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Complications

Quality statement

People with diabetes receive an annual assessment for the risk and presence of the complications of diabetes, and these are managed appropriately.

Quality measure

Structure

Evidence of local arrangements to ensure that people with diabetes are assessed annually for the risk and presence of complications, and these are managed appropriately.

Process

Proportion of people with diabetes who are assessed annually for the risk and presence of complications of diabetes, and these are managed appropriately.

Numerator - the number of people in the denominator receiving an assessment for the risk and presence of complications during the previous 12 months and are managed appropriately.

Denominator - the number of people with diabetes.

Outcome

Reduction in the incidence of complications associated with diabetes.

Description of what the quality statement means for each audience

Service providers ensure that diabetes services recall and review people with diabetes for the risk and presence of complications and provide resources to enable assessment and appropriate management.

Healthcare professionals ensure they are competent to assess people with diabetes for the risk and presence of associated complications and manage them appropriately.

Commissioners ensure they commission services that assess for the risk and presence of complications associated with diabetes and manage them appropriately.

People with diabetes are checked for additional health problems associated with diabetes (for example, eye, nerve or kidney damage, cardiovascular disease, fatty deposits in the blood vessels or sexual problems), and for the risk of developing these problems. Any risks or problems identified are properly managed.

Source clinical guideline references

Recommendations on the management of complications associated with diabetes are contained within NICE clinical guideline 87recommendation sections 1.8 - 1.14 and NICE clinical guideline 15 recommendation sections 1.10 - 1.11.

Data source

Structure

Local data collection. DiabetesE collects data on complications.

Process

Local data collection. DiabetesEcollects data on complications.

The National Diabetes Audit collects data on complications. Quality and Outcomes Framework (QOF) DM 9 The percentage of patients with diabetes with a record of the presence or absence of peripheral pulses in the previous 15 months. QOF indicator DM 10 The percentage of patients with diabetes with a record of neuropathy testing in the previous 15 months. QOF indicator DM 13 The percentage of patients with diabetes who have a record of micro-albuminuria testing in the previous 15 months. QOF indicator 21 The percentage of patients with diabetes who have a record of retinal screening in the previous 15 months. QOF indicator DM 22 The percentage of patients with diabetes who have a record of estimated glomerular filtration rate or serum creatinine testing in the previous 15 months.

Outcome

Local data collection. The National Diabetes Auditand Hospital Episode Statistics (HES) collect data on complications associated with diabetes.

Definitions

Complications associated with diabetes may include:

  • retinopathy
  • neuropathy - sensory and autonomic
  • nephropathy
  • cardiovascular disease
  • peripheral arterial disease
  • sexual dysfunction.

Equality and diversity considerations

Services for diabetes should be designed and tailored to take into account local ethnicity and cultural requirements to ensure accessibility to all communities.

This page was last updated: 09 May 2011

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.