Thousands of people with diabetes are to benefit from a better quality of life, as plans to mainstream patient education programmes in diabetes services were announced by Health Minister Rosie Winterton today.
A joint report by the Department of Health and Diabetes UK on patient education published today provides the NHS with guidance on equipping patients with the knowledge they need to manage their condition effectively. The document includes new ideas, examples of good practice, and details of patient education programmes, which will support the delivery of high-quality education, a key priority in the National Service Framework (NSF) for Diabetes.
Now that the tools are in place to provide patients with learning resources, National Institute for Clinical Excellence (NICE) guidance on patient education will be reinstated. From January 2006, all Primary Care Trusts (PCTs) will need to implement NICE recommendations by providing all people with diabetes with high quality, structured education.
Speaking at the Diabetes UK annual parliamentary reception at the House of Commons, Rosie Winterton said:
'Equipped with the right knowledge and skills, patients can manage their diabetes much more effectively and get the best out of diabetes services. We are committed to mainstreaming consistent, high quality patient information and education in the NHS which we know can improve health outcomes.
'Supporting patients to improve things like their blood glucose control, diet, exercise and psychological wellbeing through education is a crucial part of any good diabetes service."
Dr Sue Roberts, National Clinical Director for Diabetes and joint chair of the Patient Education Working Group said:
"The NHS spends an estimated £5 million a day on diabetes care, much of which is due to complications that are preventable through good self management. Good diabetes care involves developing tailor made care to meet individual needs. With the resources and capacity to implement NICE guidance in place, I am confident that the diabetes services will give patients the confidence to manage their diabetes more effectively, resulting in impoved quality of life."
Diabetes UK President Jimmy Tarbuck said:
'I am delighted that the Government is taking steps to help make sure that people with diabetes are getting the education they need to enable them to manage their diabetes effectively."
This announcement comes during Diabetes Awareness Week, Diabetes UK's annual campaign to increase the public's knowledge of diabetes, its symptoms and effects.
1. About 1.8 million people in the UK are known to have diabetes -- that's about three in every 100 people. And there are an estimated one million people in the UK who have diabetes but don't know it.
2. A Patient Education Working Group for diabetes was established in May 2004 with the aim of developing improved information and education opportunities for people with diabetes. The group membership included a wide range of healthcare professionals, academics and people with diabetes and was jointly chaired by Dr Sue Roberts, National Clinical Director for Diabetes and Diabetes UK's Suzanne Lucas.
3. The report identifies two structured education programmes that meet all key NICE criteria. They are: DAFNE (Dose Adjustment for Normal Eating), a course that teaches people with type 1 diabetes to adjust their insulin dose to suit their diet; and DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed), which enables people with type 2 diabetes to identify personal health risks.
More information is available from the above links.
4. NICE published guidance on Patient Education Models in Diabetes in April 2003. The usual three month funding direction that accompanies NICE Health Technology Appraisals was waived to allow the NHS to make local decisions about the speed of implementation.
NICE Health Technology Appraisal 60 - Guidance on the use of Patient Education Models for Diabetes - recommends that 'structured patient education is made available to all people with diabetes at the time of initial diagnosis and then as required on an ongoing basis, based on a formal, regular assessment of need."
5. The National Service Framework for Diabetes was published in 2001 and its subsequent Delivery Strategy laid out national standards and ways of achieving them, to stop inequalities in diabetes care and result in world-class diabetes services. Improving Diabetes Services: The NSF Two Years On was published in March 2005. These publications are available on the Department of Health website the above link.
6. For media enquiries only, please contact Katie Robinson at the Department of Health media centre on 020 7210 5329. For all other enquiries, please call 020 7210 4850.