Navigation

Inpatient care

Quality statement

People with diabetes admitted to hospital are cared for by appropriately trained staff, provided with access to a specialist diabetes team, and given the choice of self-monitoring and managing their own insulin.

Quality measure

Structure

Evidence of local arrangements to ensure that all inpatients with diabetes are cared for by appropriately trained staff, provided with access to a specialist diabetes team, and given the choice of self-monitoring and managing their own insulin.

Process

a) Proportion of staff on inpatient wards who are appropriately trained to care for people with diabetes.

Numerator - the number of staff in the denominator appropriately trained in the care of people with diabetes.

Denominator - the number of staff on inpatient wards.

b) Proportion of inpatients with diabetes who are provided with access to a specialist diabetes team.

Numerator - the number of inpatients in the denominator provided with access to a specialist diabetes team.

Denominator - the number of inpatients with diabetes.

c) Proportion of inpatients with diabetes on insulin therapy who are given the choice of self-monitoring and managing their own insulin.

Numerator - the number of inpatients in the denominator given the choice of self-monitoring and managing their own insulin.

Denominator - the number of inpatients with diabetes on insulin therapy.

Outcomes

a) Reduction in incidents relating to insulin causing harm.

b) Increase in patient satisfaction with their care in hospital.

Description of what the quality statement means for each audience

Service providers ensure adequate staff training in diabetes care and access to a specialist diabetes team where required to ensure people with diabetes admitted to hospital are cared for by appropriately trained staff, provided with access to a specialist diabetes team, and given the choice of self-monitoring and managing their own insulin.

Healthcare professionals ensure they are skilled and appropriately trained to care for people with diabetes and have access to a specialist diabetes team, and ensure that people with diabetes have the choice of self-monitoring and managing their own insulin.

Commissioners ensure they commission secondary services that assess the competency of the workforce, and have adequate staff education programmes to ensure people with diabetes admitted to hospital are cared for by appropriately trained staff, provided with access to a specialist diabetes team, and given the choice of self-monitoring and managing their own insulin.

People with diabetes who are admitted to hospital are cared for by trained staff, including a specialist diabetes team if needed, and are given the choice of self-monitoring their blood sugar levels and, for those on insulin therapy, managing their own insulin.

Source clinical guideline references

NICE clinical guideline 15 recommendations 1.12.3.1-1.12.3.4.

Data source

Structure

Local data collection. DiabetesE collects data on inpatient care.

Process

a), b) and c) Local data collection. The National Diabetes Auditcollects data on inpatient care.

Outcome

a) The National Patient Safety Agency National Reporting and Learning System collect data on incidents relating to insulin causing harm.

b) The National Diabetes Inpatient Audit collects data on the clinical care and experiences of people with diabetes who were inpatients in hospital.

Definitions

‘Appropriately trained staff' are defined as those with specific competencies in caring for people with diabetes.

People with diabetes admitted to hospital should be given the choice of self-monitoring and managing their own insulin as appropriate to the person with diabetes.

This page was last updated: 28 March 2011

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.

Selected, reliable information for health and social care in one place

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.