Author(s): Palmer J.; Kelly C.; Fennell-Rutherford J.

Source: Diabetic Medicine; Mar 2019; vol. 36 ; p. 113

Publication Date: Mar 2019

Publication Type(s): Conference Abstract

Available  at Diabetic Medicine –  from Wiley Online Library Full Collection

Abstract:Aim: This study aimed to identify any impact on management of patients with diabetes in primary care through support and education from Primary Care Diabetes Specialist Nurses (DSN). Method(s): The 82 Gp practices in Liverpool have been offered one session per month from a DSN. These sessions include virtual clinics, clinics with the GPs or Practice Nurses, education at practice meetings, audits, and work with the Pharmacists and wider community teams. Information was gathered from a sample of 25% of the GPs and Practice Nurses via a questionnaire. This has enabled us to determine how they viewed the service and if it has been beneficial in improving their knowledge and confidence. Result(s): The findings demonstrated that 100% of responders felt LDP has had a positive impact on care. The GPs and Practice Nurses gave positive feedback around improvement in their knowledge and confidence in the managing their patients. To support the finding we took baseline data from four areas and measured them at two years into the service. Reductions of:7.4% in HBA1C over 75mmols/mol. 16.1% in blood pressure <140/<90 29% admissions for hypoglycaemia. 298 referrals for impaired vision and kidney disease. Conclusion(s): The feedback from Practice Staff and the data from commissioners suggest that LDP has made a positive impact on the treatmentofpatientsinprimary care througheducation and support. Competencies are developed for Practice Staff to allow us to measure their knowledge and allocate our expertise into the areas identified for further development. Acknowledgement: Liverpool Diabetes Partnership.

Database: EMBASE