1. ABERDEEN CITY DR ALASDAIR JAMIESON Clinical Lead City CHP Diabetes Full time Partner Kincorth/Cove HC

2. SUCCESSES 2008/2009 Increased Detection (up 17.3% from 2007) Increase Practice Only Care ( now 59.9%) Improved Practice Only Care Equality ( no practice seeing less than 25%)

3. SUCCESSES 2008/9 Implementation of combined retinal/foot screening programme Implementation of Diabetes Local Enhanced Service

4. CHALLENGES 2009/10 Continue move to Practice based care(65% plus) Look to expand Practice based teams/Diabetes education Skills /knowledge to convert Type 2 diabetics to insulin within primary care

5. CHALLENGES 2009/10 NEW Q.O.F TARGETS !!!!! HbA1C 7 or under > 50% HbA1C 8 or under > 70% HbA1C 9 or under > 90% Reduction in morbidity / mortality from diabetes OR Risks of over-medicalisation, iatrogenic illness and demotivated staff