SCI-DC Descriptors for recording patient education
These descriptors have been agreed by the Scottish Diabetes Education Advisory Group
for recording patient education onto SCI-DC. The development team are detailed in
Appendix 1.
Type 1: Level 1
The patient, at diagnosis, participates in an education programme provided by a suitable
qualified health professional that addresses the core skills required to survive and to
begin making life style changes to live with diabetes. The patient education delivered
meets the NICE criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Assessment of smoking status
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Type 1: Level 2
The patient participates in an ongoing education programme provided by suitably
qualified health professionals that addresses the needs of the individual to make life
style changes and supports self management in living with diabetes. The patient
education delivered meets the NICE criteria.
Examples of curriculum content:
Carbohydrate counting
More indepth hypoglycaemia
More indepth hyperglycaemia
Exercise
Insulin dose adjustment
School/College/University/Employment issues
Driving
Alcohol
SCI-DC 23 January 2012
Insurances
Foot health education
Benefits of clinic attendance
Eye screening
How to avoid diabetes complications
Travel and holidays
Sexual health
Psychological issues
Type 1: Level 3
The patient participates in an education programme provided by suitably qualified health
professionals that is part of a programme addressing specific aspects of self
management that will support the patient making life style changes to live with diabetes.
Level 3 programmes are recognized as structured patient education programmes and
meet the NICE criteria. Examples of such programmes are DAFNE, KICK-OFF and
Intensive Insulin Therapy.
Type 2: Level 1
The patient, at diagnosis, participates in an education programme provided by a suitably
qualified health professional that addresses the core skills required to begin making life
style changes to live with diabetes. The patient education delivered meets the NICE
criteria.
Core skills identified are:
Basics of diet
Anticipated future treatment options
Oral hypoglycaemic agents: when to take, expected side effects, what to do if unwell
Planned monitoring
Assessment of smoking status
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Type 2: Level 2
The patient participates in an ongoing education programme provided by suitably
qualified health professionals that addresses the needs of the individual to make life
style changes to live with diabetes. The patient education delivered meets the NICE
criteria.
Examples of curriculum content:
Carbohydrate counting
More hypoglycaemia dependent on oral hypoglycaemic agent
Exercise
Employment issues
Driving
Alcohol
Insurances
Foot health education
Benefits of clinic attendance
Eye screening
How to avoid diabetes complications
SCI-DC 23 January 2012
Travel and holidays
Sexual health
Psychological issues
Type 2: Level 3
The patient participates in an education programme provided by suitably qualified health
professionals that is part of a programme addressing specific aspects of management
that will support the patient making life style changes to live with diabetes. The patient
education delivered meets the NICE criteria. Level 3 programmes are recognized as
structured patient education programmes. Examples of such programmes are
DESMOND, Weight reduction programmes, Long term conditions self- management
programmes.
Gestational Diabetes : Level 1
The patient, at diagnosis, participates in an education programme provided by suitably
qualified health professionals that addresses the core knowledge and skills for diabetes
management during pregnancy and the post-partum period. The patient education
delivered meets the NICE criteria.
Core skills identified are:
How to self monitor blood glucose
Basics of diet
Assessment of smoking status
NHS/DUK helplines
Identification e.g. card or bracelet
They may also include:
Insulin: its action, how to administer, store;
The place of ketones
Oral hypoglycaemic agents: when to take, expected side effects, what to do if unwell
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Social Security benefits
Maturity Onset Diabetes of Youth: Level 1
The patient, at diagnosis, participates in an education programme provided by suitably
qualified health professionals that addresses the core skills required to begin making life
style changes to live with diabetes. The patient education delivered meets the NICE
criteria.
Core skills identified are:
Basics of diet
Anticipated future treatment options
Oral hypoglycaemic agents: when to take, expected side effects, what to do if unwell
Planned monitoring
Assessment of smoking status
SCI-DC 23 January 2012
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Latent Autoimmune Diabetes of Adulthood : Level 1
The patient, at diagnosis, participates in an education programme provided by a suitable
qualified health professional that addresses the core skills required to survive and to
begin making life style changes to live with diabetes. The patient education delivered
meets the NICE criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Assessment of smoking status
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Maternally Inherited Diabetes and Deafness: Level 1
The patient, at diagnosis, participates in an education programme provided by suitably
qualified health professionals that addresses the core skills required to begin making life
style changes to live with diabetes. The patient education delivered meets the NICE
criteria.
Core skills identified are:
Basics of diet
Anticipated future treatment options
Oral hypoglycaemic agents: when to take, expected side effects, what to do if unwell
Planned monitoring
Assessment of smoking status
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Neonatal Diabetes (Permanent): Level 1
The neonate’s parents/carers participate, at diagnosis, in an education programme
provided by a suitable qualified health professional that addresses the core skills
required to survive to live with diabetes. The patient education delivered meets the NICE
criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
SCI-DC 23 January 2012
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Pancreatic Pathology: Level 1
The patient, at diagnosis, participates in an education programme provided by a suitable
qualified health professional that addresses the core skills required to survive and to
begin making life style changes to live with diabetes. The patient education delivered
meets the NICE criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Assessment of smoking status
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Secondary - Drug Induced: Level 1
The patient, at diagnosis, participates in an education programme provided by a suitable
qualified health professional that addresses the core skills required to survive and to
begin making life style changes to live with diabetes. The patient education delivered
meets the NICE criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Assessment of smoking status
Role of drugs including alcohol
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
SCI-DC 23 January 2012
Secondary – Disease: Level 1
The patient, at diagnosis, participates in an education programme provided by a suitable
qualified health professional that addresses the core skills required to survive and to
begin making life style changes to live with diabetes. The patient education delivered
meets the NICE criteria.
Core skills identified are:
Insulin: its action, how to administer, store;
How to self monitor blood glucose
The place of ketones
Basics of diet
Cause, diagnosis, treatment and prevention of hypoglycaemia
Cause, diagnosis, treatment and prevention of diabetic ketoacidosis including the sick
day rules
Assessment of smoking status
Role of drugs including alcohol
NHS/DUK helplines
Social Security benefits
Identification e.g. card or bracelet
Joan McDowell
22 March 2012
Appendix 1
Development team for SCI-DC descriptors of patient education
Chris Claridge
Kingsley Matthews
Iain Spence
Andy Collier
Jane Cook
Carolyn Oxenham
Morag Low
Chris Kelly
Alison Diamond
Susan Kennedy
Patient representative
Patient representative
Patient representative
Ayrshire & Arran
Ayrshire & Arran
Ayrshire & Arran
Borders
Forth Valley
Lothian
NHS Education for Scotland
SCI-DC 23 January 2012