Table of contents

Recommendations for Commissioning

Adults :: Diabetes :: Recommendations for Commissioning

Commissioning plans for all services for people with diabetes should include:
• The projected growth in the number of people with diabetes

Prevention and early intervention

• Proactively identify people with undiagnosed diabetes and promoting timely and appropriate access to services
• Address increasing incidence of diabetes by targeting high risk groups, promoting prevention and increasing detection
• Continue the roll out of NHS Health Checks outreach programme focusing on men and young age groups. The early detection and active management through the NHS Health Check, tackling obesity, smoking, poor diet, blood pressure and physical activity should contribute towards prevention of diabetes.
• Raise public awareness of diabetes and the importance of the screening programme and ensure the service is commissioned to provide at least 80% screening uptake and that appropriate activity is commissioned in secondary care for ongoing treatment and monitoring of people with diabetic eye disease

Primary care and Community services

• Implement agreed local pathways for patients' care that would reduce fragmentation and delay.
• Ensure appropriate training and education for health professionals
• Ensure structured integrated care pathways between primary care, community, acute care and self management
• Addressing the variations in clinical outcomes between practices will contribute to the reductions in complications and related hospital admissions
• Review prescribing of drugs for diabetes with a view to discouraging excess prescriptions of the newly available drugs for diabetes
• Ensure the provision of a seamless personalised patient centred care plan

Hospital services

• Review current service provision for children, young adult and pregnant women
• Review the commissioning of insulin pumps