Appropriate management of inpatients with diabetes Eligibility All patients with diabetes Performance indicators/surrogate outcome Process Relevant Standards Outcomes measures metrics Provision of a Specialist Inpatient Please refer to the Applicable Evidence of local arrangements to ensure that Domain 1 Preventing people from – Diabetes Team (SIDT) comprising: Service Standards section of adults with type 1 diabetes in hospital receive dying prematurely this service specification advice from a multidisciplinary team with expertise Domain 2 Enhancing quality of life for – every 250 beds, at least 1 Diabetes in diabetes people with long-term conditions •for Inpatient Specialist Nurse (DISN) whose Domain 3 - Helping people to recover Proportion of hospital admissions for adults with focus is predominantly on inpatient care from episodes of ill-health or following type 1 diabetes in which they receive advice from a to improve the quality and reduce bed injury multidisciplinary team with expertise in diabetes occupancy Emergency readmissions within 30 days consultant specialist in diabetes of discharge from hospital •a Completion of the NaDIA management Domain 4 Ensuring people have a to a diabetes specialist podiatrist – •access Evidence of local arrangements to ensure that all positive experience of care and dietitian inpatients with diabetes are cared for by Patient experience of hospital care appropriately trained staff, provided with access to Provision of a multidisciplinary team a SIDT, and given the choice of self-monitoring and Friends and Greater Manchester approach to inpatients with type 1 managing their own insulin Reducing Harm Diabetes Inpatient diabetes, regardless of the reason for Bundle of Care as poor or worse in admission Proportion of staff on inpatient wards who are hospital care appropriately trained to care for people with Provision of ward referral systems to diabetes Responsiveness to inpatients' personal ensure all appropriate patients are needs promptly referred and promptly seen by Proportion of inpatients with diabetes who are the DSIT provided with access to a specialist diabetes team Domain 5 Treating and caring for – people in a safe environment and Provision to consider capillary blood Proportion of people admitted to hospital with protecting them from avoidable harm ketone testing for inpatient management diabetic ketoacidosis who receive follow-up within Deaths attributable to problems in of DKA in adults with type 1 diabetes that 30 days after discharge by a specialist diabetes is incorporated into a formal protocol
Appropriate management of inpatients with diabetes Eligibility All patients with diabetes Process Relevant Standards Performance indicators/surrogate outcome metrics Outcomes measures Provision of a Specialist Inpatient Diabetes Team (SIDT) comprising: •for every 250 beds, at least 1 Diabetes Inpatient Specialist Nurse (DISN) whose focus is predominantly on inpatient care to improve the quality and reduce bed occupancy •a consultant specialist in diabetes management •access to a diabetes specialist podiatrist and dietitian Provision of a multidisciplinary team approach to inpatients with type 1 diabetes, regardless of the reason for admission Provision of ward referral systems to ensure all appropriate patients are promptly referred and promptly seen by the DSIT Provision to consider capillary blood ketone testing for inpatient management of DKA in adults with type 1 diabetes that is incorporated into a formal protocol Please refer to the Applicable Service Standards section of this service specification Evidence of local arrangements to ensure that adults with type 1 diabetes in hospital receive advice from a multidisciplinary team with expertise in diabetes Proportion of hospital admissions for adults with type 1 diabetes in which they receive advice from a multidisciplinary team with expertise in diabetes Completion of the NaDIA Evidence of local arrangements to ensure that all inpatients with diabetes are cared for by appropriately trained staff, provided with access to a SIDT, and given the choice of self-monitoring and managing their own insulin Proportion of staff on inpatient wards who are appropriately trained to care for people with diabetes Proportion of inpatients with diabetes who are provided with access to a specialist diabetes team Proportion of people admitted to hospital with diabetic ketoacidosis who receive follow-up within 30 days after discharge by a specialist diabetes Domain 1 – Preventing people from dying prematurely Domain 2 – Enhancing quality of life for people with long-term conditions Domain 3 - Helping people to recover from episodes of ill-health or following injury Emergency readmissions within 30 days of discharge from hospital Domain 4 – Ensuring people have a positive experience of care Patient experience of hospital care Friends and Greater Manchester Reducing Harm Diabetes Inpatient Bundle of Care as poor or worse in hospital care Responsiveness to inpatients' personal needs Domain 5 – Treating and caring for people in a safe environment and protecting them from avoidable harm Deaths attributable to problems in
4._gm_diabetes_service_spec.docx