Developing a National Paediatric Diabetes Plan:

What are the key issues for education?

Dr. Sheridan WaldronHCP Education Lead for Children and Young people with

DiabetesHosted by Diabetes UK

Why do we need a national plan?

‘To develop a care model for children and young people with diabetes that enables consistent care, high standards, equal access, no matter where it is delivered’

8.7% 8.7% 8.7%

Median HbA1c by audit year

8.7% 8.8%

Atlas of Variation

• 2.6 fold variation among PCTs in % of CYP admitted to hospital for DKA

• 2.4 fold variation between PCTs in % of CYP with most recent HbA1c measurement 10% or less

What are the key issues ?

- provide consistent care- high standards- equal access- all parts of the country

‘Join us on our journey’ Study• Health Care Professional Education & Training • Structured education for CYP & families• Psychological support• Transition• Young adult diabetes care• Staffing levels• Clinic• Annual assessment and monitoring of complications• 24 hr on-call provision• Record keeping• GP and public awareness of Type 1 diabetes• Care provision and Type 1 diabetes education within schools

Funded and supported by

HCP Training

R&D / Yorks Register Diabetes in CYP

CYP/Families Self Management Education

Paed ND Audit (RCPCH)(data driven outcomes)

Patient Reported Experience Measure (PREM)

Annual Report

Transitional CareOperational Service Delivery

(Best Practice Tariff , effective commissioning )

Guidelines & Standards

Peer Review

Partnerships(Industry/DUK/JDRF/CWD)

Innovation(adoption of technology)

In Patient Management

Prevention(Type II, DKA)

SAFE EFFECTIVE EFFICIENT SUSTAINABLE

5 year Paediatric Diabetes Strategy

Improving Outcomes

National Paediatric Diabetes NetworkDriver for service improvement

NHS DiabetesNational Paediatric Diabetes Service

Improvement Delivery Plan 2013 - 2018

13 Sections

Section 5Health Care Professional Training

Section 6Education for CYP & Families

Section 5: Standardised, Accredited & Structured Education for Health Care Professionals

Academic Courses• Birmingham Children’s Hospital (Degree level)• York University (9 days at Masters level)

- & Insulin Pump Course - & Transition (NEW)

• Sheffield Hallam (5 days)- Teaching Skills Course

• Leeds Metropolitan University– Full Masters: Advanced Diabetes Educator (NEW)

• Warwick University (Masters level)– & Psychosocial Module (NEW)

Developing a career pathway for Health Care Professionals

• ‘Generalist’ – ward staff, Band 5?

• ‘Specialist’ – Band 6 & 7?

• ‘Advanced Practitioner’ – Band 7 & 8a?

Section 5: Standardised, Accredited & Structured Education for Health Care Professionals

E-Learning of Level 1 (Basic Awareness)

& Portfolio for Life Long Learning

& Register of certificated HCPs

E-Learning Sections1. Aetiology, Epidemiology and Diagnosis 2. Phases of type 1 Diabetes 3. Other Types of Diabetes 4. Insulin Therapy 5. Complications of Diabetes

- Acute Identification and treatment of hypoglycaemia - Hyperglycaemia and Diabetic Ketoacidosis (DKA) - Chronic Eye complications - Nephropathy - Neuropathy, Macrovascular and Dental disease

6. Defining the Multi-disciplinary Team and Delivery of Ambulatory Services 7. Education of Children and Young People and Carers 8. Nutrition 9. Management of Physical Activity and Exercise 10. Monitoring of Diabetes and Screening for Associated Conditions 11. Psychological Aspects 12. Surgery, Fasting and Sick Day Rules 13. Young People and Transition to Adult Care 14. Vision of the Future for Children’s Diabetes Services

Ambition

All members of the MDT in England to complete the

E-learning module

www.vctms.co.uk

DIABETES UK 2014

LIVERPOOL

THURSDAY 6TH MARCH

PAEDIATRIC CPD

CERTIFICATE & CME

Children and Young People with Diabetes

Section 6: Structured Patient Education: Best Practice Tariff

‘The diabetes team should offer a structured education programme at diagnosis and with updates as needed, aimed at the age and understanding of the young person and their family’

Onset of DM

Continuum of self-management education

paediatric long term care

Young adults & long term care

Improving outcomes &

decrease complications

Standard

ise

educa

tion

progra

mm

e &

reso

urces a

t

diagnosis

Age & m

aturit

y

appropria

te CYP &

familie

s

Self-

managem

ent b

y

adolesce

nts

transfe

r

Emer

ging

adulthood

Primary

Metabolic Memory

• 8 Randomised Controlled Trials• 6 reported

Education for Children & Young People & their families

• Future guidance for Structured Patient Education at Diagnosis & Transition

Diabetes Care forChildren & Young People