DIABETES ACTION PLAN 2010

DIABETES ACTION PLAN 2010
QUALITY CARE FOR DIABETES IN SCOTLAND
3.12 Reducing emergency admissions
3.12.1 Out-of-hours care
Where we want to be:
We want people with diabetes to have access to robust out-of-hours diabetes care.
Why we want to be there:
People with diabetes need access to consistent, co-ordinated and high quality care at all
times. Effective out-of-hours care is fundamental to reducing the number of unplanned
admissions for metabolic emergencies.
The Type 1 Diabetes Short Life Working Group report explores out-of-hours care
services for people with diabetes and looks at the rationale for introducing a dedicated
NHS 24 diabetes service. It is expected that this work could provide a viable alternative
to further rolling out the DiabNet scheme.
Actions we will take:
1. The Scottish Diabetes Group will work with NHS 24 to improve
NHS 24’s services for people with diabetes and develop a dedicated
diabetes pathway (responsibility: Scottish Diabetes Group and NHS 24).
2. The Scottish Diabetes Group will explore, with other organisations,
optimal use of the Emergency Care Summary.
Healthcare Quality Indicators: timely; safe; effective.
3.12.2 Diabetes emergencies
Where we want to be:
We want to reduce or prevent the number of diabetes emergencies.
Why we want to be there:
Diabetic ketoacidosis (DKA) and hypoglycaemia are major causes of emergency situations
in the community and in hospital.
Reducing hospital admissions of people with diabetes will help NHS Boards achieve the
trajectories they have developed in line with HEAT target T6:
‘to achieve agreed reductions in the rates of hospital admissions and bed days
of patients with primary diagnosis of COPD, Asthma, Diabetes or CHD, from
2006-07 to 2010-11.’
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