The Joint British Diabetes Societies for Inpatient Care (JBDS–IP) and Royal College of Psychiatrists (RCPsych) Faculty of Liaison Psychiatry are pleased to present the first edition of this new guideline. It continues the series of JBDS-IP guidelines which have been developed to improve the standards of care for people with diabetes when they are admitted to hospital.
The main purpose of this guidance is first, to reduce the inequity of diabetes care for people with severe mental illness (typically those with schizophrenia and bipolar disorders) by clarifying that local and national standards of diabetes care applies to people with SMI as well and second, to ensure that these standards are delivered whether the patient is an inpatient in an acute trust, in a mental health trust or in residential care.
The guidance recognises the reduced life expectancy of people with SMI and the lack of integration of diabetes care in the inpatient mental health setting. It also recognises that diabetes teams are often unaware or inexperienced in managing mental health issues in the acute inpatient setting. Our guidance will potentially improve outcomes for patients with SMI and diabetes by increasing awareness, encouraging routine screening of diabetes and mental health, and by improving communications between mental health and diabetes professionals.