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
