joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
Twenty recommendations were noted within the diabetes equity audit. It was possible to
incorporate some of these recommendations into the PCT‟s World Class Commissioning
Strategy. The recommendations were as follows:
1. Better information is obtained on other groups with respect to inequalities in
diabetes.
2. Improvements in the coding of ethnicity and diabetes should occur.
3. Consistent, good quality educational information in a suitable format is
provided to patients regarding healthy lifestyles and diabetes for patients at an
increased risk.
4. Staff training is undertaken, where necessary, so that consistent educational
information about healthy lifestyles is provided to patients and staff have
sufficient knowledge about the risk factors for diabetes and about the disease
itself.
5. Networks are utilised to maximise information flow and raise awareness, for
example, by using the South Asian GPs‟ network and community groups.
6. Existing weight-loss and exercise programmes continue, with a single point of
contact for those requiring information, advice and referral for obesity. People
with glucose intolerance should be targeted specifically with respect to
existing services.
7. Further work is completed within primary care, pharmacies and with others in
an attempt to identify patients with undiagnosed diabetes.
8. Further work is undertaken within primary care to assess the disease registers
and measures of on-going care with the aim of helping practices to improve
their disease registers and the ways in which patients on the disease registers
are managed more effectively. The findings of this report should be used to
prioritise practices which may require additional help to achieve this aim.
9. Further work is completed on oral glucose tolerance testing to ensure that all
general practices have access to glucose tolerance testing by staff accredited
to administer the test. Further work is conducted on glucose test results with
the aim of identifying undiagnosed cases of diabetes.
10. The provision of structured patient educational programmes continue with
modifications, where necessary, to improve access to such courses and
decrease waiting times.
11. Ensuring that National Institute for Health and Clinical Excellence (NICE)
prescribing guidelines for patients with type 2 diabetes are met, with the cost
implications considered when initiating insulin therapy, and conduct a primary
care audit which includes prescribing.
12. The number of paediatric diabetes specialist nurses posts is increased to
meet national standards.
13. Plans are put in place to reduce the high DNA (“did not attend”) rates in
transitional and young adult diabetes clinics.
14. Young people in the transitional and young adult clinics have their feet
examined.
15. Work is undertaken at Locality level to provide support for those in primary
care to improve the care of patients with diabetes and reduce the prevalence
of risk factors associated with diabetes in their practice populations. This
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 579