Upload
linnea
View
44
Download
0
Tags:
Embed Size (px)
DESCRIPTION
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?. - PowerPoint PPT Presentation
Citation preview
Developing a National Paediatric Diabetes Plan:
What are the key issues for education?
Dr. Sheridan WaldronHCP Education Lead for Children and Young people with
DiabetesHosted 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’
8.7% 8.7% 8.7%
Median HbA1c by audit year
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• 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
HCP Training
R&D / Yorks Register Diabetes in CYP
CYP/Families Self Management Education
Paed ND Audit (RCPCH)(data driven outcomes)
Patient Reported Experience Measure (PREM)
Annual Report
Transitional CareOperational Service Delivery
(Best Practice Tariff , effective commissioning )
Guidelines & Standards
Peer Review
Partnerships(Industry/DUK/JDRF/CWD)
Innovation(adoption of technology)
In Patient Management
Prevention(Type II, DKA)
SAFE EFFECTIVE EFFICIENT SUSTAINABLE
5 year Paediatric Diabetes Strategy
Improving Outcomes
National Paediatric Diabetes NetworkDriver for service improvement
NHS DiabetesNational Paediatric Diabetes Service
Improvement Delivery Plan 2013 - 2018
13 Sections
Section 5Health Care Professional Training
Section 6Education 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
• Leeds Metropolitan University– Full Masters: Advanced Diabetes Educator (NEW)
• Warwick University (Masters level)– & Psychosocial Module (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 Sections1. 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’
Onset of DM
Continuum of self-management education
paediatric long term care
Young adults & long term care
Improving outcomes &
decrease complications
Standard
ise
educa
tion
progra
mm
e &
reso
urces a
t
diagnosis
Age & m
aturit
y
appropria
te CYP &
familie
s
Self-
managem
ent b
y
adolesce
nts
transfe
r
Emer
ging
adulthood
Primary
Metabolic Memory
• 8 Randomised Controlled Trials• 6 reported
Education for Children & Young People & their families
• Future guidance for Structured Patient Education at Diagnosis & Transition
Diabetes Care forChildren & Young People