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Developing a National Paediatric Diabetes Plan: What are the key issues for education?. Dr. Sheridan Waldron HCP Education Lead for Children and Young people with Diabetes Hosted by Diabetes UK. Why do we need a national plan?.
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Developing a National Paediatric Diabetes Plan: What are the key issues for education? Dr. Sheridan Waldron HCP Education Lead for Children and Young people with Diabetes Hosted by Diabetes UK
Why do we need a national plan? ‘To develop a care model for children and young people with diabetes that enables consistent care, high standards, equalaccess, no matter where it is delivered’
Median HbA1c by audit year 8.7% 8.7% 8.7% 8.7% 8.8%
Atlas of Variation • 2.6 fold variation among PCTs in % of CYP admitted to hospital for DKA • 2.4 fold variation between PCTs in % of CYP with most recent HbA1c measurement 10% or less
What are the key issues ?- provide consistent care- high standards- equal access- all parts of the country
‘Join us on our journey’ Study Health Care Professional Education & Training Structured education for CYP & families Psychological support Transition Young adult diabetes care Staffing levels Clinic Annual assessment and monitoring of complications 24 hr on-call provision Record keeping GP and public awareness of Type 1 diabetes Care provision and Type 1 diabetes education within schools Funded and supported by
Transitional Care Operational Service Delivery (Best Practice Tariff , effective commissioning ) HCP Training CYP/Families Self Management Education Guidelines & Standards R&D / Yorks Register Diabetes in CYP Peer Review 5 year Paediatric Diabetes Strategy Improving Outcomes Paed ND Audit (RCPCH) (data driven outcomes) Partnerships (Industry/DUK/JDRF/CWD) Innovation (adoption of technology) Patient Reported Experience Measure (PREM) In Patient Management Annual Report Prevention (Type II, DKA) National Paediatric Diabetes Network Driver for service improvement SAFE EFFECTIVE EFFICIENT SUSTAINABLE
NHS DiabetesNational Paediatric Diabetes Service Improvement Delivery Plan 2013 - 2018 13 Sections Section 5 Health Care Professional Training Section 6 Education for CYP & Families
Section 5: Standardised, Accredited & Structured Education for Health Care Professionals Academic Courses • Birmingham Children’s Hospital (Degree level) • York University (9 days at Masters level) - & Insulin Pump Course - & Transition (NEW) • Sheffield Hallam (5 days) - Teaching Skills Course • Leeds Metropolitan University • Full Masters: Advanced Diabetes Educator (NEW) • Warwick University (Masters level) • & Psychosocial Module (NEW)
Developing a career pathway for Health Care Professionals • ‘Generalist’ – ward staff, Band 5? • ‘Specialist’ – Band 6 & 7? • ‘Advanced Practitioner’ – Band 7 & 8a?
Section 5: Standardised, Accredited & Structured Education for Health Care Professionals • E-Learning of Level 1 (Basic Awareness) • & Portfolio for Life Long Learning • & Register of certificated HCPs
E-Learning Sections 1. Aetiology, Epidemiology and Diagnosis 2. Phases of type 1 Diabetes 3. Other Types of Diabetes 4. Insulin Therapy 5. Complications of Diabetes - Acute Identification and treatment of hypoglycaemia - Hyperglycaemia and Diabetic Ketoacidosis (DKA) - Chronic Eye complications - Nephropathy - Neuropathy, Macrovascular and Dental disease 6. Defining the Multi-disciplinary Team and Delivery of Ambulatory Services 7. Education of Children and Young People and Carers 8. Nutrition 9. Management of Physical Activity and Exercise 10. Monitoring of Diabetes and Screening for Associated Conditions 11. Psychological Aspects 12. Surgery, Fasting and Sick Day Rules 13. Young People and Transition to Adult Care 14. Vision of the Future for Children’s Diabetes Services
Ambition All members of the MDT in England to complete the E-learning module
diabetes UK 2014LiverpoolThursday 6th MarchPaediatric CPD certificate & CME Children and Young People with Diabetes
Section 6: Structured Patient Education: Best Practice Tariff‘The diabetes team should offer a structured education programme at diagnosis and with updates as needed, aimed at the age and understanding of the young person and their family’ Metabolic Memory Improving outcomes & decrease complications Young adults & long term care Onset of DM Continuum of self-management education paediatric long term care Standardise education programme & resources at diagnosis Emerging adulthood transfer Self-management by adolescents Age & maturity appropriate CYP & families Primary
Education for Children & Young People & their families • 8 Randomised Controlled Trials • 6 reported • Future guidance for Structured Patient Education at Diagnosis & Transition