DIABETES ACTION PLAN 2010

DIABETES ACTION PLAN 2010
QUALITY CARE FOR DIABETES IN SCOTLAND
Contents
Foreword by the Cabinet Secretary for Health and Wellbeing
List of Actions 1
1. Introduction 11
2. Maintaining Health and Wellbeing 16
Improving the health of people with diabetes in Scotland and reducing health
inequalities 16
2.1 Primary prevention of type 2 diabetes 16
2.2 Screening for type 2 diabetes 17
3. Quality Healthcare for All 20
Improving the quality of healthcare and healthcare experience and developing a
mutual NHS – offering the people with diabetes in Scotland a world-class service
and a stronger voice in service improvement 20
3.1 Putting people with diabetes at the centre 20
3.2 Maintaining vascular health 23
3.3 Foot care 25
3.4 Eye care 27
3.5 Preventing renal disease 29
3.6 Positive pregnancy experiences 30
3.7 Care for people from black and minority ethnic communities 32
3.8 Children, young people and families 33
3.9 The spectrum of emotional and psychological support 35
3.10 Structured education 39
3.11 Insulin therapy 41
3.11.1 Intensive insulin therapy for people with type 1 diabetes 41
3.12 Reducing emergency admissions 44
3.12.1 Out-of-hours care 44
3.12.2 Diabetes emergencies 44
3.12.3 Diabetic ketoacidosis 46
3.13 Quality In-patient care 47
3.13.1 Safe and effective management of diabetes in hospital 47
3.13.2 Care homes and non-NHS settings 48
4. Value 50
Maximising the value of our investment in health services in Scotland 50
4.1 Ensuring quality care 50
4.2 Professional development 51
5. Integration 54
Integrating health, care and other services 54
5.1 Organisation of care 54
5.1.1 Scottish Diabetes Group 54
5.1.2 Involving people living with diabetes 54
5.1.3 Diabetes Managed Clinical Networks 56
5.1.4 Remote and rural care 58
5.1.5 Optimal use of information technology 60
6. Conclusion 62
Appendix 1 – Consultation responses 63
Appendix 2 – Table of NHS Boards’ planned investment in insulin pump therapy 65
Glossary 70
References and Publications 74
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