DIABETES ACTION PLAN 2010

DIABETES ACTION PLAN 2010
QUALITY CARE FOR DIABETES IN SCOTLAND
Actions we will take:
1. NHS Boards to maintain the effectiveness of the diabetes MCNs, in
particular by ensuring proper engagement of the MCNs in Boards’
planning of future person-centred service developments.
2. NHS QIS will work with diabetes MCNs to develop a quality
improvement programme.
3. The MCN Lead Clinicians’ group and MCN Managers’ groups will
continue to meet regularly to:
• share expertise and best practice;
• advise SDG on strategy development;
• collaborate with other members of SDG including Diabetes UK Scotland and the
Diabetes Care Focus Group.
4. NHS Boards will accredit their diabetes MCN where this has not
already been done.
Healthcare Quality Dimensions: equitable; effective; efficient.
5.1.4 Rural and remote care
Where we want to be:
We want to develop initiatives and programmes which ensure that people have access to
robust services wherever they live in Scotland.
Why we want to be there:
One of the defining characteristics of care provision in Scotland is the challenge of
geography. Island, rural and remote communities need to have access to diabetes care
which provides optimal support for their condition. This Action Plan needs to deliver
practical support to those initiatives and programmes which tackle the geographical
spread of Scotland and the need for around the clock care.
Remote and rural areas pose specific challenges to the delivery of care. Telehealth can
help diabetes services overcome these obstacles, by allowing clinicians to consult with
patients remotely. At the moment live video conference clinics are available for people
with diabetes in Orkney. This includes links to a computer for patient monitor readings.
These are supported locally by nursing staff and a consultant based in Aberdeen.
Telehealth can also allow GPs to consult with specialists thereby reducing the need for
referrals.
Telehealth will also have a role to play in supporting self management.
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