01 June 2015
From July 2015 all Acute Trusts will now be asked to give an overview of inpatient diabetes care at their Trust in the provider information request (PIR). This could include inviting Trusts to make statements on the presence (or absence) of an inpatient diabetes nurse service, the provision of mandatory insulin training, the recording of insulin errors, and on provisions made as an organisation to adapt to the needs of people with diabetes.
We are all very aware of the risk and safety issues associated with inpatient diabetes care, and these have been highlighted repeatedly by the NADIA data. Over the last 18 months, there have been multiple (and very positive) discussions between JBDS and the CQC nationally, and we can announce that the CQC have offered and agreed to incorporate inpatient diabetes as a specific high risk area into an Acute Trust inspection from July 2015. This has implications for clinical teams working in Trusts awaiting an inspection, and these issues are outlined in more detail in the attached document. It is possible that a CQC inspection that looks specifically at inpatient diabetes, might sharpen a Trusts focus on training issues and inpatient risk for people with diabetes. Professor Alan Sinclair is undertaking parallel work with CQC on diabetes in care homes.
Professor Mike Sampson, Consultant Diabetologist (Norwich) and Chair JBDS
Dr Daniel Flanagan, Consultant Diabetologist, Plymouth