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Structured education

Quality statement

People with diabetes and/or their carers receive a structured educational programme that fulfils the nationally agreed criteria from the time of diagnosis, with annual review and access to ongoing education.

Quality measure

Structure

Evidence of local arrangements to ensure that people with diabetes and/or their carers receive a structured educational programme that fulfils the nationally agreed criteria from the time of diagnosis, with annual review and access to ongoing education.

Process

a) Proportion of people with diabetes who are offered structured education from the time of diagnosis.

Numerator - the number of people in the denominator offered structured education from the time of diagnosis.

Denominator - the number of people diagnosed with diabetes in the past 12 months.

b) Proportion of people with diabetes who start structured education from the time of diagnosis.

Numerator - the number of people in the denominator starting structured education from the time of diagnosis.

Denominator - the number of people diagnosed with diabetes in the past 12 months.

c) Proportion of people with diabetes who complete structured education from the time of diagnosis.

Numerator - the number of people in the denominator completing structured education from the time of diagnosis.

Denominator - the number of people diagnosed with diabetes in the past 12 months.

d) Proportion of people with diabetes whose structured education has been reviewed and reinforced annually.

Numerator - the number of people in the denominator whose structured education has been reviewed and reinforced within the past 12 months.

Denominator - the number of people with diabetes diagnosed over 12 months ago.

Description of what the quality statement means for each audience

Service providers ensure that staff are enabled to offer structured educational programmes that fulfil nationally agreed criteria and are ongoing and accessible to all people with diabetes and/or their carers.

Healthcare professionals ensure they offer structured educational programmes that fulfil nationally agreed criteria to people with diabetes and/or their carers as part of their ongoing care.

Commissioners ensure they commission structured educational programmes that fulfil nationally agreed criteria and are ongoing and accessible to people with diabetes and/or their carers.

People with diabetes and/or their carers receive a diabetes education course to suit their needs that is delivered by trained staff. A healthcare professional should check every year whether the person would find further diabetes education useful, and diabetes education should continue to be available.

Source clinical guideline references

NICE clinical guideline 87 recommendation 1.1.1 (key priority for implementation).

NICE clinical guideline 15 recommendations 1.8.1.1 and 1.8.1.6.

NICE clinical guideline 10 recommendation 1.1.1.6.

NICE technology appraisal 60.

Data source

Structure

Local data collection. Contained within NICE clinical guideline 87 Audit support clinical criteria, criteria 1-4.

Process

a), b), c) and d) Local data collection. Contained within NICE clinical guideline 87 Audit support clinical criteria, criterion 1. The National Diabetes Audit collects data on structured education.

Definitions

A patient educational programme should meet five key criteria laid down by the Department of Health and the Diabetes UK Patient Education Working Group:

  • Any programme should be evidence-based, and suit the needs of the individual. The programme should have specific aims and learning objectives. It should support the learner plus his or her family and carers in developing attitudes, beliefs, knowledge and skills to self-manage diabetes.
  • The programme should have a structured curriculum that is theory-driven, evidence-based and resource-effective, has supporting materials, and is written down.
  • The programme should be delivered by trained educators who have an understanding of educational theory appropriate to the age and needs of the learners, and who are trained and competent to deliver the principles and content of the programme.
  • The programme should be quality assured, and be reviewed by trained, competent, independent assessors who measure it against criteria that ensure consistency.
  • The outcomes from the programme should be regularly audited.

Full criteria available from Joint Department of Health and Diabetes UK Patient Education Working Group (2005) Structured Patient Education in Diabetes: Report from the Patient Education Working Group.

Patient education should also take into account the overarching principles of NICE technology appraisal 60.

There are a number of structured educational programmes available for diabetes. Some programmes will be more suitable for type 1 diabetes, and others for type 2 diabetes. Educators should select a programme and time its delivery tailored to the needs of the learner and/or the carer.

Equality and diversity considerations

All information about treatment and care, including a structured patient educational programme, should take into account age and social factors, language, accessibility, physical, sensory or learning difficulties, and should be ethnically and culturally appropriate. It should also be accessible to people who do not speak or read English. If needed, people with diabetes should have access to an interpreter or advocate.

This page was last updated: 25 March 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.