Regular screening and monitoring is key to ensuring the prompt detection of diabetes complications and allows for early and aggressive intervention. This is a key part of priority number 1 from the Scottish Diabetes Group.
9 Processes of Diabetes Care
For adults living with diabetes, there are nine processes of care that should be checked on an annual basis. – these are HbA1c, BP, weight, smoking status, screening, renal function, albuminuria, cholesterol, retinal and foot screening.
Albuminuria testing and foot screening remain the two most challenging areas, and we continue to prioritise highlighting this at a regional level, supporting primary care systems and pathways to maximise these important preventable complications.
Early work has shown that coding for foot screening may mean that documented screening rates are not always in line with actual screening. Ideally our secondary care colleagues would encourage direct data input into sci-diabetes, but we are also working with Primary Care Data Users group to ensure chronic disease templates in the new vision are collecting aligned data.
9 Processes of Diabetes Care Infographic
Click below to download a visual infographic which highlights the 9 processes of Diabetes care
Coding for Diabetes foot screening
Click below to download a visual infographic which identifies the Vision codes that should be used for coding low, moderate, high and ulcerated risks for the left and right foot.
Lothian MCN HbA1c Targets
Click below to download a visual infographic which provides a rational approach to HbA1c targets for patients with type 2 diabetes depending on their profile and medications, tighter control in younger patients and taking into account various stages of frailty.
Know Your Numbers – Patient Leaflet
Know Your Numbers is a visual guide to help patients understand their Type 2 Diabetes test results and has sliding scales to display blood sugar, weight, kidney, blood pressure and cholesterol results.
SCI- Diabetes
The Scottish Care Information – Diabetes (SCI-Diabetes) system in Scotland’s national system for looking after all people with diabetes in Scotland. It is cornerstone for diabetes care, and can be used in primary care to identify and target those who have missed out on the 9 key processes of care and in Lothian, the Diabetes Managed Clinical Network is committed to making access available widely via this dedicated page.
Requesting Access to SCI Diabetes
If you would like to improve and utilise the SCI-Diabetes dashboard within your practice, please follow the instructions below.
Link to eHealth System Access Form: Service Catalogue – Service Portal (service-now.com)
SCI Diabetes Video User Guides
CONTACT INFORMATION
Diabetes MCN
Strategic Planning
Level 2
Waverley Gate
2-4 Waterloo Place Edinburgh
EH1 3EG
ABOUT US
The Diabetes MCN in Lothian was started in 2004. It is a group of Health Care Professionals and lay people who work together to develop and improve the care delivered to patients.
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