Diabetes Clinical Network Key Publications

Building the right workforce for diabetes car; A toolkit for healthcare professionals – Released: 28.01.2016

This toolkit, developed for those involved in out of hospital care for people with Diabetes, presents the case for improving education and training for community based healthcare professionals.

Detailing the key attributes of competencies necessary for delivering care, documenting the currently available education and training programmes for diabetes care. It also considers ways to maintain knowledge and enhance skills through continuous professional development, with examples from case studies.

Children and young people: A case for change – Released: 28.01.2016

This report makes a case for change to the current provision of health services for children and young people in London. (Dec 2014)

Commissioning guidance: Foot care services for people with diabetes – Released: 14.05.2015

This service specification for commissioners aims to deliver equity of access to foot care for people with diabetes.

The service specification outlines the care and management to be provided for people with diabetes no matter the severity,
urgency or progression of their disease.

Diabetes Clinical Lead EOI April 2018 – letter – Released: 28.01.2016

Diabetes Commissioning Pack – Released: 22.09.2016

This comprehensive commissioning pack aims to ensure excellent type 1 diabetes services for all Londoners.

There are three parts:

  • Service specification – Aimed at commissioners, this document details the care to be commissioned
    for adults with type 1 diabetes, including an overview of diabetes, elements of an excellent service plus
    commissioning recommendations.
  • Clinical management: Optimal pathway – Aimed at providers, this document details the expected
    clinical care for type 1 diabetes.
  • Implementation guide – This document provides the tools for both commissioners and providers to
    measure, analyse and develop improvement plans for their local diabetes service. It includes a summary
    of expectations and self assessments for commissioners and providers, performance targets and a
    sample patient reported outcome measures (PROM) form to collate patient feedback. It also highlights
    the type 1 care consultation tool (developed by Health Innovation Network and King’s Health Partners),
    which can be used in the management of people with type 1 diabetes.

FreeStyle Libre audit data collection database – Released: 06.06.2018

FreeStyle Libre Community Pharmacy information sheet – Released: 09.05.2018

FreeStyle Libre Implementation Guidance for London – Released: 01.05.2018. Updated 26.04.2019

FreeStyle Libre primary information sheet – Released: 01.05.2018

FreeStyle Libre recommended competencies for continuing prescribers – Released: 01.05.2018

FreeStyle Libre recommended competencies for initiating clinicians – Released: 01.05.2018

FreeStyle Libre recommended competencies for patients – Released: 01.05.2018

FreeStyle Libre training pack for HCP and patients – Released: 29.05.2018

FreeStyle Libre updated communications on clinical waste information from Abbott – Released: 06.07.2018

Improving the management of diabetes care: A toolkit for London clinical commissioning groups– Released: 22.06.2015

This toolkit brings together examples of best practise where different areas of London have made significant changes to improve the care of diabetes in primary care; the examples come from past, present and future CCG work programmes. It highlights key themes to successful change, and offers useful ‘tips and tricks’ which can be implemented locally.

Ketone testing in people with type 1 diabetes: advice for prescribers in primary care – Released: 28.01.2019

This guidance, developed by the London Diabetes Clinical Network and NHS London Procurement Partnership, provides advice for prescribers in primary care on ketone strips for people with type 1 diabetes.

London Diabetes community health profiles – Released: 17.02.2015

The Diabetes Community Health Profiles bring together a wide range of data on diabetes in adults into a single source to understand the current issues across the SCN. (Feb 2014)

London FreesStyle Libre audit pre-freestyle libre information collection form – Released: 06.06.2018

London FreeStyle Libre audit follow up data audit collection form – Released: 06.06.2018

London Guidance: Recommended commissioning arrangements for CSII or insulin pumps in adults with type 1 diabetes – Released: 17.10.2018

This guidance, developed by the London Diabetes Clinical Network and NHS London Procurement Partnership, provides recommended arrangements for the commissioning and provision of continuous subcutaneous insulin infusions (CSII) or insulin pumps in adults with type 1 diabetes.

London Guidance: Recommended commissioning arrangements for continuous glucose monitoring (CGM) in adults with type 1 diabetes – Released: 17.10.2018

This guidance, developed by the London Diabetes Clinical Network and NHS London Procurement Partnership, provides recommended arrangements for the commissioning and provision of continuous glucose monitoring (CGM) in adults with type 1 diabetes.

Progress of Healthier You: NHS Diabetes Prevention Programme: referrals, uptake and participation characteristics – Released: 15.01.2018

See the NHS England website to find out more information about the report, along with some quotes from some of the authors.

Self-monitoring blood glucose strips for adults and children with type 1 diabetes: advice for prescribers in primary care – Released: 28.01.2019

This guidance, developed by the London Diabetes Clinical Network and NHS London Procurement Partnership, provides advice for prescribers in primary care on self-monitoring blood glucose strips for adults and children with type 1 diabetes.

Sugar and Spice: Type 1 diabetes and eating disorders – Event summary – Released: 22.01.2015

Download the summary of the 11 November 2014 event, Sugar and spice: Type 1 diabetes and eating disorders – Meeting T1ED challenges, with details of the discussions, links to slides, and social media statistics.

Understanding diabetes in London – Released: 17.02.2015

This document provides both a snapshot of the scale of the explosive issue of increasing diabetes rates in the capital, plus what the Diabetes SCN is doing – and will do in future – so that together we can improve outcomes and experience for Londoners with diabetes.

Using HbA1c for better diabetes detection – Released: 17.10.2018

This consensus statement, developed by the London Diabetes Clinical Network, recommends the use of HbA1c as the preferred method to diagnose people with diabetes and those at high risk of developing diabetes. A revision to the statement was made in September 2018 to align the clinical terminology and coding to those in the NHS Diabetes Prevention Programme and the National Diabetes Audit.

View the accompanying letter from Stephen Thomas, London Diabetes Clinical Director.

Progress of Healthier You: NHS Diabetes Prevention Programme: referrals, uptake and participation characteristics

In December 2017 a report was published on the progress of NHS Diabetes Prevention Programme. The report indicates that more than 110,000 people ‘at risk’ of developing type 2 diabetes have been offered help

See the NHS England website to find out more information about the report, along with some quotes from some of the authors

London footcare services audit

Two surveys are currently open for acute and community services:

This survey should be completed by providers of acute and outpatient podiatry and diabetic foot services (including foot care MDTs). This survey includes questions relating to podiatry services, acute foot care pathways, staffing and geographical area of coverage.

This survey should be completed by providers of community services. It includes questions on community podiatry services and foot protection services provided by community teams. Providers should complete a different survey for each CCG they provide services too. For example, one Foundation Trust may be commissioned to provide different services for a number of CCGs.

Diabetic eye screening programme

The Diabetic Eye Screening Programme (DESP) carried out a health equity audit across London. There is an introduction to the audit written by Dr Samantha Mann of the Strategic Clinical Leadership Group, a report of the audit results and CCG level information extracted from the data.

The presentations below are available upon request.

  • Read the introduction to the audit – Dr Samantha Mann
  • Download the London DESP audit
  • Download the audit results by CCG level

Diabetes toolkit showcased in parliament

The structured education diabetes toolkit, created by the Health Innovation Network, working jointly with the Diabetes SCN, has been showcased at a national All Party Parliamentary Group for Diabetes event (March 4, 2015).

Consensus to use HBA1C for diabetes detection

This consensus statement, developed by the Diabetes SCLG, recommends the use of HbA1c as the preferred method to diagnose people with diabetes and those at high risk of developing diabetes. The use of HbA1c as preferred method to diagnose diabetes has been included in the ‘London Commissioning Intentions and Contracting Priorities 2015/16’ published by the Office of Clinical Commissioning Groups on behalf of London CCGs.

Understanding diabetes in London: Collaboration for better patient outcomes

This document outlines the widespread – and increasing – challenges that the London Diabetes Strategic Clinical Network must tackle to address the issue of diabetes in the capital. It provides data and intelligence as well as background information on risk factors, ethnicity and age variances within the capital and the challenges that boroughs face in terms of funding and performance management.

Diabetes education toolkit

Developed by and intended for patients, providers and commissioners, the diabetes education toolkit was a collaboration between the Diabetes SCN and Healthcare Innovation Network (HIN). The toolkit explains which educational programmes are available, the benefits of each, and how to ensure programmes are accessible. Commissioners can learn how to save money whilst improving the health of their populations. Providers can learn how to engage with patients for maximum uptake. Most importantly, however, uptake of these programmes will help people with type 2 diabetes better manage their life long condition, thereby improving outcomes and quality of life.