Diabetes

The Camden Diabetes Integrated Practice Unit (IPU) is a multi-trust partnership set up to meet the needs of people with diabetes in Camden. The Royal Free London NHS Foundation Trust is the lead provider, working in partnership with CNWL, UCLH and Haverstock Healthcare.

The London Diabetes Strategic Clinical Network recommends the adoption of HbA1c for the diagnosis of type 2 across London. Find out more.

Patients with newly diagnosed type 1 diabetes can be reviewed in the Emergency Assessment Unit at UCLH if required.

See Downloads for information on My Type 1 Diabetes, a digital resource to help adults with T1 diabetes to gain more understanding of their condition.

 


Area specific guidance for Islington

Diabetes: Whittington HbA1c Reporting Unit Change 

From 6 January 2020, the Whittington laboratory has announced that it will be implementing a new method for measuring HbA1c to improve performance and ensure provision of high-quality results. The change in measurement method will mean that HbA1c results will be reported in the IFCC units of mmol/mol only (DCCT % units will no longer be provided). To help with conversions you can use the following resources.

HbA1c conversion chart

HbA1c conversion calculator

 


Diabetes structured education

Diabetes structured education is quality-assured training that provides people with diabetes, their family and carers with the knowledge and confidence to self-manage their condition through diet, physical activity and medication. It is essentially providing the foundation support for diabetes self-management. Diabetes structured education improves health outcomes and reduces the onset of serious health complications.

In Islington, the following range of diabetes-structured education is available. The Expert Patient Programme is also available for any adults living with one or more long-term conditions.

Type 2 Diabetes Structured Education Services 

Type 1 Diabetes Structured Education Services

Coding Attendance  

The National Diabetes Audit measures patient attendance for structured education. Despite the offer for type 1 and type 2 diabetes patients, the percentage of patients recorded as having attended structured education is very low. This is likely due to variability of coding and recording this information into the patient's EMIS record. It is, therefore, important GP practices have processes in place to ensure coding of patient structured education attendance. Read below how attendance information for each of the available diabetes structured education courses is communicated to practices and which codes should be used.

Diabetes Prevention Programme (DPP)

Patient cohort: Pre-diabetes

Patient attendance reported to practices:

  • Quarterly Excel report emailed to practice manager. Example report/letter practices receive: DPP example report 

Attendance coding: 

  • Started: 679m2
  • Not completed: 679m0
  • Completed: 679m1

Additional report information to code: At the initial assessment; six month and nine month check points: HbA1c / Height / Weight / FPG

DESMOND

Patient cohort: Newly diagnosed

Patient attendance reported to practices: 

  • Letter per patient sent to GP practice via Docman. Example report/letter practices receive: DESMOND GP Letter example
  • List of patient completers also sent to practice generic email address quarterly 

Attendance coding: 

  • Attended: 9OLF
  • DNA: 9NiA
  • No Response / Declined: 9OLM

Additional report information to code: n/a

Diabetes Self-Management Programme (DSMP)

Patient cohort: Diagnosed ≥ 3 months; carers; English & Turkish

Patient attendance reported to practices: 

  • Letter per patient sent to GP practice via Docman. Example report/letter practices receive: DSMP GP letter example
  • List of patient completers also sent to practice generic email address quarterly 

Attendance coding: 

  • Attended: 9OLF
  • DNA: 9NiA
  • No Response / Declined: 9OLM

Additional report information to code: n/a


Services

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Dr Sarah Morgan, clinical lead for Diabetes

Camden Borough Adults /LTCs /Prevention Clinical Lead

Dr Sarah Morgan

Dr Nick Dattani, clinical lead for Diabetes

Barnet Borough Adults /LTCs /Prevention Clinical Lead

Dr Nick Dattani

Dr Alpesh Patel, clinical lead for Diabetes

Enfield Borough Adults /LTCs /Prevention Clinical Lead

Dr Alpesh Patel

Dr Sharon Seber, clinical lead for Diabetes

Haringey Borough Adults /LTCs /Prevention Clinical Lead

Dr Sharon Seber

Dr Karl Roberts, clinical lead for Diabetes

Islington Borough Adults /LTCs /Prevention Clinical Lead

Dr Karl Roberts


Pathways View All


Downloads


Enhanced Services View All


News View All

Service Updates

NCL Low Calorie Diet Service Update

Islington A total of 11 referrals have been received across NCL to date
Dec 22nd, 2020
Clinical Updates

Semaglutide Solution for Injection (Ozempic®) Prescribing

Islington Practices are requested to review patients
Oct 28th, 2020
Service Updates

NCL Diabetic Eye Screening Programme (NCL-DESP): Changes to the Retinal Screening Intervals

Islington Patients will be automatically invited for their screening appointment
Oct 21st, 2020
Commissioning News

EPP & DSMP Open for Referrals

Islington Both programmes now delivered online
Oct 21st, 2020
Service Updates

NCL Diabetic Eye Screening Programme (NCL-DESP): Changes to the Retinal Screening Intervals

NCL Wide Guidance for local diabetic eye screening services on early requests to rescreen phase 2 cohorts earlier
Oct 20th, 2020
Commissioning News

NCL Low Calorie Diet Programme for people with Type 2 diabetes: Service Launch

Camden Service to launch on 2 November across NCL
Oct 19th, 2020
Events & Training

LTC LCS Diabetes Education Sessions 2020/21

Islington Held monthly from November until July
Oct 14th, 2020
Announcements

Free Disposal of Sharps

Islington Please inform your diabetes patients of this service
Oct 14th, 2020
Service Updates

500 Places on Low Calorie Diet for Type 2 Diabetes Pilot Available Soon Across NCL

Islington Refer to new 12-month diet programme from November
Sep 22nd, 2020
Announcements

Launch of NCL Low-Calorie Diet Programme Pilot planned for October

Camden Launching across NCL in October as part of two-year pilot with five hundred places available
Sep 17th, 2020
Announcements

Report: National Diabetes Prevention Programme

Islington Practices should update relevant read codes
Jul 28th, 2020
Service Updates

Diabetes Prevention: Switch to Digital Courses

Islington DPP moves online
Mar 25th, 2020
Announcements

Diabetes Programmes Postponed

Islington Provider will inform patients of future dates
Mar 18th, 2020
Announcements

Semaglutide (Ozempic®) Prescribing Advice

Islington Drug safety
Feb 5th, 2020


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Last updated: Dec 24th, 2020
Review date: Jul 12th, 2021