OPTIMISATION CLINICS

Our Diabetes Specialist Nurses are able to support GP practices to improve QoF outcomes, as well as clinical outcomes for patients with uncontrolled diabetes (Hba1c ≥ 64 mmol/mol (≥ 8%) on oral or injectable therapies. All our Diabetes Specialist Nurses are experts in their field and they share their knowledge, confidence and experience with patients, practice nurses, GPs and CCGs.

Ways we can support GP practices include:

  • Improve HbA1c outcomes through optimisation of medications.
  • Optimize oral hyperglycemic agents in line with local prescribing policy.
  • Engage effectively with patients using motivational techniques to agree goals and enhance glycaemic control.
  • Advise, initiate, and titrate Insulin and GLP-1 medications in line with national and local prescribing policy, recommendations to improve glycaemic control.
  • Develop diabetes management plans that include the initiation of Insulin or GLP1 medication, ensuring they are person-centered, and that they optimize glycaemic control.
  • Medications review clinics.
  • Provide a follow-up service that can review uncontrolled patients on request. (To be negotiated with practice).
  • On-site HbA1c Monitoring follow-ups at 3 and 6 months (using the DCA Vantage analyser) for a selected cohort of patients can be provided (To be negotiated with practice).


PRIVATE CONSULTATION

Haydn is a Diabetes Specialist Nurse and a qualified Nurse Independent/Supplementary Prescriber. Haydn provides a private consultancy service that offers one-to-one consultations for people with diabetes or to anyone who may suffer with the symptoms of uncontrolled diabetes.

Screening and Diagnosing Service:

Diabetes Training and Management Services can provide an immediate onsite screening and diagnostic test to diagnose diabetes, as well as monitor people with uncontrolled diabetes using the DCA Vantage HbA1c Analyser. The DCA Vantage Analyser is a point of care technology that monitors the concentration of HbA1c in the blood and provides a result within six minutes during a patient consultation. This can result in quicker treatment decision and medication optimisation.


STRUCTURED EDUCATION

The aim of patient education is for people with type 2 diabetes to improve their knowledge, skills and confidence, enabling them to take greater control of their own condition and integrate effective self-management into their daily lives. Studies have shown that structured education has demonstrated to have a profound effect on health outcomes and can significantly improve quality of life.

Conversation Maps:

All our Diabetes Specialist Nurses have been trained to deliver Conversation Map - a programme which delivers innovative diabetes education resources through face-to-face, small-group sessions. Participants learn about the health information most relevant to them and relate it to their own lives and experiences. They then create a workable plan for putting that information into practice. By engaging participants in their own health, Conversation Map programs make it easier for participants to achieve Personal Health Engagement. Another important aspect of the Conversation Map process is providing participants with an action plan with which to make changes in their choices and behaviours. For some patients the action plan will be robust, while for others it will provide a starting point for change.

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