1. DIABETES 10 POINT TRAINING
Ruth Miller RGN BSc (Hons) MSc
Lead Diabetes Nurse Poole Hospital
Diabetes UK Clinical Champion

2. Becoming a Diabetes UK Clinical Champion…
Ability to put diabetes on Trust agenda
Conviction in own ability to make an impact
Confidence in improving patient care & safety through training
Ability to convince others of the imperative to improve care through training

3. Previous relevant experience in improving inpatient care
2013 Lean Healthcare Academy Award for Improving Services through Training & Development (as Clinical Lead and Lead DSN at RFH)
Work involved implementation of ‘Diabetes Care Bundle’ to improve inpatient safety through intensive training of all patient-facing staff
Audit results demonstrated 70% reduction in hypoglycaemia
Increased self-reported confidence of nurses in managing inpatient diabetes

4. Diabetes 10 Point Training programmes
Diabetes 10 Point Training (Inpatients)
Diabetes 10 Point Training (Community Nurses)
Diabetes 10 Point Training (Mental Health Workers)

5. What is it?
A set of didactic instructions directed at clinicians giving care to patients with diabetes
Objective: to improve quality of care and safety for all patients with diabetes
Key principle: recognition that conflicting pressure on clinicians leave them with little time
Training must be brief and pertinent

6. Diabetes 10 Point Training Mission Statement
The aim of the Diabetes 10 Point Training is not to make experts of everyone managing diabetes but to ensure that all clinicians possess a set of core competencies in order to keep their patients safe

7. Diabetes 10 Point Training recognises that:
Teams delivering care often have no access to real-time expertise
Poor understanding of diabetes on wards
Very complex patients have care delivered by non-experts
Lack of access to diabetes education & training for front line clinicians
Aim: that clinicians retain most important messages to keep patients safe

12. How is training delivered?
Flexible to needs of departments / wards
Opportunistic ward based training: one to one or in small groups
Booked small group (ward based) training
Whole workforce training: doctors, nurses and allied healthcare professionals
Diabetes Awareness Week June 13th: Training sessions booked into main lecture theatre

13. What works well?
Collaborating with front-line staff at ward level to improve care
Adapting 10 Point Training to the specialty of the ward to ensure training is pertinent
Staff able to bring in own case-studies and make learning relevant

14. Customised ward training examples:
Acute Stroke Ward: training & discussion focus on management of tube fed patient on insulin
Oncology Ward: training & discussion focus on management of the high dose steroids and hyperglycaemia
Surgical Wards: training & discussion focus on the correct use of IV insulin

15. How do we know the training is effective?
Pre & post training questionnaire on self-reported confidence in managing the 10 points
NaDIA drug, prescription & administration errors
Incidence of Serious Untoward Incidents (SUI)

16. Future developments
Embed in hospital philosophy of care
Make it mandatory
Develop other educational formats e.g. online training/DVD
Roll out Community Nurse 10 point training
Finish work on 10 point training for Mental Health Workers