Developing a Team Approach to Improve Insulin Safety and Reduce Insulin Wastage


The Diabetes Specialist Nurse Team (DSNT) is well established in the Northern Devon Healthcare Trust (NDHT), delivering inpatient, outpatient and community support to patients with diabetes.

An Inpatient Diabetes Awareness (IDA) project commenced in 2015, as the existing link nurse model was ineffective. A 12-month programme was developed to enable the diabetes specialist team to audit different aspects of diabetes management and care on each ward. The aim was to highlight areas that were going well and review those that required education and improvement. Among the topics audited was insulin safety and wastage. Themes identified included: insulin safety (ward stock management); safe administration of insulin; patients’ own insulin (waste reduction); staff education and training; multidisciplinary team working; patient transfer/discharge; insulin wastage and patient experience. Since 2016 the project has improved inpatient diabetes care through increased staff knowledge and awareness, improved efficiency and money saving, reduced insulin omission and reduced incidents.

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QiC Diabetes Commended 2018
Diabetes Team Initiative of the Year – Adults
Developing a Team Approach to Improve Insulin Safety and Reduce Insulin Wastage
by Northern Devon Healthcare Trust


Pauline Budge

Job title:
Clinical Nurse Specialist Diabetes
Place of work:
Northern Devon Healthcare Trust, North Devon District Hospital


Quality In Care Diabetes

QiC Diabetes 2020 Awards Announced

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The Results Brochure is now available to download and share

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  • 2020 KEY DATES
  • Open for entry: Wednesday 18 March 2020
  • Entry deadline: Monday 20 July 2020
  • Judging day: Thursday 10 September 2020
  • Awards ceremony: Thursday 15 October 2020
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