PDF Ebook Practice Guidance on the Care of People with Diabetes
This Guidance has been prepared for pharmacists in Great Britain to help them and their staff to recognise areas where they can improve and develop their services to people with diabetes. Its aim is to describe best practice, and to facilitate an approach to diabetes care, that is consistent with that of the other members of the diabetes team.
Its main objectives are:
At patient level to:
• Promote diabetes prevention;
• Increase early identification of diabetes;
• Improve knowledge and skills of people with diabetes in dealing with their treatment, to reduce the severity and incidence of immediate and late diabetes complications;
• Improve the wellbeing of people with diabetes
At pharmacy level to:
• Raise awareness of pharmacists and pharmacy staff of the importance of focusing their intervention on diabetes care;
• Promote the diabetes care services, together with other health care providers and Diabetes UK;
• Encourage documentation of pharmacists’ interventions, outcomes and evaluation of services
• To guide on the provision of the highest standards of care, when dealing with people who have diabetes.
The RPSGB document ‘Early Identification of Diabetes’ has been incorporated with the second edition and updated into this, the third edition of the Practice Guidance.
Contents
Foreword
1. Executive Summary
2. Policy Context
- 2.1 National Plans for diabetes
- 2.1.1 The National Service Framework (NSF) for diabetes (England)
2.1.2 The National Screening Committee (NSC)
2.2 New General Medical Services contract
2.3 Vision for Pharmacy in the new NHS (‘Vision’) (England)
2.4 Building on the best
2.5 New Pharmaceutical Services contract
2.6 Information on diabetes care
3. Clinical Guidelines
4. Epidemiology & health economics
5. Teamworking
- 5.1 Becoming integrated into the healthcare team
5.2 Useful skills and attitudes
5.3 Potential barriers to new services
5.4 Communication
6. How to get started
7. Clinical Governance
8. Practice Guidance
8A The pharmacist's role in the primary prevention of diabetes
A1 Opportunistically promotion of a healthy lifestyle
A2 Targeted prevention programmes
8B The pharmacist's role in detecting undiagnosed diabetes
B1 Monitoring OTC sales
B2 Supporting local screening campaigns
- B2.1 Liaising with other diabetes professionals
B2.2 Who should be targeted
B2.3 Referral levels
- (a) Presenting with symptoms of diabetes
(b) Presenting with risk factors, but no symptoms of diabetes
B2.4 Recommended training
B2.5 Equipment/ premises
B2.6 Initiating the test
B2.7 Undertaking the test
B2.8 Documentation
B2.9 Communicating results
B2.10 Confidentiality
B2.11 Personal Liability
B2.12 Requests to purchase testing equipment
B2.13 Advertising the service
8.C The pharmacist's role in the prevention of complications
- C1 At the presentation of the first prescription
C2 At the presentation of a repeat prescription
C3 Self-Monitoring
C4 Related services
8.D Referral criteria
8.E Quality assurance
8.F Funding
9. References
10. Appendices
Appendix 1 The nGMS contract: Annex A
- 1.1 Diabetes
1.2 Medicines management
Appendix 2 Useful Information
- 2.1 Useful addresses
- 2.1.1 Organisations
2.1.2 Websites (more)
2.2 Diabetes UK
2.3 Specific references
2.4 Textbooks
2.5 Diabetes Journals
2.6 Relevant CPPE courses
2.7 Diabetes courses
2.8 Projects in diabetes care, involving pharmacists in the UK
2.9 UKCPA Diabetes Special Interest Group
Appendix 3 Contacts list for diabetes care (example)
Appendix 4 Summary of WHO Diagnostic criteria for Diabetes
Appendix 5 MEP Code of Ethics – Testing of Body Fluids
Appendix 6 Diabetes Audit
Appendix 7 Dietary care planning and diabetes
Appendix 8 Suggested management targets for people with diabetes
Appendix 9 Patient Screening Questionnaire
Appendix 10 Summary for criteria for referral (case identification)
Appendix 11 Blood glucose meters (whole blood & plasma equivalent results)
Appendix 12 Glucose test record form (example), for retention in pharmacy
Appendix 13 Patient consent form for case identification test
Appendix 14 GP referral forms (case identification)
Appendix 15 Diabetes Care Leaflet (example)
Appendix 16 Questionnaire for People with diabetes (example)
Appendix 17 Glossary
Appendix 18 Acknowledgements
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PDF Ebook Practice Guidance on the Care of People with Diabetes
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