Disengaged young adults with type 1 diabetes (T1D) are vulnerable to poor health outcomes, and notoriously difficult to support with existing models of care. Structured education using psychological techniques has had no demonstrable beneficial impact in this group. Potentially 20% of young adults aged 16-30 could be included in this category. East and North Herts CCG commissioned East and North Herts Institute of Diabetes and Endocrinology (ENHIDE) to pilot an innovative model of supported tailored care, which started in August 2016. A two-year pilot project was set up to provide an alternative model of tailored care, with access to a dedicated young adult (YA) support worker and diabetes specialist nurse (DSN), using text, Skype, email contact, flexible appointments, and access to newer methods of treatment and monitoring.
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