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Nottingham City Diabetes Service PLT Tuesday March 2017

Enhancing community diabetes services with structured education, care planning, and psychological support. Accessible and comprehensive care for all diabetes types. Contact details provided for referrals.

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Nottingham City Diabetes Service PLT Tuesday March 2017

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  1. Nottingham City Diabetes ServicePLT Tuesday March 2017

  2. Transformation of Community Diabetes Services in Nottingham City

  3. Year of Care • Make the annual review process useful • Ensure all tests and processes are done • Allow people to consider results before making decisions • Take away the anxiety and surprise of getting results • Allow an equal conversation

  4. Key Features of the service: • Single point of access • Clinical triage • Structured education for type 1 & 2 diabetes • Care planning (Year of Care) • GP practice support – including joint clinics • Multi-disciplinary specialist clinics • Continuous blood glucose monitoring • Access to psychological support • Advice, support and training for healthcare professionals

  5. The Team: • Diabetes Specialist Nurses • Consultant Diabetologists • Diabetes Specialist Dietitians • Specialist Diabetes Educators • Access to psychological expertise • Administrative co-ordinators • Clinical support workers

  6. Jane 45 years old and has Type 2 diabetes • Initial care through GP surgery • Refer to JUGGLE – Jane can self refer • When you need more support – e.g. on two or three oral therapies and not sure what to do next. • If Practice nurse does joint clinics – can book into one of the joint clinics. • If Practice nurse does not do joint clinics – refer to hub and they will be triaged to your DSN clinic

  7. Other things to consider • Dietetic referral • Healthy Change (or whatever it is going to be) • Psychological support • Repeat Juggle attendance • Fit4Life • Just make a phone call and ask or discuss with you DSN when they come to your practice

  8. Jane is 30 and has Type 1 diabetes • Refer to hub unless – acutely unwell/new diagnosis/renal problems/ foot problems/ pregnant • If currently attending NUH you can have a conversation with the patient about changing to the community service. • Confusion arises when seeing NUH and community

  9. Planning Pregnancy for diabetes • Anyone of child bearing age who is sexually active should be asked if using contraception. • If not using contraception then they are planning a pregnancy. • Pre pregnancy planning slot at both hospitals for advice. • HbA1c check / annual review check / folic acid 5mg/drug check • Tell the hospital as soon as know pregnant – happy to take referral from anyone but need background information in a letter.

  10. Contact and referral details • Nottingham City Diabetes Service -  Central Diabetes Triage Hub (CDTH) Telephone Number: 0115 883 9800 • Referral by Choose and Book • Referral via Nottingham Health and Care Point also available http://accesstoservices.citycare.org.uk/ or 0300 300 33 33 opt 5 • Telephone number for self-referral for diabetes education services: • 0300 300 0045 – juggle • 0115 6691169 ext 56200 – T2ONIC • Type 1 education is organised through the hub when appropriate

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