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Tool for the Assessment of Patient Education in Diabetes in Scotland ...

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Introduction<br />

The Scottish <strong>Diabetes</strong> Action Plan 1 endorsed<br />

<strong>the</strong> recommendations <strong>of</strong> SIGN 116 2 regard<strong>in</strong>g<br />

structured patient education with<strong>in</strong> <strong>Scotland</strong>.<br />

Structured education is central to diabetes<br />

care and to <strong>the</strong> self management <strong>of</strong> long<br />

term conditions. Moreover, people liv<strong>in</strong>g<br />

with diabetes have stated that structured<br />

education was <strong>the</strong> most valued type <strong>of</strong><br />

education. It is <strong>the</strong> aim <strong>of</strong> <strong>the</strong> Scottish<br />

<strong>Diabetes</strong> Action Plan that people with<br />

diabetes receive a structured education<br />

programme that fulfils <strong>the</strong> nationally agreed<br />

criteria from <strong>the</strong> time <strong>of</strong> diagnosis with annual<br />

review and have access to ongo<strong>in</strong>g education<br />

result<strong>in</strong>g <strong>in</strong> an <strong>in</strong>crease <strong>in</strong> <strong>the</strong> percentage<br />

<strong>of</strong> people participat<strong>in</strong>g <strong>in</strong> self management<br />

programmes that will be recorded on SCI-<br />

<strong>Diabetes</strong> and reported <strong>for</strong> <strong>the</strong> Scottish<br />

<strong>Diabetes</strong> Survey.<br />

The def<strong>in</strong>ition <strong>of</strong> a structured patient<br />

education programme accord<strong>in</strong>g to NICE 3 is:<br />

“a planned and graded programme that<br />

is comprehensive <strong>in</strong> scope, flexible <strong>in</strong><br />

content, responsive to an <strong>in</strong>dividual’s<br />

cl<strong>in</strong>ical and psychological needs and<br />

adaptable to his or her educational and<br />

cultural background.”<br />

The aim <strong>of</strong> patient education is <strong>for</strong> people<br />

with diabetes to improve <strong>the</strong>ir knowledge,<br />

skills and confidence, enabl<strong>in</strong>g <strong>the</strong>m to take<br />

<strong>in</strong>creas<strong>in</strong>g control <strong>of</strong> <strong>the</strong>ir own condition and<br />

<strong>in</strong>tegrate effective self-management <strong>in</strong>to <strong>the</strong>ir<br />

daily lives.<br />

Moreover, NICE recommend that:<br />

“structured patient education is made<br />

available to all people with diabetes at<br />

<strong>the</strong> time <strong>of</strong> <strong>in</strong>itial diagnosis and <strong>the</strong>n as<br />

required on an ongo<strong>in</strong>g basis, based on a<br />

<strong>for</strong>mal, regular assessment <strong>of</strong> need.”<br />

The current document aims to def<strong>in</strong>e <strong>the</strong><br />

process adopted with<strong>in</strong> <strong>Scotland</strong> to assess<br />

patient education provision accord<strong>in</strong>g to <strong>the</strong><br />

<strong>Diabetes</strong> Action Plan 1 thus ensur<strong>in</strong>g that<br />

people with diabetes, and/or <strong>the</strong>ir carers,<br />

receive a structured education programme<br />

that fulfils <strong>the</strong> nationally agreed criteria. The<br />

document is written <strong>for</strong> pr<strong>of</strong>essional health<br />

care workers deliver<strong>in</strong>g patient education.<br />

It is acknowledged that patients can also<br />

deliver patient education and <strong>the</strong> follow<strong>in</strong>g<br />

criteria would also apply to patient led<br />

structured education.<br />

The criteria that def<strong>in</strong>e a structured education<br />

programme are:<br />

1. A philosophy<br />

2. An evidence based curriculum<br />

3. Aims and learn<strong>in</strong>g outcomes<br />

4. Delivered by a tra<strong>in</strong>ed educator<br />

5. Quality Assured<br />

6. Audited<br />

Each Health Board should have a Managed<br />

Cl<strong>in</strong>ical Network (MCN) responsible <strong>for</strong><br />

diabetes care. Each MCN is charged<br />

with ensur<strong>in</strong>g <strong>the</strong> provision <strong>of</strong> a range <strong>of</strong><br />

educational solutions that should <strong>in</strong>clude<br />

quality assured structured education <strong>for</strong><br />

people with diabetes. Each MCN ma<strong>in</strong>ta<strong>in</strong>s<br />

records <strong>of</strong> educational provision and reports<br />

<strong>the</strong>ir progress towards meet<strong>in</strong>g this standard<br />

to <strong>the</strong> Scottish <strong>Diabetes</strong> Group.<br />

1<br />

ASSESSMENT OF PATIENT EDUCATION IN DIABETES IN SCOTLAND

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