MK Diabetes Care is a service commissioned by NHS Milton Keynes. It is a Diabetes Specialist Support Service designed to support the aims of the Health and social care act (2012) (1) in promoting patient choice, improving outcomes and moving care into the community.
MKDiabetesCare team consists of:
Dr Shanthi Chandran
Lead Diabetes Specialist Nurse:
Diabetes Specialist Nurse:
The project is managed by:
Dennis Riches & Corinne Wykes
In 2010 NHS Milton Keynes commissioned a proactive, modern and comprehensive service for adults living with diabetes. The service is provided by MKDiabetesCare and aims to support all adults with diabetes who are registered with a GP inMilton Keynes.
Overarching service delivery
The aim of the service is to help improve clinical outcomes, reduce mortality & morbidity rates and quality of life for people with diabetes by:
Improving standards of diabetes services in MKPCT.
Develop and localise the diabetes National Service Framework (NSF)
Improve the understanding and empowerment of people with diabetes to enable self-care
Reduce reliance on hospital services for routine diabetes care
Reduce costs associated with diabetes care
Ensuring it supports equitable access and addresses the diverse needs of people inMilton Keynes.
To ensure the service is evidence based, it will deliver the applicable requirements of the National Service Framework (NSF) for diabetes, the Care Quality Commission (CQC), relevant National Institute of Clinical Excellence (NICE) guidance, the Department of Health Standards for Better Health, “Your Health, Your Care, Your Say” (2) and support NHS Milton Keynes prescribing guidelines related to diabetes.
Diabetescompetencies used will be identified by Skills for Health and aligned to the Integrated Career and Competency Framework forDiabetesNursing (3rd Edition) (3)
The assessment and review of care planning will be in accordance with ‘Year of Care’ (4) guidance and Knowledge & Information Repository, Care Planning andDiabetes(5)
The service will provide support with specific projects which include:
Patients who are currently seen by hospital outpatient services are assessed for suitability to transfer back to sole care of their general practice with patient and GP agreement.
The service will support primary care through both the training and accreditation of GP practices (to provide Local Enhanced Services for Insulin Initiation & Management and Care Planning) and direct professional support from the hospital consultants and GPwSI.
Co-ordinating and providing patient education and self management course (DiabetesEducation for Self Management, Ongoing & New Diagnosed -DESMOND) locally
Liaising with the Ambulance Service to reduce the number of ‘hypo’ callouts and support primary care in the follow up of these patients
Supporting / updating other health care providers on all the care processes in diabetes
An education package by Consultants to support GP/ PN with referrals.
Offering direct support to all Health Care Professionals dealing with the delivery of diabetes care throughout MK.
This service is already funded within the MK PCT Commissioned services
If you would like further information, please contact: