Five years on: delivering the diabetes national service framework

Source: Department of Health http://www.dh.gov.uk

Link here to view selected item: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_087123

Year of publication: 2008

In a nutshell: The Diabetes National Service Framework (NSF) set out the first ever set of national standards for the care of people with diabetes. This report highlights progress over the first five years of the NSF Delivery Strategy; marking the half-way point of the implementation period.

Length of Publication: 44 pages

Some important notes: None

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Acknowledgements: Diabetes Newsfeed

Clinical effectiveness of diabetes education models for type 2 diabetes

Source: Health Technology Assessment, 01 January 2008, 12 (9) p.1-117  http://www.hta.nhs.uk

Link here to view selected item: http://www.hta.nhs.uk/fullmono/mon1209.pdf

Year of Publication: 2008

Publication Type: Systematic Review

In a nutshell: This systematic review examines the clinical effectiveness of patient education models for adults with Type 2 Diabetes.

Conclusions: Based on the evidence, it would seem that education delivered by a team of educators, with some degree of reinforcement of that education made at additional points of contact, may provide the best opportunity for improvements in patient outcomes. Educators need to have time and resources to fulfil the needs of any structured
educational programme. There is also a need for education to have a clear programme at the outset. From the evidence reported it is unclear what resources would need to be directed at the educators themselves to ensure that they can deliver programmes successfully. Any future research should consider patient education within the context of overall diabetes care and as such follow guidelines for the development and evaluation of complex interventions. Good-quality, longer-term studies would be desirable, but these would require careful consideration around the nature of any control group. Information is needed to clarify the sensitivity of diabetes education programmes to the performance of the diabetes educators, in order to ensure success and cost-effectiveness of education programmes.

Length of Publication: 150 pages

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Acknowledgements: Cinahl

Chronic care program helps diabetics learn to manage their disease: one-stop clinics

Source: Case Management Advisor http://search.ebscohost.com/

Link here for more information: http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2010087742&site=ehost-live

Year of publication: 2008

Publication type: News item

In a nutshell: This article reviews a chronic care program for diabetics at St. Elizabeth Health Center in Tucson, AZ, which provides recommended care at a reduced cost and copay, helps them develop self-management goals, and supports them when they go back into their communities.

Length of Publication: 3 pages

Some important notes: You will need an NHS Athens username and password to access this article. If you cannot access the full text, please contact your local NHS library

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Acknowledgements: Cinahl

Management of type 2 diabetes: updated NICE guidance.

Source: Primary Health Care; 01 October 2008, 18 (8)  p. 32-34 http://search.ebscohost.com/

Link here to view selected item: http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2010075699&site=ehost-live

Year of Publication: 2008

Publication Type: News item

In a nutshell: Mags Bannister outlines the key recommendations contained in the latest NICE guidance on diabetes and illustrates how it can be incorporated in diabetes care provision in
pulmonary care.

Length of Publication: 3 pages

Some important notes: You will need an NHS Athens username and password to access this article. If you cannot access the full text, please contact your local NHS library

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Acknowledgements: Cinahl

Redesigning Diabetes Services in Enfield

Source: Diabetes UK http://www.diabetes.org.uk

Link here for more information: http://www.diabetes.org.uk/Professionals/Shared_Practice/Care_Topics/Integrated-Care/Redesigning-Diabetes-Services-in-Enfield—Nov-08/

Year of Publication: 2008

Publication type: Case study

In a nutshell: For many years acute diabetes care had been struggling to cope with the ever increasing number of referrals from GPs and the increasing number of follow ups. The PCT has 62 general practices and a diverse population in terms of ethnic and socioeconomic factors. The development of practice based diabetes knowledge and skills had been identified by the PCT as a priority area in 2005, and funding was received by the team for strategic planning. The diabetes project was hence developed to ensure that people with diabetes are seen in the community close to where they live for easier access and to reduce waiting times for diabetes care. No information was available relating to service provision, delivery of care, knowledge and skills relating to diabetes in general practice at the time. One of the first tasks undertaken was a baseline diabetes audit involving a visit to all the practices in the locality. An audit tool developed by A Farooqi was used to examine all areas of diabetes management. The results of the audit were reviewed with the individual practices and gaps in knowledge and skills were identified to help improve the priority areas in which the practice team desired to develop.

Length of Publication: 1 web page

Some important notes:

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Diabetes Education through Adult learning (DEAL)

Source: Diabetes UK http://www.diabetes.org.uk/

Link here for more information: http://www.diabetes.org.uk/Professionals/Shared_Practice/Care_Topics/Patient_education/Diabetes-Education-through-Adult-learning-DEAL–NOV-08/

Year of Publication: 2008

Publication Type: Case study

In a nutshell: National guidance is very clear that future education for people with diabetes must be “a planned and graded programme that is comprehensive in scope, flexible in content, responsive to an individual’s clinical and psychological needs and adaptable to his or her educational and cultural background” (NICE). It is extremely unlikely that a ‘one-size-fits-all’ programme would be able to meet such diverse educational needs well.  The St Helens & Knowsley Hospital Specialist Diabetes Team therefore offers a suite of educational options within DEAL to best meet the needs of local people with diabetes.

Length of Publication: 1 web page

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Patients receive all their interventions in one place

Source: Case Management Advisor; 01 November 2008; 19 (11) p.123-4  http://search.ebscohost.com

Link to view selected item: http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2010087743&site=ehost-live

Year of publication: 2008

Publication type: Case Study

In a nutshell: Monthly diabetes group visits, where patients receive all their recommended tests and examinations in one place, are an effective and cost-efficient way to help diabetics keep their disease under control, but they take a lot of organization says Donna Zazworsky, RN, MS, CCM, FAAN, manager of network diabetes care, faith community nursing and telemedicine for Carondelet Health Network in Tucson, AZ.

Length of publication: 2 pages

Some important notes: You will need an NHS Athens username and password to access this article. If you cannot access the full text, please contact your local NHS library

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Acknowledgement: Cinahl – Escohost

PBS Phase 3 Diabetes Population Prevalence Model

Source: The Association of Public Health Observatories http://www.yhpho.org.uk

Link here to view selected: http://www.yhpho.org.uk/PBS_diabetes.aspx

Year of publication: 2008

Publication type: Equations & Formulas

In a nutshell: This is a spreadsheet model that generates expected total numbers of persons with Type 1 and Type 2 diabetes mellitus (diagnosed plus undiagnosed combined) for 2005. The model applies age/sex/ethnic group-specific estimates of diabetes prevalence rates, derived from epidemiological population studies, to population estimates.

Length of Publication: Various

Some important notes: There are a number of documents which make up the prevalence model

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Acknowledgements: Diabetes Newsfeed

National Diabetes Audit (NDA) e-bulletin special: December 2008

Source: NDST – http://www.diabetes.nhs.uk

Link here to view selected item: http://www.diabetes.nhs.uk/news-folder/national-diabetes-audit-nda-e-bulletin-special-december-2008

Year of publication: 2008

Publication type:  Quantitative research

In a nutshell:  The National Diabetes Audit has published the NDA Dashboard which contains the 2006-2007 audit results by SHA and PCT.  The NDA Dashboard is an Excel workbook which allows organisations to benchmark their audit results at a national and local level.

Length of Publication: Online summary

Some important notes:

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Acknowledgements: NeLM

Birmingham OwnHealth

Source: NDST – http://www.diabetes.nhs.uk

Link here to view selected item: http://www.diabetes.nhs.uk/news-folder/reading-room/ndst-publications/infopoints/standard-3/birmingham-ownhealth

Year of publication: 2008

Publication type: Case study

In a nutshell:  People living with diabetes in Birmingham are benefiting from a telephone-based care management programme. The scheme is the first large scale telephone-based care management service designed for people with long term conditions and resulted in a 48% reduction in hospital admissions in its first year.

Length of Publication: Online summary

Some important notes:

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Acknowledgements: NDST

Standards of Medical Care in Diabetes 2009

Source: Diabetes Care. Alexandria: Jan 2009. Vol. 32, Iss. 1; pg. S13, 49 pgs – http://care.diabetesjournals.org/

Link here to view selected item: http://proquest.umi.com/pqdweb?index=12&did=1627728511&SrchMode=1&sid=1&Fmt=4&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1232254166&clientId=50316

Executive summary (7 pages) – http://proquest.umi.com/pqdweb?index=8&did=1627728481&SrchMode=1&sid=1&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1232254166&clientId=50316

Year of publication: 2009

Publication type: Guideline

In a nutshell: These standards of care are intended to provide clinicians, patients, researchers, payors, and other interested individuals with the components of diabetes care, treatment goals, and tools to evaluate the quality of care.  The recommendations included are screening, diagnostic, and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes.  A grading system (Table 1), developed by the American Diabetes Association (ADA) and modeled after existing methods, was utilized to clarify and codify the evidence that forms the basis for the recommendations.

Length of publication: 49 pages (see link below for executive summary)

Some important notes: You will need an NHS Athens username and password to access this article. If you cannot access the full text, please contact your local NHS library.

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Acknowledgement: ProQuest