In 2014 the diabetes multidisciplinary team at Gloucestershire Royal
Hospital Foundation Trust introduced a dedicated annual review clinic
for children with type 1 diabetes over the age of eight years. This takes
the form of a three-hour afternoon clinic visit, facilitated by the diabetes multi-disciplinary
team, retinal screening and an onsite nurse-led phlebotomy service. Children are offered
their consultant appointment, foot check, retinopathy screening and annual review bloods. Furthermore they
are encouraged to participate in structured education sessions with other patients and families attending.
Sessions are delivered by specialist nurses and diabetes dieticians and have evolved throughout the process
by questionnaire evaluation from our patients and families, who are encouraged to share ideas, experiences
and questions about their diabetes. Service users and families have indicated they value the service highly.
Prior to 2014, annual reviews for children and young people with type I diabetes in Gloucestershire were
conducted during routine clinic appointments. These were done on an ad hoc basis at yearly intervals
for each individual patient, with no extra time allocated for structured education. Some patients were
having annual review bloods taken in the adult hospital phlebotomy service and some in primary care.
This variation resulted in difficulty in complying with the seven key care processes in the 2013-2014
National Paediatric Diabetes Audit, with just 22% of patients having their cholesterol measured.
To develop a dedicated annual review clinic for children and young people in Gloucestershire with type 1 diabetes.
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