A voluntary England framework has been developed by Diabetes UK, the NHS and other stakeholders to allow expanded capacity to community teams who administer insulin to patients.
To enable community teams to manage the increasing demand for this service, suitably trained health and care workers (HCWs), including health and care support workers and healthcare assistants, could administer insulin to those adults whose diabetes is stable.
These documents and supporting materials are based on best practice, input from stakeholders and an expert working group, as well as the experience of eight national exemplar sites. They are relevant to NHS organisations, community interest companies, social enterprises, independent sector providers, adult social care providers that have staff caring for adults who require insulin administration by pen and have voluntarily agreed to take part in a delegation scheme.
The documents included on this page provide a voluntary framework for teaching and training HCWs to administer insulin to adults who are unable to do this themselves. They also ensure patient safety and cover areas such as access to medicines ensuring care is delivered at the right time in the right place by clinicians with the right skills.
- Insulin delegation tip sheet
- Final letter of delegation of insulin administration
- Sample document for the delegation of insulin administration November 2022
- Organisational Checklist for Delegation of Administration of Insulin November 2022
- Competency framework and workbook for blood glucose monitoring and subcutaneous insulin administration  November 2022
- Health and Care Worker Checklist
- Frequently asked questions
If you have any questions please contact england.communitynursing@nhs.net
Delegation of Insulin Framework Webinar
You can also watch one of the previous recorded webinars and download the slides too.
