Diabetes Standards Audit

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Diabetes Standards Audit

• By Helen Davies Salma Butt
• Specialist Diabetes Dietitians

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Diabetes Standards Audit

• Standard 4 Diabetes National Service Framework
• all adults with diabetes will receive
  high-quality care throughout their lifetime,
  including support to optimise the control of
  their blood glucose, blood pressure and other
  risk factors for developing complications of
  diabetes

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Standards

• North West London Diabetes Dietitians working
  group
• Dietitians should provide a comprehensive
  consultation with patients, using current
  evidence based knowledge and to tailor this to
  individuals, in order to achieve optimal diabetes
  management

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Standards

• Focussed on assessment, agreement of
  patient-centred goals, documentation of results
  and follow-up plans
• Criteria for audit is compliance with the
  standards
• N.b. standards have yet to be accepted by the
  department

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Method

• Retrospective audit
• 96 record cards audited
• 10 Dietitians took part
• From a variety of GP surgeries

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Results
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Results
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Results
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Results
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Results
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Discussion of results

• We are not meeting the standards outlined
• Suggests we may not be meeting general record
  keeping standards
• Perhaps not providing the best quality care to
  patients with diabetes

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Reasons for not meeting standards

• Not knowing how to assess readiness to change
• Lack of space on record card
• Lack of time during consultation
• Gaps in knowledge around blood results,
  medications and home blood glucose monitoring

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Recommendations for change

• Package of care for diabetes
• Improved record cards with more prompts
• More detailed referral form
• Education sessions needs assessment

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Project

• Aim to complete audit cycle
• Needs assessment carried out and analysed
• Dietetic education programme to be implemented as
  a result

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Future Audits

• Weight Management package of care
• Referral criteria are the right patients
  referred?
• Does our education programme meet NICE guidance?
• Re-audit standards

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Research

• Does Dietetic intervention with Newly diagnosed
  Type 2 diabetes delay the use of OHAs?
• The extended role of the Dietitian prescription
  of anti-obesity medication