1. Lyndi Wiltshire DEN steering group May 2013

2.  What we should expect  The changes in the NHS and the impact it will have on the diabetes educational agenda  Forward planning in the ‘DEN’ primary programme of ◦ Education ◦ Curriculum Development ◦ Audit and Quality development

3.  An approach which treats the person as an individual, which is respectful of their health beliefs, and which is supportive, consistent, and non-judgemental  An opportunity to identify and review the person’s needs, concerns and goals  The provision of up to date, accurate and consistent information about diabetes, treatment options and local services available, in order to address their needs and concerns and help meet their goals.

4.  Supporting diabetes teams in integrating structured education for children and adults with diabetes in their service, by providing a framework for curriculum development, educator training, quality assurance and audit which meets the Department of Health criteria”

5.  The NHS is going through the biggest changes its seen for a generation.  The NHS Outcomes Framework 2013/14 sets out the new agenda  QOF has changed to include structured education  CQUINNs

6.  We need to be assertive with our educational programmes and diabetes care to ensure they remain at the forefront of commissioners and policy makers mindset.  We have to be vigilant to with upholding the Diabetes Quality Standards http://www.nice.org.uk/guidance/qualitystandards/diabetesinadults/dia qstopicexpertgroup.jsp http://www.nice.org.uk/guidance/qualitystandards/diabetesinadults/dia qstopicexpertgroup.jsp  Uphold the Scottish Intercollegiate Guidelines Network (SIGN) guidelines  http://www.sign.ac.uk/pdf/sign116.pdf http://www.sign.ac.uk/pdf/sign116.pdf

8.  Continually push to maintain the database of quality education programmes  Ensuring the structured education programmes: are an appropriate means by which people with diabetes can learn the knowledge and skills necessary to support appropriate self- care behaviours.  Competence skills  http://pathways.nice.org.uk/pathways/diabetes#content=view -info%3Aquality-standards-diabetes-in-adults-quality- standard http://pathways.nice.org.uk/pathways/diabetes#content=view -info%3Aquality-standards-diabetes-in-adults-quality- standard

9.  Continue to support with evidence based information and advise on the web page.  We will provide an annual national conference for practitioner to come together to share expertise, experiences and information.  Provide awareness about the areas of good quality practice.  Evidence from centres throughout the country promoting the methods used for structured education.

10.  Provide expertise and latest evidence on how to ensure:-  The aims and objectives of the programme  describes the philosophy underpinning the programme  Support with learning theories employed to deliver programmes and provides detailed lesson plans,  Update on description for learner and educator activities.  Be a reference for practitioners new to providing self management programmes  Help to ensure the programmes are robust enough for external assessors quality development visits.

11.  Continual support with diabetes education quality and audit reviews.  The QISMET Diabetes Self Management Education Standard has now been published. The DSME Standard is a practical tool, with clear observable and measurable requirements, that enables providers to benchmark themselves and, by being certified against the Standard, demonstrate that they meet the NICE Diabetes in Adults Quality Standard.  QISMET website (www.qismet.org.uk) QISMET website (www.qismet.org.uk)

12.  We are in a period of great change (again); however it is vital we all work together to support each other with best practice.  We could easily get lost in the mountains of work we now have to do; however there are resources available to ensure we have the best knowledge for this vital task  Most importantly our patients have the highest quality of care and greater understanding about THEIR condition  We are in this together.

13. Have a safe journey home.