A responsive service is provided that regularly partakes in audit within and across all care settings, reviews data and uses it to inform and stimulate improvements in service delivery Education (in addition to the formal structured education courses) for Service Users in all settings to promote self-management. Please see Appendix B for some details of the described service The Generalist Provider shall: Undertake initial and subsequently at least annual collaborative and Service User-centred care planning sessions for each Service User with diabetes that forms the basis of their management and self-management, and involves input from all members of the MDT Provide a triage system for prioritising referrals if the generalist team is community based. Provide a MDT from the point of diagnosis, whether practice or community based Provide practice based education in addition to signposting to or provision of formal structured education programmes Provide regular monitoring and of the diabetic condition ensuring Service User engagement. Provide screening for diabetic foot conditions Provide MDT delivered psychological assessment Provide direct and easy access to the MDT The Community MDT Provider shall: Provide structured education for Service Users with Type 2 diabetes, for Service Users whose GP practice does not provide this in-house, in line with NICE TA60. Provide structured education for Service Users with Type 1 diabetes in line with NICE TA60. Provide pre-pregnancy advice for women of childbearing age in line with NICE QS7 and NICE CG63 if not provided in the GP practice. Provide a dedicated service to improve glycaemic control for Service Users with Type 2 diabetes whose glycaemic control is poor despite best efforts with
A responsive service is provided that regularly partakes in audit within and across all care settings, reviews data and uses it to inform and stimulate improvements in service delivery Education (in addition to the formal structured education courses) for Service Users in all settings to promote self-management. Please see Appendix B for some details of the described service The Generalist Provider shall: Undertake initial and subsequently at least annual collaborative and Service User-centred care planning sessions for each Service User with diabetes that forms the basis of their management and self-management, and involves input from all members of the MDT Provide a triage system for prioritising referrals if the generalist team is community based. Provide a MDT from the point of diagnosis, whether practice or community based Provide practice based education in addition to signposting to or provision of formal structured education programmes Provide regular monitoring and of the diabetic condition ensuring Service User engagement. Provide screening for diabetic foot conditions Provide MDT delivered psychological assessment Provide direct and easy access to the MDT The Community MDT Provider shall: Provide structured education for Service Users with Type 2 diabetes, for Service Users whose GP practice does not provide this in-house, in line with NICE TA60. Provide structured education for Service Users with Type 1 diabetes in line with NICE TA60. Provide pre-pregnancy advice for women of childbearing age in line with NICE QS7 and NICE CG63 if not provided in the GP practice. Provide a dedicated service to improve glycaemic control for Service Users with Type 2 diabetes whose glycaemic control is poor despite best efforts with
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