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Grampian guidelines 2009 Grampian MCN meeting 27 th May 2009

Grampian guidelines 2009 Grampian MCN meeting 27 th May 2009. Donald Pearson Consultant Diabetologist NHS Grampian Lead Clinician for Diabetes in Scotland. Research Evidence Guidelines Implementation . Evidence Guidelines Implementation Better Outcomes.

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Grampian guidelines 2009 Grampian MCN meeting 27 th May 2009

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  1. Grampian guidelines 2009Grampian MCN meeting27th May 2009 Donald Pearson Consultant Diabetologist NHS Grampian Lead Clinician for Diabetes in Scotland

  2. Research Evidence Guidelines Implementation Evidence Guidelines Implementation Better Outcomes Improving the lives of people with diabetes in Grampian

  3. Improving the lives of people with Diabetes in Grampian ResearchEvidence

  4. Research Evidence SIGN Evidence SIGN Local Guidelines Improving the lives of people with Diabetes in Grampian

  5. Electronic Guideline Four main sections

  6. Electronic Guideline Four main sections • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING • B: SUPPORTING SELF-MANAGEMENT • C: GLYCAEMIC CONTROL • D: COMPLICATIONS

  7. Scottish Diabetes Survey 2007Prevalence ofDiabetes in Scotland NHS Boards 2006

  8. Prevention of Type 2 Diabetes Mellitus In Adults Set realistic goals – don’t worry if the odd day is missed but try to make sure physical activity is part of everyday life Encourage the person to select activities that they enjoy – such as walking, cycling, swimming, aerobics and gardening Minimise sedentaryactivities, such as sitting for long periods watching television, at a computer or playing video games. Build activity into the day – for example, get off the bus a stop earlier and walk, take the stairs instead of the lift, take a walk at lunchtime.

  9. Electronic Guideline Four main sections • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING • B: SUPPORTING SELF-MANAGEMENT • C: GLYCAEMIC CONTROL • D: COMPLICATIONS

  10. “ The average person with diabetes will spend 3 hours with a Healthcare Professional and will take care of themselves for the remaining 8757hours in a year” 0.034%

  11. Electronic Guideline Four main sections • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING • B: SUPPORTING SELF-MANAGEMENT • C: GLYCAEMIC CONTROL • D: COMPLICATIONS

  12. Patients reaching targets for HbA1c,Blood Pressure and Cholesterol in 2004-2007 ≤ 5 mmol/l ≤ 140 mmHG ≤ 7.5 % HbA1c Systolic BP Cholesterol

  13. Electronic Guideline Four main sections • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING • B: SUPPORTING SELF-MANAGEMENT • C: GLYCAEMIC CONTROL • D: COMPLICATIONS

  14. Scottish Diabetes Survey 2007Diabetic retinopathy screening

  15. Improving the lives of people with Diabetes in Grampian • Implementation Diabetes Action Plan 2006 Better Diabetes Care : Consultation Document 2009 • Outcomes Quality Improvement Scotland 2004, 2007 Scottish Diabetes Survey 2001-9

  16. Working in partnership with patients to deliver patient centred care • Listen to patients and respond to their concerns and preferences • Give patients the information they want or need in a way they can understand • Respect patients’ right to reach decisions with you about their treatment and care • Support patients in caring for themselves to improve and maintain their health GMC Good Medical Practice 2006

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