Communication • Leadership and development • Director (Anna Morton) plus support team • 10 Regional Programme Managers www.diabetes.nhs.uk

  4. Diabetes in numbers

  5. New Diagnoses About 320,000 new cases a year One or two people every 2 minutes National Diabetes Audit 06/07

  6. Diabetes prevalence YHPHO 2005 T1 DM 0.3%, T2 DM 4.1% Men 3.8% Women 5.1%. White 4.3% Black 6.0% Asian 6.9%

  7. Diabetes attributable deaths • 2005 20 – 79 yrs old Diabetes accounts for 26,300 of deaths (11.6% of all deaths) 3 deaths an hour • Varies considerably between PCTs 9% (Bucks) – 17% (Newham)

  8. Vascular risk checks • Everyone aged 40 – 74 yrs not known to have cardiovascular disease or DM • Risk assessment including smoking, BMI, BP, sugar measure, renal measure as relevant • Healthy living advice for all • Targeted advice for high risk • Treatment for new diabetes, hypertension etc

  9. Quality and Outcomes Framework

  10. National Diabetes Audit

  11. Life expectancy • Man, non-smoker, aged 45 • No family or personal history of CV disease • Type 2 diabetes newly diagnosed • HbA1c, Cholesterol + BP within QoF targets • Life expectancy 62 vs 79 yrs all men • Reduced by 17 years • Woman – similar health • Life expectancy reduced by 20 yrs Source YHPHO

  12. Diabetes in hospital • 10 – 20+% hospital beds occupied by people with diabetes • People with diabetes twice as likely to be admitted as non-diabetics • Longer stay • 165,000 diabetes discharges / yr • 1.34 million bed days / yr • £465 million / yr

  13. Diabetes inpatient specialist team • Every acute hospital should have a diabetes inpatient specialist team with • dedicated inpatient sessions • access to all diabetic inpatients on all units • Diabetic inpatient specialist nurses reduce A&E admissions, reduce clinical incidents, shorten length of stay, and improve patient experience. www.diabetes.nhs.uk/news-1/Inpatient%20care.pdfwww.institute.nhs.uk

  14. Diabetes and pregnancy Women with established diabetes have: • 5 x more stillbirths • 3 x more neonatal deaths • 2 x congenital malformations Compared with non-diabetic women Major national project to improve outcomes of pregnancy in women with pre-existing and gestational diabetes www.cemach.org.uk

  15. Children and Young people • Audit of the numbers of children and young people with diabetes in England • Royal College of Paediatrics and Child Health • Sponsored by NHS Diabetes

  16. Education & care planning Healthcare Commission 2006: • Only 10.5% patients had had education (range 1 – 52%) • Care plan: almost always 47%, sometimes 23% DAFNE DESMOND Local courses Year of Care project www.diabetes.nhs.uk

  17. Retinopathy screening • Free to everyone with diabetes • Has been offered to 93% all patients • 76% of those offered photos had them • In total 72% have had eye photos • We must all encourage everyone with diabetes to have their eye photos

  18. Where are we now? • We know more about diabetes in England than we did in 2001 • There have been improvements in diabetes care • We must improve glucose and BP control • We must improve diabetes care in hospital • We must improve the outcomes of pregnancy • We must improve information and education • We must improve uptake of retinopathy screening • We must always ensure that we work closely with people who have diabetes

  19. Thank you rowan.hillson@dh.gsi.gov.uk

More Related