Scottish Diabetes Survey 2017

This survey once again provides a comprehensive view on diabetes care across the whole population of Scotland. The systems in place to record these data are such that we are able to present information about over 99% of the population diagnosed with diabetes. SCIDiabetes, our clinical management and information system, is world leading, and continues to enable us to track the effects of health policy on the delivery of care and outcomes for the 298 thousand people with diabetes in Scotland.

Surveys for previous years can be found on the Publications Surveys page.

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Diabetes Conference 2018

On 2 February 2018 the Scottish Government and the Scottish Diabetes Group hosted the “Improving Diabetes Care in Scotland 2018 – Understanding the present and shaping the future. The slides presented on the day are published below:

Welcome & Introduction
Potential Vision for Diabetes Care
Type 1 Diabetes subgroup Background and update
SIGN 154: Pharmacological management of glycaemic control in people with type 2 diabetes
Underpinning Research in Scotland
Next Steps for Realistic Medicine
Prevention, Early Detection & Early Intervention
Improving outcomes in pregnancy
Inpatient Improvement in Scotland
Derek Hastings
Education Update


Scottish Diabetes Improvement Plan 2014

Scottish Diabetes Improvement Plan published in November 2014
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Diabetes Improvement Actions

Progress against the Scottish Diabetes Improvement Plan 2014 is being measured through the work plan actions of the Scottish Diabetes Group (SDG). This is an overall summary of completed actions as of September 2017.
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Celebrating Diabetes Education in Scotland

This report sets out the requirements for both patient and professional education within Scotland in diabetes care and is excellent in showing how both concepts of patient and professional education are interwoven.

For people with diabetes, while endorsing national programmes of education, it also sign posts the reader to many exemplars of good practice. Such exemplars are offered from a range of different Diabetes Managed Clinical Networks.

For professionals, it identifies competency frameworks for both the preparation and ongoing development of those working within diabetes. Competencies to meet the NICE requirements of a trained educator are clearly identified that will ensure all professionals know what is required of them.

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Insulin pump therapy provision in Scotland

Insulin pump therapy provision in Scotland - published March 2013. Details the number of people on an insulin pump and percentage of T1DM Population for each NHS Board.
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Reviewers’ Handbook for Assessment of Patient Education in Diabetes in Scotland (APEDS)

This handbook must be read and utilized in conjunction with the Assessment of Patient Education in Diabetes in Scotland (APEDS) and Tool for Assessment of Patient Education in Diabetes in Scotland (TAPEDS) and the descriptors for recording structured patient education on SCI-Diabetes.
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Assessment of Patient Education in Diabetes in Scotland (APEDS) and Tool for Assessment of Patient Education in Diabetes in Scotland (TAPEDS)

This document aims to define the process adopted within Scotland to assess patient education provision according to the Diabetes Action Plan thus ensuring that people with diabetes, and/or their carers, receive a structured education programme that fulfils the nationally agreed criteria. The document is written for professional health care workers delivering patient education. It is acknowledged that patients can also deliver patient education and the following criteria would also apply to patient led structured education.
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Diabetes Minority Ethnic Group (DMEG) Progress Report November 2012

The DMEG sub-group of the Scottish Diabetes Group (SDG) was tasked to collate and report on best practice across NHS Health Boards on working cross-culturally, including quality patient education and self management support and the training and support provided to healthcare professionals.

Based on the report on best practice, DMEG was to report to the SDG with recommendations on taking this work forward and its value in supporting NHS Health Boards.

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NHS Board Insulin Pump Action Plans

Following the publication of the CEL 4 (2012) Insulin Pump Therapy for People with Type 1 Diabetes, NHS Boards were asked to develop local action plans which identify the risks to achieving their insulin pump targets to ensure that their diabetes services are appropriately supported to ensure that they can implement the commitments contained in the CEL in full.

These plans are local NHS Board documents and are expected to be regularly updated, maintained and implemented by individual boards to reflect changes in local circumstances when working to increase insulin pump provision in line with the Ministerial commitment set out in the CEL. In many cases Boards will have further amended these local plans. Caution should therefore be taken in assuming that these plans reflect current activity.

The Scottish Government will continue to regularly monitor all Boards’ progress towards meeting the Ministerial commitment and will report to Health Ministers on a quarterly basis. This information will then be fed back to the NHS Boards so that progress can be clearly tracked, action plans amended and appropriate action taken.

Individual Board Action Plans


Health Needs Assessment of Black and Minority Ethnic Patients with Diabetes in NHS Fife

Scotland has continued to see a steady rise in the prevalence of diabetes with type 2 diabetes accounting for 85-90% of all diagnosed cases. Some people from black and minority ethnic (BME) groups are more likely to develop type 2 diabetes, at a younger age and lower thresholds for body mass index and waist circumference compared to the general population. In addition, people from BME backgrounds are at increased risk of developing serious complications associated with type 2 diabetes, approximately five to ten years in advance of their European counterparts.

It is recognised that some people from BME groups may experience difficulties accessing healthcare services and receive poor diabetes care due to discrimination, racism, cultural, religious and language barriers. Tackling inequalities and addressing the needs of people from BME communities is set in the wider context of the Government’s equality and diversity agenda.

NHS Fife undertook this review to assess the needs of BME patients with diabetes and healthcare providers, in order to improve the delivery of culturally competent services. A combination of quantitative and qualitative research methodologies were used to ensure robust assessment with tangible outcomes.

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Management of hypoglycaemia in hospital (July 2012)

The Scottish Short Life Working Group (SLWG) for diabetes in inpatients was asked to review the suitability of the NHS diabetes guideline “The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus” for use in Scotland. We would support the use of this document, though have modified the management algorithm (Figure 1) to include more detail and added an SBAR (situation, background, assessment, recommendation) chart (Figure 2) that we hope will be used in conjunction with the algorithm.

The specific treatments are suggestions and will need approval from individual MCNs; it may be that some areas will favour one treatment option over others, and the document may be modified accordingly. In particular, we do not favour the use of 50% glucose given the risks associated with extravasation; however we felt that there may be variable availability of 10% and 20% glucose and so the option of 50% glucose could not be omitted unless local stocks provided alternatives.

We would also suggest that safe and effective management of hypoglycaemia in hospitals is facilitated by the use of “hypo” boxes maintained within each ward. A suggestion for the contents of the box is contained within the NHS Diabetes guideline.

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Scottish Diabetes Action Plan 2010

Scottish Diabetes Action Plan published in August 2010
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Short Life Working Group on Type 1 Diabetes Final Report

The work of the Short Life Working Group on Type 1 Diabetes is presented in this document
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SCI-DC foot risk stratification and triage tool

Traffic light document for Diabetic foot risk stratification and triage.
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