Over the last three years, the paediatric diabetes team at Surrey and Sussex Healthcare NHS Trust (SaSH) has increasingly embraced using insulin pumps, continuous glucose monitoring (CGM), Diasend software, Carelink Professional software and electronic communication with patients. A diabetes-specific database was also created locally for collecting statistics and data submission to the national diabetes audit. The SaSH team now has 45% of patients on insulin pump therapy (well above national average) and 7 patients on CGM. The software is used for every patient to download their blood sugar profile during clinic visits, thus facilitating focused patient-centred consultations. The new approach has improved glycaemic control and increased patient engagement and confidence, ensuring that when patients leave paediatric services they are confident and self-reliant in managing their chronic condition.
Surrey and Sussex Healthcare NHS Trust (SaSH) has a small but strong diabetes team caring for 240 children and young people with diabetes (CYPD). SaSH covers a population of half a million and a very large geographical area, with paediatric diabetes clinics run at 3 different sites - Redhill, Crawley and Horsham – plus transitional clinics. In order to manage the increasing work load, embracing all available new technology to improve ease of communication within the team and with families was felt to be the way forward.
To maintain continuous ongoing support in between clinic, home and school visits and improve patient-centred care. To use technology to enhance self-care management and improve quality of life for patients and families. To enable the team to improve their skills and knowledge, fostering team working and improving communication within the team working at different sites. Finally, to improve outcomes, measured by HbA1c.
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