The Care Challenge is an international online initiative dedicated to showcase nurse creativity. Four out of five diabetes specialist nurses say their workload is impacting on patient safety and care, according to a report from a leading charity. Background. One of the most effective ways to reduce variation in diabetes care processes may also be the simplest: sharing successes. • Infection control must not be at the expense of compassion, • DIY healthcare: the rise of testing and wound care at home, • Providing breast cancer support during the pandemic, © Cogora 2020Cogora Limited, 140 London Wall, London EC2Y 5DN Registered in the United Kingdom. Self-monitoring of blood glucose (SMBG) devices give users this understanding – yet only a minority of those who live with the condition are offered SMBG, and of those who are, the importance of understanding and making use of the data isn’t always made clear to them. How can medical and safety technology manufacturers provide support during a pandemic? 9. Several districts have been rising to this challenge, and diabetes care in the UK is evolving. Incentives are produced to convince clinicians to use certain medications, to try to cut prescribing costs, and the clinician must select one that they believe will be most effective for their patient. In 201410 these included projects in Derby, North West London, Wolverhampton and Leicester. This opportunity will be rewarding as there are many challenges ahead. Understanding how diet, stress, sleep and exercise impact on diabetes management can be the most valuable ‘tool in the box’ for people with Type 2 diabetes. In 2005, I undertook a new challenge in taking up the position of Nurse Consultant in Enfield, North London, where I continue to work today. Tackling the biggest challenges in diabetes care – together. Author(s): Susan Josephine Cable Diabetes Specialist Nurse, Ashford and St Peters NHS Foundation Trust, UK Correspondence: Susan Cable [email protected] Abstract The following article focuses upon the essential role of the Diabetes Specialist Nurse (DSN) in the care and management of patients with diabetes. Thorn PA, Russell RG. While 77.3% of people with Type 2 diabetes are referred to structured diabetes education, typically delivered in group-based classroom sessions, attendance rates have been a challenge. Crucially, SMBG devices commissioned by the NHS should be independently verified for quality and accuracy and prescribed alongside education and support to ensure each individual knows how to make use of SMBG technology. We, that is, all of us involved in diabetes care, must share more of our knowledge, insights and experiences – CCGs with each other, frontline health professionals with patients, and groups like our own with our colleagues in the NHS and beyond – to better understand how we can help people with diabetes live longer, happier, healthier lives. Diabetes UK, 2015. A lack of specialist nurses and other expert staff is continuing to contribute to unnecessary patient harms in hospital, according to the latest major audit of diabetes care. To contain what could soon become a major national health crisis, the NHS has made vast investments in diabetes care; UK spending on the condition totals 10% of the total healthcare budget, amounting to some £10 billion per year. Department of Health, 2003. The problem of prescribing costs will not go away but there needs to be more joined up perspective on this, and consideration of long-term outcomes, in order to deal with this and other costly issues. Coronavirus (COVID-19) information and resources Find a summary of resources and information to support you in caring for your patients with or affected by diabetes. A diabetes specialist nurse occupies a central position in caring for and supporting patients and their families over the course of the disease. We examine whether hospital and community DNS currently support the integration of care, examine regional variation in aspects of the service relevant to the delivery of integrated care and identify barriers to service delivery and areas for improvement. Diabetes UK. To maintain the level of care, GPs and nurses need education and resources. The solution, as in many facets of life, may be found in our pockets: mobile health. DSNs work wholly in diabetes care and may be employed in a variety of care settings. The NHS is not recruiting enough diabetes specialist nurses (DSNs) to keep pace with the growing number of people diagnosed with diabetes, according to a new analysis published today by Diabetes UK, the Royal College of Nursing (RCN) and TREND-UK. That’s why the iDEAL group is engaging with NHS commissioners, primary care professionals, policymakers, advocacy groups, research bodies and others, to reach a consensus on enacting change. In 2011-12, only 17.4% of children and young people with diabetes had an HbA1c of <58 mmol/mol (<7.5%); by 2016-17 this figure had risen to 28.9%. District Nursing in 1990 and took up the first Diabetes Specialist Nurse post in Hull. British Medical Journal 1973;2(5865):534-536. How can nurses deliver care without the skills and competencies required? Clearly, a new approach is needed. B Hazell, R Robson. There is no way that practice nurses today can run all the chronic disease clinics necessary, and stay abreast of all the changes in diabetes care. The case, then, for introducing such a tariff for adult diabetes care is clear. Sharing these models of excellence with other NHS organisations could drive a marked improvement in clinical, psychosocial and financial outcomes at very little if any, financial cost. Diabetes care is growing and developing in general practice, so the challenges will only increase. Drug manufacturers should not be demonised, as they are a valuable source of education and support. Actions of DSNs Patient education . Ultimately, delivering more effective diabetes care across the board can be achieved only one way: by bringing together all of the numerous stakeholders in diabetes care. Pharmaceutical Waste reduction in the NHS. Improving the delivery of Adult Diabetes Care through integration: sharing Experience and Learning. 5 For nurses, the person who receives medical treatment is considered a patient in the nurse–patient relationship, whether his disease is acute or chronic. Dr Rebecca Thomas says: “The challenge of the recruitment, retention and training of diabetes specialist nurses (DSNs) was highlighted at a recent All Party Parliamentary Group (APPG) for Diabetes last year.” “The DSN role is vital for people with diabetes and DSNs have been facing overwhelming challenges. Practical Diabetes International 2009a;26:314-315. Other models of integrated care are being developed and used in various parts of the UK. A diabetes specialist nurse (DSN) was accessible for advice or support by phone or in person any weekday during standard working hours, and the consultant team answered calls for emergency advice in the early evening. Department of Health. Informal enquiries contact Sandra Wilson, Senior Diabetes Specialist Nurse, ext 58175 If we are to rise to the challenge of increasing diabetes prevalence, we need urgent action at both a local and national level to tackle DSN workforce shortages. Challenges in practice will be identified and discussed. Hicks D, McAuley K. Meeting the Educaitonal needs of primary care practitioners: MERIT. Primary care needs specialist support, in whatever model is appropriate, so that those with more complex needs can have them adequately met. The MERIT9 course was made available for practice nurses and GPs, to equip them to better manage their patients. Join Chris Askew and Partha Kar for North of England team's end-of-year quiz Chris Askew (Chief Executive, Diabetes UK) will join Professor Partha Kar (National Specialty Advisor for Diabetes, NHS England) for the team's online Quiz of the Year on Wednesday, December 2nd (8pm-9pm). The BSPED provides funding for the London Southbank University module: Principles of care for children and young people with Diabetes . Today there are some 1300 diabetes specialist nurses (DSNs) working in hospitals, doctors’ surgeries and the community. 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