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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ to national directorates. This model of service delivery will bring decision making closer to the patient/client through the Local Health Offices.” Regarding Diabetes, the HSE has commenced to take some initial steps towards the implementation of the policy guidelines recommended in the DOH&C Working Group’s report referred to in No 1 above: - A multidisciplinary Expert Advisory Group on Diabetes was established in October 2006 to give effect to the policy guidelines in the Working Group’s report – see No 1 above. A National Framework for Diabetes is being prepared with the following priorities: � National needs assessment including paediatric diabetic needs � National agreed shared care protocol between hospital and � community sectors � Scoping and preparation of a diabetic registry � Care guidelines � Specific Health Promotion interventions � Action plan for structured patient education programme � Needs assessment for Retinopathy screening - In its Service Plan for 2007, the HSE has made financial provision to implement measures to begin the development of an effective systematic approach to the care and management of diabetic patients in local and social care communities starting with the roll out of Self-Care Management education programmes in each local HSE area in liaison with the Diabetes Federation of Ireland. Local plans are being developed for implementation of the wider policy guidelines and priorities referred to in the previous paragraph. - The HSE was also allocated Eur3M to commence implementation in 2007 of certain recommendations of the National Taskforce on Obesity. Prior to the setting up of the Expert Advisory Group, the HSE had already taken a number of initiatives at local level to pilot structured integrated diabetes care involving hospital and community services; also to pilot a number of structured education and support programmes for people with type 2 diabetes, both hospital and community based. - 212 -

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ 6. In the main, the picture regarding disease management of diabetes in Ireland has been that of a patchy and uncoordinated approach with some dedicated focus in a small number of community areas but principally in the hospital setting from specialist medical, nursing and other staff such as dieticians. Prevention, diagnosis, treatment and ongoing care has to date come mainly from mainstream generic health promotion, community or hospital services, with very limited access to dedicated services. Detection examination and screening programmes for diabetes have not been developed and this also applies to screening for complications of the disease such as retinopathy screening. Neither has systematic surveillance of the incidence or prevalence of diabetes been developed to date. Information and education of the public regarding diabetes and education of patients and their families for self-care has not been systematically developed and has been largely provided through the Diabetes Federation of Ireland. The implementation of the policy guidelines from the various reports in recent years now under way as outlined above is now expected to transform the current situation regarding all these aspects of the management of diabetes in Ireland and in the Dublin/North-East and Dublin/Mid-Leinster regions. - 213 -

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Part II