1 The HNEAH Diabetes Clinical Stream Scott McLachlan Executive Sponsor Sham Acharya Clinical Lead Sue Ayre Stream Coordinator Welcome to 2 nd Annual Area-wide Clinical Workshop

The Area Diabetes Clinical Stream Leadership Group What is the purpose of the leadership group? “The Area Diabetes Clinical Stream Leadership Group is the peak group in relation to diabetes care within Hunter New England Health. It will lead and overview the implementation of the Area Diabetes Services Strategic Plan”

What is the role of clinical stream Facilitate strong relationships – across facilities, services, ACN/ACS and external partners to support service clinical delivery Professional development - to enhance peer support and professional training and education for staff Information - to facilitate the provision of information for service providers and consumers and their families to support access to appropriate care Clinical practice improvement - to coordinate the development, review and use of appropriate clinical practice guidelines across relevant areas

Roles…  Quality and patient safety  Models of care  Planning  Data collection and evaluation  Resource equity  Workforce  Advice

Clinical streams -beyond an individual patient… Patient Systems and process Regulatory bodies State and Federal Govt policies Clinical stream Organisations

What is on for today?  Welcome and introduction to the day  Aboriginal people and renal disease: The difficulty of monitoring and treating diabetes renal complications. Dr Steve May  Insulin Pumps: Who is a good candidate? What preparation and ongoing care is required? Dr Tuan Quach  News Headlines  Best practice care for people with type 2: What are the latest guidelines and evidence from research telling us? Dr Sergio Alvarez  S T R E T C H break  Diabetes in pregnancy: What are the diagnosis and treatment issues for women with existing type 1 and type 2 diabetes and for those diagnosed with GDM? Dr Sham Acharya  Networking Opportunity: Meet in discipline groups to discuss topics of current interest.  Dietitians - CHO counting/consistent patient resources  Nurses - Hypoglycaemia Clinical Practice Guideline  Medical staff - Protocols for assessment and treatment of  Diabetic Ketoacidosis/insulin infusion  Podiatrists/Footcare staff – Telehealth foot clinic/ diabetes  footcare assessment

Afternoon session  Lunch break  Psychosocial Issues: What should you do with a patient who appears to be depressed or anxious? How to assess the patient, how to tailor education and diabetes care and what referral pathways there are. Fiona Little  Chronic Disease Management System. David Doolan  News Headlines  Care of the diabetic foot - a podiatrist's perspective: 5 cases of foot wounds/Charcot’s foot. Louise Maye  Short tea break  Three presentations/workshop 20 minutes duration each:  1. Inpatient diabetes. Lynne Gilks  2. Dietary issues in renal complications. Ulrich Wahl  3. Tailored diabetes self-management education. Melba Mensch  Wrap up and evaluation  4.30Close