The Hull INCA programme: Diabetes awareness for care home staff

Summary

The Diabetes Awareness care home training was developed by the patient education team in Hull. Targeted at care home managers, nursing, auxiliary and catering staff in the East Riding of Yorkshire, it was designed to address key recommendations specified within the good clinical practice guidelines for care home residents with diabetes. Content included basic physiology of Type 1 and 2 diabetes, introducing medications, symptoms and management of hyper and hypoglycaemia, diet and lifestyle interventions, goal setting and action planning. The one-day sessions were led by a diabetes specialist dietitian and nurse and used workshops, visual presentations and written activities to ensure learning objectives were met. Participants were asked to develop action plans identifying any changes required and strategies to implement them.

Challenge

Older adults with diabetes have a two- to four-fold increase in the risk of hospitalisation with one of the factors increasing this likelihood being care home residency. 25% of those occupying beds are from the 75+ age group, representing a cost of over £140 million per annum. Emergencies such as hypoglycaemia are highly prevalent in residents given their advanced age and multiple co-morbidities and bring with them their own cost implication of an estimated £314 per ambulance call out and A&E visit. 

Objectives

To create ‘Diabetes Awareness’ education for care home staff so they could understand the difference between the types of diabetes and an introduction to diabetes medications. To understand the symptoms of hypo and hyperglycaemia – how to respond. Prevention of complications and focus on foot care, with improved communication between care homes, primary and specialist care. Also, to identify areas for improvement within the home and develop an action plan.

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QiC Diabetes Commended 2015
Best initiative to support equality of care in vulnerable and 'hard to reach' groups
The Hull INCA programme: Diabetes awareness for care home staff
by Hull and East Yorkshire Hospitals NHS Trust



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