DIABETES ACTION PLAN 2010

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DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND NHS Board 2010-11 2011-12 2012-13 • Structured education programme in place • Funding secured to maintain the present service • Depending on outcome of 2011/12 discussions – consideration will be given to increasing the number of patients on insulin pumps • Structured education programme in place • Funding secured to maintain the present service. • Consideration will be given to increasing the number of patients on insulin pumps. Dependent on discussion with CHPs, review of the prioritisation process and budget setting discussions. NHS Grampian • Structured education programme in place. • Approximately 1.5% of adult patients and 6% of paediatric patients on insulin pumps • MCN have reviewed the position of insulin pumps within the existing diabetes priorities for NHS Grampian. • Funding secured to maintain the present service • An additional 15 children on an insulin pump • We have a detailed plan for expansion but this is constrained by resources and by our interest in seeing the revised SIGN guidance, particularly in relation to the grading of the quality of life evidence, and the emerging evidence from the Health Technology trial on the impact of pumps on wider health costs. • An additional 15 children on an insulin pump • Our immediate priority is paediatric patients and we are committed to use savings of c. £300k from national procurement over the next 2 years to fund an additional 30 paediatric patients. • Currently 21 children on an insulin pump NHS Greater Glasgow and Clyde • Business case developed to expand service , but no funding identified. This will continue to be reviewed. • Supportive of reinvesting savings from HBGM into CSII. • No plans to develop a paediatric service. • Increase the number of adults on pumps to 30 in total • Supportive of reinvesting savings from HBGM into CSII. • No plans to develop a paediatric pump service. NHS Highland • At 10 March 2010, 20 patients on insulin pump therapy (1.18%). • £20,000 made available on a recurring basis for this service. • Business case developed. Not possible at this stage to agree funding as laid out in the business case. Recurring funding has been identified to support additional 10 patients, 30 in total (1.78%) through purchase of additional equipment and the appointment of a 0.5 wte dietitian • No Paediatric service available. 67
DIABETES ACTION PLAN 2010 QUALITY CARE FOR DIABETES IN SCOTLAND 68 NHS Board 2010-11 2011-12 2012-13 • DAFNE structured education provision continues with 12 courses (~96 number of patients) per annum. • Cost to increase to 191 pumps (5.6% of type 1 population) would be £543k*. NB Board therefore not committed to investment levels mentioned. • DAFNE structured education provision continues with 12 courses (~96 number of patients) per annum. • Cost to increase to 143 pumps (4.2% of type 1 population) would be £438k*. NB Board therefore not committed to investment levels mentioned. NHS Lanarkshire • DAFNE structured education provision being increased to 12 courses per annum. • Currently funding 47 pumps (1.4% of type 1 population). • Diabetes MCN has produced business case to allow further work on investment in pump service. • Cost to increase to 95 pumps (2.8% of type I population) would be around £344k*. NB Board therefore not committed to investment levels mentioned. • Similar to the position in 2010/11, if we are successful in identifying funding we will work towards an additional 30 pumps being made available (this would be an increase to around 6% of type 1, all ages) • Consideration will be given to reinvestment of ongoing savings from national procurement exercise to fund further pumps • Continuing delivery of structured education to people with type 1 diabetes. • Similar to the position in 2010/11 if we are successful in identifying funding we will work towards an additional 30 pumps being made available (this would be an increase to around 5.3% of type 1, all ages) • Consideration will be given to reinvestment of ongoing savings from national procurement exercise to fund further pumps • Continuing delivery of structured education to people with type 1 diabetes. NHS Lothian • At March 2010, 153 people were on pumps (3.8% of type 1) • 30 additional pumps will be funded in 2010-11, providing pumps to a total of 4.5% of people with type 1 diabetes. • Consideration will also be given to reinvestment of savings from national procurement exercise. • Structured education, such as DAFNE will be expanded to support people with type 1 diabetes. • 3 additional patients. 12 people on an insulin pump. • 3 additional patients. 9 people on an insulin pump. NHS Orkney • 3 current patients out of 158 people with type 1 diabetes (1.9%). • 3 additional patients. • Board has access to NHS Grampian DAFNE programme and provides type 1 carbohydrate counting and insulin adjustment course on group or 1:1 basis.
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