DIABETES ACTION PLAN 2010

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DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND Appendix 2 Table of NHS Board planned investment in Insulin Pump Therapy NHS Board 2010-11 2011-12 2012-13 • Funding available for additional 16 children • Funding available for additional 12 adults • Paediatric pump/structured education available • Structured Education programme available • Funding available for additional 12 children • Funding available for additional 8 adults • Paediatric pump/structured education available • Structured Education Programme available • Suitable patients identified by Consultant Physicians in consultation with colleagues • 5 children with type 1 diabetes currently on insulin pump therapy (2%) • Currently 2 adults on insulin pump therapy and a further 2 adults identified who meet commencement criteria • Funding available for additional 8 children • Funding available for additional 4 adults • Adult a paediatric diabetes services committed to stepwise increase in pump provision • Structured education programme available NHS Ayrshire and Arran • Previous agreement for 6 additional patients • Outcome of LDP process will inform further expansion of service • Previously agreement for additional 6 patients. • Outcome of LDP process will inform further expansion of service NHS Borders • The Borders Diabetes Service has run its own pump therapy service since 2005. Pumps have been offered to more patients than have taken up pumps. The people who have declined the use of pumps have done so for individual and personal reasons. • The pump service will become an integrated service incorporating adult and paediatric pump services. • Currently 23 patients (19 adults and 4 children) in total on insulin pump therapy (3.8%) • Proposals for future investment will be considered within the standard Local Delivery Planning process The proposed additional investment would support an additional 10 adults and 4 children, bringing the total number of people on pump therapy to 37 (6.1%) in the first year, with year-on-year increase of 1 adult per year. • The provision of structured education programmes across the area has been absorbed within the workload of the Diabetes Specialist Nursing (DSN) team. However, as demand on the DSN service grows, this is becoming increasingly difficult to sustain and any future investment approved through the LDP process will help to address this capacity issue. 65
DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND 66 NHS Board 2010-11 2011-12 2012-13 • If, in the opinion of the Consultant Physician, the patient may benefit, they are provided with an insulin pump. • Approximately 150 patients per year received DAFNE. • Further 30 patients on pump as part of HTA research trial • Insulin pumps made available according to clinical need • Approximately 150 patients per year received DAFNE. • No restriction on funding of pumps, which are provided if Consultant Physician considers patient may benefit. • 10 adult patients with insulin pumps (1.25%) of the 800 adults with type 1 diabetes. • 4 children with pumps out of the 57 children with type 1 diabetes (7.0%). • 35 additional pumps being funded through Health Technology Assessment RCT comparing structured education with pumps in promoting glycaemic control. Would take total to 5.72%. • Approximately 150 patients per year received DAFNE. NHS Dumfries and Galloway • Possible further expansion will be considered as 2012-13 budgets are set. • Possible further expansion will be considered as 2011-12 budgets are set. NHS Fife • 57 adult and 13 paediatric patients (4.4%) on pump therapy. • Possible further expansion being considered in setting 2010-11 budget. • Patient pathway ensures patient seen by appropriate members of the multi-disciplinary team on 1:1 basis, then followed up at dedicated clinic for pump users. Education programme in place. • 4 additional children and young people to receive insulin pump service. • Further expansion in service provision will be linked to the anticipated efficiencies released from the National Procurement of blood glucose monitors and strips. • Final numbers will depend on demand and compliance with local guideline. • Current plans dependent upon NHS financial settlements. • 4 additional children and young people to receive insulin pump service. • Further expansion in service provision will be linked to the anticipated efficiencies released from the National Procurement of blood glucose monitors and strips. • Final numbers will depend on demand and compliance with local guideline. • Current plans dependent upon NHS financial settlements. NHS Forth Valley • 25 adult and 6 paediatric patients on insulin pump therapy as at 2009/ 2010 • 4 additional children and young people to receive insulin pump service. • Further expansion in service provision will be linked to the anticipated efficiencies released from the National Procurement of blood glucose monitors and strips. • Final numbers will depend on demand and compliance with local guideline. • Current plans dependent upon NHS financial settlements.
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