1. National Service Framework for diabetes Ruth BarnesMina Fernando Director of Public HealthDiabetes Manager

2. Diabetes – the national context A chronic disease, increasing in prevalence Some risk factors are know – obesity, sedentary lifestyles, diet and genetic factors Evidence of effective interventions Inequalities in incidence and service provision

3. Diabetes – the local context High prevalence of diabetes Variations in diabetes care

5. Minority ethnic populations

6. Diabetes

7. National Service Frameworks A directive from central government to ensure quality of care: Patient centred services based on needs Effective and integrated service implementation Evidence based service provision Improved health outcomes (mortality and morbidity)

8. The NSF standards for diabetes 1.Prevention of Type 2 diabetes 2.Identification of people with diabetes 3.Empowering people with diabetes 4.Clinical care of adults with diabetes

9. The NSF standards for diabetes 5.Clinical care of children and young people with diabetes 6.Smooth transition from paediatric to adult services 7.Management of diabetic emergencies 8.Care of people with diabetes during admission to hospital

10. The NSF standards for diabetes 9.Diabetes and pregnancy 10.Detection and management of long-term complications 11.Monitoring long-term complications 12.Multi-agency support – integrated health and social care

11. NSF targets for diabetes In Primary Care, update practice-based registers so that patients with CHD and diabetes continue to receive appropriate advice and treatment in line with NSF standards and by March 2006, ensure practice-based registers and systematic treatment regimens, including appropriate advice on diet, physical activity and smoking also cover the majority of patients at high risk of CHD, particularly those with hypertension

12. The way forward The Ealing Diabetes Working Group Action to address all 12 NSF standards Development of partnerships with all stakeholders

13. Thank you! Ruth BarnesMina Fernando Director of Public HealthDiabetes Manager 020 8893 0114020 8893 0251 ruth.barnes@ealingpct.nhs.uk mina.fernando@ealingpct.nhs.uk Ealing Primary Care Trust 1 Armstrong Way Southall Middlesex UB2 4SA