Diabetes

Diabetes: Whittington HbA1c Reporting Unit Change 

From 6 January 2020, the Whittington laboratory has announced that it will be implementing a new method for measuring HbA1c to improve performance and ensure provision of high-quality results. The change in measurement method will mean that HbA1c results will be reported in the IFCC units of mmol/mol only (DCCT % units will no longer be provided). To help with conversions you can use the following resources.

HbA1c conversion chart

HbA1c conversion calculator

 


Diabetes structured education

Diabetes structured education is quality-assured training that provides people with diabetes, their family and carers with the knowledge and confidence to self-manage their condition through diet, physical activity and medication. It is essentially providing the foundation support for diabetes self-management. Diabetes structured education improves health outcomes and reduces the onset of serious health complications.

In Islington, the following range of diabetes-structured education is available. The Expert Patient Programme is also available for any adults living with one or more long-term conditions.

Type 2 Diabetes Structured Education Services 

Type 1 Diabetes Structured Education Services

Coding Attendance  

The National Diabetes Audit measures patient attendance for structured education. Despite the offer for type 1 and type 2 diabetes patients, the percentage of patients recorded as having attended structured education is very low. This is likely due to variability of coding and recording this information into the patient's EMIS record. It is, therefore, important GP practices have processes in place to ensure coding of patient structured education attendance. Read below how attendance information for each of the available diabetes structured education courses is communicated to practices and which codes should be used.

Diabetes Prevention Programme (DPP)

Patient cohort: Pre-diabetes

Patient attendance reported to practices:

  • Quarterly Excel report emailed to practice manager. Example report/letter practices receive: DPP example report 

Attendance coding: 

  • Started: 679m2
  • Not completed: 679m0
  • Completed: 679m1

Additional report information to code: At the initial assessment; six month and nine month check points: HbA1c / Height / Weight / FPG

DESMOND

Patient cohort: Newly diagnosed

Patient attendance reported to practices: 

  • Letter per patient sent to GP practice via Docman. Example report/letter practices receive: DESMOND GP Letter example
  • List of patient completers also sent to practice generic email address quarterly 

Attendance coding: 

  • Attended: 9OLF
  • DNA: 9NiA
  • No Response / Declined: 9OLM

Additional report information to code: n/a

Diabetes Self-Management Programme (DSMP)

Patient cohort: Diagnosed ≥ 3 months; carers; English & Turkish

Patient attendance reported to practices: 

  • Letter per patient sent to GP practice via Docman. Example report/letter practices receive: DSMP GP letter example
  • List of patient completers also sent to practice generic email address quarterly 

Attendance coding: 

  • Attended: 9OLF
  • DNA: 9NiA
  • No Response / Declined: 9OLM

Additional report information to code: n/a


Services

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Acute Ambulatory Foot Service

Podiatry service for patients with acute diabetic foot disorders

Coordinate My Care

Personalised electronic urgent care plans for those with chronic and life-limiting illnesses

DESMOND: Type 2 Diabetes Education

English speaking structured group education for type 2 diabetes

Diabetes Patient Helpline

A dedicated diabetes helpline to support patients using insulin during the Covid-19 outbreak.

Diabetes Prevention Programme (DPP)

Behaviour intervention to reduce risk of developing Type 2 diabetes

Diabetes Self-Management Programme (DSMP)

Free self-management course for people with type 2 diabetes

Exercise on Referral

12-week programme of guided physical activity for anyone with a health issue, supporting them to change behaviour and become more active.

Expert Patients Programme (EPP)

Six-week course for adults with any long-term condition, and their carers

Healthy Living Pharmacies

HLP is a tiered commissioning framework, encouraging pharmacies to play a key role in improving clients' health and wellbeing outcomes.

iCope Long-term Conditions Service

Focuses on working with anxiety and depression that is affecting physical health or self-management

Islington PCN Social Prescribing Link Workers

SPLWs can provide more support to patients, connecting them with relevant information, advice and local community support and groups.

NCL Low Calorie Diet Programme Pilot

A two-year pilot for overweight people living with Type 2 diabetes; to improve control, reduce medication and possibly achieve remission

Needle and Syringe Programme

Including pharmacy needle-exchange services

NHS Health Checks

Risk assessment and management programme to identify and prevent diabetes, kidney disease, heart disease and stroke

North Central London Diabetic Eye Screening Programme

Specialist diabetic eye-screening test

WINDFAL: Type 1 Diabetes Education

Education course for people with type 1 diabetes

Year of Care

Care planning approach


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Last updated: Aug 20th, 2020
Review date: Nov 30th, 2020