SCI-Diabetes and My Diabetes My Way Dr Scott G Cunningham – Technical Consultant Dr Debbie Wake – Consultant Diabetologist www.mydiabetesmyway.scot.nhs.uk

Background SCI-Diabetes – New Features My Diabetes My Way Inpatient Linkage Scottish Ambulance Service Audit and Reporting My Diabetes My Way

Diabetes in Scotland Scotland’s diabetes prevalence 2002: 103,835 (2%) 2016: 291,981 (5.5%) Type 1: 10%; Type 2: 89%; Other types: 1% 153,028 (15.6%) aged 65 and over www.mydiabetesmyway.scot.nhs.uk

SCI-Diabetes Data Flows Audit & Reporting Laboratory Results Master Patient Index Retinopathy Screening Primary Care Systems Patient Access Clinical Portal Scottish Diabetes Research Network Inpatient Linkage Electronic Document Transfer Digital Dictation Ambulance Service Point of Care Blood Glucose Testing

Inpatient Linkage ~20% of people admitted to hospital as inpatients have diabetes More effective training for ward staff prioritised by Think, Check, Act which aims to: Reduce rate of hypoglycaemic events Increase appropriate management of hypo events Reduce length of stay http://ihub.scot/a-z-programmes/diabetes-think-check-act/ Aim to support provide custom functionality for patient management and reporting

Scottish Ambulance Service Highlight high risk patients who have required the assistance of the Scottish Ambulance Service (SAS). This will enable these patients to be identified to ensure that they receive appropriate follow-up care. SCI-Diabetes will receive records from SAS that contain a blood glucose result, as the intention is to highlight patients with poor glycaemic control.

Hypoglycaemic Project: Triage of patients Electronic List of SAS contacts with Hypoglycaemia Admitted Review by IPDSN Type 1 patient or Type 2 attending Hospital Clinic Hosp DSN Phone Call Review Regime etc Nurse Led Feedback to GP Type 2 patient Letter to patient cc GP Practice Contact Review HbA1c etc Triage by DSN team daily Incl Glycaemic Control Medication List Access ECS Live Rota required Email Standard Letter If defaulter letter

Reporting and Audit Prescribing timeline Diabetes Cross-Disciplinary Index Flexible audit MCN quarterly reporting Regional dashboard reporting Year of Care report

MCN Quarterly Reports