appropriate and at least NICE Clinical Guidance 15 Evidence of local arrangements and locally agreed criteria for healthcare Domain 4 Ensuring people have a positive experience of care – annually. (2005) professionals to demonstrate and document training and competencies in Domain 5 Treating and caring for people in a safe environment and protecting – initiating and managing insulin or insulin pump therapy (QS 6). them from avoidable harm Including the provision of care NICE Technology Appraisal 53 during acute presentations of (2002) Reduction in incidents relating to insulin causing harm (QS 12). T1DM and the provision and advice and aftercare of insulin NICE Technology Appraisal pumps. 151 (2008) Upon presentation with T1DM after 19 years of age Throughout the life time of people with T1DM Referral routes Following acute admission for hypoglycemia From MDT when HbA1c levels are poorly managed Those patients who fulfill criteria should be considered for an insulin pump This pathway will continue for the lifetime of the person with T1DM Frequency / Discharge route Review by the MDT of HbA1c will depend on the requirements. patient’s Appropriate management of inpatients with diabetes Eligibility All patients with diabetes Performance indicators/ surrogate outcome metrics Process Relevant Standards Outcome Measures
appropriate and at least annually. Including the provision of care during acute presentations of T1DM and the provision and advice and aftercare of insulin pumps. NICE Clinical Guidance 15 (2005) NICE Technology Appraisal 53 (2002) NICE Technology Appraisal 151 (2008) Evidence of local arrangements and locally agreed criteria for healthcare professionals to demonstrate and document training and competencies in initiating and managing insulin or insulin pump therapy (QS 6). Domain 4 – Ensuring people have a positive experience of care Domain 5 – Treating and caring for people in a safe environment and protecting them from avoidable harm Reduction in incidents relating to insulin causing harm (QS 12). Referral routes Upon presentation with T1DM after 19 years of age Throughout the life time of people with T1DM Following acute admission for hypoglycemia From MDT when HbA1c levels are poorly managed Those patients who fulfill criteria should be considered for an insulin pump Frequency / Discharge route This pathway will continue for the lifetime of the person with T1DM Review by the MDT of HbA1c will depend on the patient’s requirements. Appropriate management of inpatients with diabetes Eligibility All patients with diabetes Process Relevant Standards Performance indicators/ surrogate outcome metrics Outcome Measures