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Unmet needs and service gaps

Adults :: Diabetes :: Unmet needs and service gaps


• Undiagnosed people with diabetes and also the increasing prevalence of diabetes in Medway
• Variation in care provided in primary care
• Some newly diagnosed patients in Medway are undertaking a structured education programme, with only a small proportion of all patients with diabetes having been on a structured education programme. According to NICE this should be offered to everyone with diabetes and their carers at the time of diagnosis and thereafter annually.[1]
• Inadequate provision of Insulin pumps for adults with diabetes
• Diabetes retinopathy programme- 28.5% did not attend their annual screening.
• There is currently no provision of psychological support for people with diabetes. NICE recommends that diabetes care teams should have appropriate access to mental health professionals to support them in assessment of psychological dysfunction and the delivery of psychological support[2] and psychological support for Type 2 diabetes, especially for those with complications such as erectile dysfunction and diabetes neuropathy.[3]
• There is limited information on the extent and quality of care planning for diabetes in Medway. Care planning involves clinicians and patients working together to support diabetes self management. This may include prior notification of test results to patients before their annual review to enable patients enough time to think about the questions they would wish to ask the GP.


References

[1]   National Institute for Health and Clinical Excellence. Guidance on the use of patient education models for diabetes, Technology Appraisal 60 2003; National Institute for Health and Clinical Excellence.
[2]   National Institute for Health and Clinical Excellence. Diagnosis and management of Type 1 diabetes in children, young people and adults, Clinical guidelines CG15 2004; National Institute for Health and Clinical Excellence. http://publications.nice.org.uk/type-1-diabetes-cg15 .
[3]   National Institute for Health and Clinical Excellence. Type 2 diabetes: the management of type 2 diabetes, Clinical Guidance CG87 2009; National Institute for Health and Clinical Excellence.