Diabetes care under PCTs is 'patchy and fragmented'

Diabetes services are fragmented, with poor links between primary and secondary care, England's clinical director for diabetes has warned.

GPs can join up diabetes care (Photograph: Jason Heath Lancy)
GPs can join up diabetes care (Photograph: Jason Heath Lancy)

Dr Rowan Hillson said diabetes care had become patchy under PCT control. Without concerted effort this could increase as potentially more numerous GP consortia take control, she said.

Addressing members of the all party parliamentary group for diabetes last week, Dr Hillson said: 'I have concerns about potential fragmentation.

'We have to make sure it doesn't happen. I strongly believe that people with diabetes and professionals must have ready access to specialist diabetes expertise.'

The whole care pathway must be considered when delivering the most cost efficient and effective diabetes care, from diagnosis and personal management to hospitalisation, Dr Hillson said.

Although consortia should be mindful of the risk of fragmentation, in principle GPs are well placed to ensure diabetes care adheres to this model, she added.

In the last National Diabetes Audit for 2008/9, just 32 per cent of type-1 diabetes patients and 51 per cent of type-2 diabetes patients received all care processes recommended in the diabetes national service framework, such as blood glucose and cholesterol checks.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Identifying patients experiencing domestic violence and abuse in general practice

Identifying patients experiencing domestic violence and abuse in general practice

Dr Vasumathy Sivarajasingam describes a pilot project in her practice that used a...

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

High rates of COVID-19 infection and the impact of long COVID could 'wreak havoc'...

GPs can give COVID and flu jabs at same time, says NHS England

GPs can give COVID and flu jabs at same time, says NHS England

GPs can now administer COVID-19 and flu jabs at the same time, according to updated...

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Regions of England hit hardest by COVID-19 cases have fallen behind the rest of the...

COVID-19 pandemic drives first recorded dip in patients registered with GPs

COVID-19 pandemic drives first recorded dip in patients registered with GPs

A rise in deaths and reduced immigration during the COVID-19 pandemic saw the first-ever...

GP trainee placements delayed as COVID-19 surge hits junior doctor rotations in London

GP trainee placements delayed as COVID-19 surge hits junior doctor rotations in London

Planned rotations of junior doctors in London - including GP trainees - have been...