People with diabetes are assessed for psychological problems, which are then managed appropriately.
Evidence of local arrangements to ensure that people with diabetes are assessed for psychological problems, which are then managed appropriately.
a) Proportion of people with diabetes assessed for psychological problems.
Numerator - the number of people in the denominator receiving an assessment for psychological problems in the past 12 months.
Denominator - the number of people with diabetes.
b) Proportion of people with diabetes and psychological problems whose psychological problem is managed appropriately.
Numerator - the number of people in the denominator whose psychological problem is managed appropriately.
Denominator - the number of people with diabetes and psychological problems.
Description of what the quality statement means for each audience
Service providers ensure that diabetes services assess and appropriately manage psychological problems in people with diabetes.
Healthcare professionals ensure they have adequate training to assess psychological problems in people with diabetes and are familiar with referral pathways to ensure psychological problems are managed appropriately.
Commissioners ensure they commission diabetes services that assess and appropriately manage psychological problems in people with diabetes.
People with diabetes are checked for psychological problems (such as depression, anxiety, fear of low blood sugar, eating disorders and problems coping with the diagnosis) and any problems identified are properly managed.
Source clinical guideline references
NICE clinical guideline 87 recommendation 18.104.22.168.
NICE clinical guideline 91 recommendation section 1.1.3.
Local data collection.
a) Local data collection. Quality and Outcomes Framework (QOF) DEP 1 The percentage of patients on the diabetes register and/or the CHD register for whom case finding for depression has been undertaken on one occasion during the previous 15 months using two standard screening questions.
b) Local data collection.
Psychological problems in people with diabetes may include:
- injection-related anxieties
- fear of hypoglycaemia
- eating disorders
- problems coping with diagnosis.
Equality and diversity considerations
Treatment and care should take into account a patient's needs and preferences. People with psychological problems and diabetes should have the opportunity to make informed decisions, including advance decisions and advance statements, about their care and treatment, in partnership with their practitioners. If patients do not have the capacity to make decisions, practitioners should follow the Department of Health's advice on consent (available from www.dh.gov.uk/consent) and the code of practice that accompanies the Mental Capacity Act (summary available from www.publicguardian.gov.uk).
This page was last updated: 28 March 2011