Whitiora Diabetes Service Gill Aspin CNS –Diabetes

How Can we Help? We are a team consisting of Endocrinologists, SMOs, Registrar, Clinical Nurse Specialists that are mostly designated Prescribers in Diabetes Health, Dietitians, Health Psychologists, Podiatrist with vast experience in managing people with diabetes across the lifespan and who have multiple morbidity. We can help with many aspects of diabetes management

Integration -an idea that’s time has come Vision of improved collaboration between primary and secondary services has been active for some time Increased prevalence of Diabetes makes this an imperative – neither primary or secondary care can manage the numbers alone, we need to work together for the best outcomes for people with DM Recent Kaitiaki Nursing journal has focussed on this with articles from Mid Central, Waikato, Hutt Valley and with a review of our own Healthy Together program at CMH

Where to gain the knowledge and skills to help management of people with DM MIT - Short Course of Diabetes Management – Level 7 paper-currently running for a class of 19, covers the practical skills and knowledge needed to enable DM management with confidence and competence Auckland Uni – Level 8 Advanced DM nursing practice On-line - HealthMentorOnline Ongoing mentorship from Whitiora Diabetes Service

Ways that we can work together Virtual Reviews – discussion and case review with a DNS and PN for 5-10 cases. Time needed for the DNS to review the electronic records prior to meeting. This could take place at our office or yours MDTs both locality and practice based ones have already been a forum that many of you will have regular participation in and has had many virtual reviews and case discussion

Ways to Collaborate -continued Physical reviews – Again if we work together this could take place at your practice, or at the locality hub, or outpatient clinic. For patients where you would like us to review a client with you . Can be for both patient and health professional education Structured education sessions as you require – an hour at your practice on things like -diet and healthy eating, exercise, medications, Insulin initiation and dose titration, foot checks

Team Counties- here is how we roll Mentorship – this can be formal – regular meeting- time and place, with a DNS/PN and a structured review of agreed diabetes management aspects Informal – phone contact for a quick review of patients and issues as they arise Day with the service – in the past we have had some PN come and spend a day or half a day with the DNS at clinic or with us in MMH

Discharge planning for Inpatients Currently Diabetes nurse team ~35-40 inpatients with diabetes M-F at MMH ( 200 pts with DM most days) We proactively triage the admission list and review those people who have A1c > 75. These people are also the ones that the mDCIP project has targeted. As we often target education and change the medications for these people it would be great opportunity to hand back to the primary care team at discharge. We can do this visa the Shared care plan , an email or phone call to a named coordinator/ champion from your practice.

DNS/SMO Locality Contact List Consultant Ph DNS Mangere Zaven Panossian 027 416 1861 Iris Blowers 021 633 748   Diana McNeil 021 1417 653 Gill Aspin 021 784 052 Indra Dutt 021 2417 636 Hannah Cattaway 021 724 893 Claire O’Brien 021 224 3240 Otara Elham Hajje 021 590 296 Ashley Gage 021 784 023 Kate Smallman 021 2222 261 Manukau John Griffiths 02102971331 Bobbie Milne 021 2414 820 Pui Ling Chan 021 2632 254 Imelda Milich 021 811 448 Carl Eagleton 027 3620 056 Roshni Prakash 021 784 315 Sally Morgan 021 2249 696 East Renate Koops 021 0773 204 Simran Haer 021 2729 290 Harpreet Kaur 021 2802 905 Pukekohe/ Rural Franklin Joyce Roberts 021 564 541 Community Coordinator Caran Barratt-Boyes 021 784 025

And so… We look forward to hearing from you and working with you to improve the management of Diabetes in our patch. Talk to us about what would work best for you and where you have gaps in your knowledge or skills