Background and Policy Context
The Welsh Government launched a Consultation document Together for Health - A Diabetes Delivery Plan on 21 December 2012. The plan is designed to enable the NHS in Wales to tackle diabetes in people of all ages.
What are we doing to minimise the impact of diabetes?
- Health Challenge Wales - Diabetes: avoid it if you can
- Health Challenge Wales - Food
- Health Challenge Wales - Fitness
- Quality and Outcomes Framework
- The General Medical Services Contract - Enhanced Services (including Diabetes care)
Once a patient has been diagnosed with diabetes there is still a need for preventive intervention to limit the impact of diabetic complications and other associated pathology.
Structured and on-going programmes of patient education mean that people are better equipped to care for themselves, assess their risk of developing complications and know how to change their behaviour to reduce their risk.
The Education Programme for Patients Cymru(EPP) provides a range of self-management courses and workshops for people living with long-term health conditions or for those who care for someone with a long term condition
Regular Reviews to screen for complications and to arrange appropriate treatment and referral
Primary health care teams will conduct regular reviews to assess patient lifestyles, knowledge, skills and feelings about diagnosis. These reviews along with regular tests of blood, urine, blood pressure, checks of eyes and feet and on-going dietary management advice are aimed at keeping blood glucose levels within normal range and at reducing the impact of complications.
The Diabetic Retinopathy Screening Service for Wales (DRSSW) is an all Wales service designed to detect sight threatening diabetic retinopathy at an early stage before visual loss occurs
- Diabetic Retinopathy Screening Service for Wales
- Eye Care Wales - Screening for Diabetic Retinopathy
Indications for referral to hospital specialist care may include the detection of, or worsening complications, Type 2 diabetics failing on oral therapy and who may need insulin, diabetic women planning pregnancy, foot problems and control problems for those with shift patterns.
Diabetes Statistics and Resources
- The Welsh Health Survey
- Diabetes UK Cymru
- Diabetes in the UK 2010: Key statistics on diabetes (Diabetes UK - PDF)
- Public Health Wales (Health Information Analysis Team) - Health Needs Assessment 2006
- Health Solutions Wales Annual Patient Episode Database Wales (Hospital admissions)
- General Medical Services Contract: Quality and Outcomes Framework Statistics for Wales, 2007-08