The fifth UK paediatric diabetes services survey: meeting guidelines and recommendations?

Abstract:

AIM:To assess the provision of UK paediatric and adolescent diabetes services and examine changes in service delivery since 2002. METHOD:Questionnaires were sent to the lead paediatric consultant from all paediatric and adolescent diabetes services (n=205). Questions were based on National Institute for Health and Clinical Excellence and Scottish Intercollegiate Guidelines recommendations for diabetes care in childhood. Results were analysed using parametric and non-parametric tests. RESULTS:129 Services (63%) returned questionnaires involving 220 clinics. Staffing has improved and 98% of consultants have a special interest in diabetes (89%, 2002). In 88% of services, the diabetes specialist nurse worked solely in paediatric diabetes (53%, 2002). Only 21% of clinics have a psychological professional integrated within the diabetes team (20%, 2002). Over 94% of services offered support with intensive insulin regimens causing problems at school for 36% of services. Almost all services offer annual microvascular screening (98-100%) but transitional care was variable; only 76% of services have specific local protocols for transition and 21% organise transfer by letter only. CONCLUSION:Paediatric and adolescent diabetes services are rising to the challenge of providing high-quality care despite rising prevalence and increasingly complex insulin regimes. Services have improved in a number of key areas but serious deficiencies remain.

journal_name

Arch Dis Child

authors

Gosden C,Edge JA,Holt RI,James J,Turner B,Winocour P,Walton C,Nagi D,Williams R,Matyka K

doi

10.1136/adc.2009.176925

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

837-40

issue

10

eissn

0003-9888

issn

1468-2044

pii

adc.2009.176925

journal_volume

95

pub_type

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