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, equal access,
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
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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
Operational Service Delivery
(Best Practice Tariff , effective
commissioning )
Transitional
Care
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
Partnerships
(Industry/DUK/JDRF/CWD)
Innovation
Paed ND Audit (RCPCH)
(data driven outcomes)
Patient Reported Experience
Measure (PREM)
(adoption of technology)
In Patient Management
Annual Report
Prevention
(Type II, DKA)
National Paediatric Diabetes Network
Driver for service improvement
SAFE
EFFECTIVE
EFFICIENT
SUSTAINABLE
NHS Diabetes
National 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
• Warwick University (Masters level)
– & Psychosocial Module (NEW)
• Leeds Metropolitan University
– Full Masters: Advanced Diabetes Educator (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
www.vctms.co.uk
DIABETES UK 2014
LIVERPOOL
THURSDAY 6TH MARCH
PAEDIATRIC 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
Onset
of DM
Improving outcomes &
decrease complications
Continuum of
self-management education
paediatric long term care
Young adults &
long term care
Education for Children & Young People
& their families
• 8 Randomised Controlled Trials
• 6 reported
• Future guidance for Structured Patient
Education at Diagnosis & Transition
Diabetes Care for
Children & Young People