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Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
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diabetes-sugarDecember 3 2014

The Scottish Government has set out eight priorities for e early detection and treatment of diabetes in a new strategy. It updates the Diabetes Action Plan of 2010.

Included in the priorities are to have better treatment for people with type 1 diabetes, as well as to improve procedures for hospital inpatients. The strategy also addresses equality of access to services “because diabetes disproportionately affects people from more deprived and ethnic backgrounds, making it a significant driver of health inequalities.”

Specific actions included in Diabetes Improvement Plan are:

•    action to identify people at the highest risk of developing diabetes, to help improve early detection
•    a national improvement programme to increase the number of people with type 1 diabetes who have good blood sugar control
•    action to improve the patient experience of care and to ensure that the voice of people living with diabetes is heard
•    improving hospital admission procedures to better meet the needs of people with diabetes.

Maureen Watt, Minister for Public Health, said: “Considerable progress has been made in the treatment of diabetes in Scotland in recent years. However, the number of people being diagnosed with the condition has continued to rise – not just in Scotland but throughout the UK and beyond.

“Diabetes is estimated to account for around 10% of the total NHS budget. If poorly controlled it can lead to serious health complications, and it also disproportionately affects people from more deprived backgrounds. That is why it is a priority for this government.

“This improvement plan builds on the excellent progress that has been made in Scotland. I am determined that we continue to push forward in crucial areas like early diagnosis, good quality treatments and innovation.”

The eight priority areas are:

•    Prevention and early detection of diabetes and its complications
•    Type 1 diabetes
•    Person-centred care
•    Equality of access
•    Supporting and developing staff
•    Inpatient diabetes
•    Improving information
•    Innovation

Since the 2010 Plan was introduced the number of people with type 1 diabetes using an insulin pump has increased significantly, including more than one in four young people with the condition. In addition, the Scottish Diabetes Group has worked with five health boards to provide training by psychologists for more than 500 NHS staff

Professor John McKnight, Lead Clinician for Diabetes in Scotland, said: “We have made significant improvement in the care and treatment of people living with diabetes in Scotland, driven by the Diabetes Action Plan 2010.

“Our new Diabetes Improvement Plan identifies the priorities, which we as a diabetes community will focus on over the coming years, to ensure we continue to improve the services we provide. The prevalence of diabetes continues to rise and we must continually improve the way we deliver services to ensure that people living with diabetes receive the care and treatment they need and deserve.

“Scotland is fortunate to have a world leading clinical data system to support that change and the priorities in the improvement plan aim to improve the prevention of diabetes and its complications, rapidly diagnose diabetes and support people to manage their diabetes well to live full and active lives.”

Jane-Claire Judson, National Director of Diabetes Scotland, added:”We would urge the Scottish Government to ensure that a more robust approach to patient engagement is utilised so that the people who are most affected have a say in the care and support delivered.”

Links:

Scottish Government announcement

Diabetes Improvement Plan

Practice News

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