Introducing dedicated annual review clinics for children with T1DM

Summary

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.

Challenge

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.

Objectives

To develop a dedicated annual review clinic for children and young people in Gloucestershire with type 1 diabetes.

Back to the top



QiC Diabetes Winner 2016
Patient Care Pathway – Children, Young People and Emerging Adults
Introducing dedicated annual review clinics for children with T1DM
by Paediatric Diabetes Team, Gloucestershire Hospitals NHS Foundation Trust

Contacts

Dr Mihirani Balapatabendi

Job title:
Consultant Paediatrician
Place of work:
Gloucestershire Hospitals NHS Foundation Trust
Telephone:
07710674831
Email:
mihirani.balapatabendi@glos.nhs.uk

Resources

QiC Diabetes is partnered by:
Supported by: