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Diabetes in Adults [QS6]

Measuring the use of this guidance

Statement: 2

Adults with type 2 diabetes are offered a structured education programme at diagnosis. [2011, updated 2016]

Quality standard measure: Proportion of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.
What was measured: Proportion of patients with newly diagnosed type 2 diabetes who were offered structured education in the last year.
Data collection end: March 2010
7.8%
Number that met the criteria: 16282 / 208740
Data collection end: March 2011
10.6%
Number that met the criteria: 23456 / 221098
Data collection end: March 2012
11.8%
Number that met the criteria: 27232 / 230299
Data collection end: March 2013
16.3%
Number that met the criteria: 31221 / 190991
Data collection end: March 2014
67.8%
Number that met the criteria: 107706 / 158799
Data collection end: March 2015
77.5%
Area covered: National
Source: NHS Digital. National Diabetes Audit.

Quality standard measure: Proportion of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.
What was measured: DM014: The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register.
Data collection end: March 2015
66.27%
Data collection end: March 2016
71.1%
Data collection end: March 2017
69.6%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.

Quality standard measure: Proportion of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.
What was measured: Proportion of patients with newly diagnosed type 2 or other diabetes who were offered structured education in the last year.
Data collection end: March 2016
77.3%
Number that met the criteria: 150440 / 194640
Area covered: National
Source: NHS Digital. National Diabetes Audit.

Quality standard measure: Proportion of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.
What was measured: Proportion of patients with newly diagnosed type 2 or other diabetes over 12 years old who attended structured education in the last year.
Data collection end: March 2016
7.4%
Number that met the criteria: 14495 / 194640
Area covered: National
Source: NHS Digital. National Diabetes Audit.


Statement: 3

Adults with type 1 diabetes are offered a structured education programme 6–12 months after diagnosis. [2011, updated 2016]

Quality standard measure: Proportion of adults with type 1 diabetes who are referred for a structured education programme 6–12 months after diagnosis.
What was measured: Proportion of patients with newly diagnosed type 1 diabetes who were offered structured education in the last year.
Data collection end: March 2012
2.2%
Number that met the criteria: 197 / 8952
Data collection end: March 2013
3.7%
Number that met the criteria: 266 / 7112
Data collection end: March 2014
30.2%
Number that met the criteria: 1746 / 5776
Data collection end: March 2015
32.1%
Data collection end: March 2016
41.3%
Number that met the criteria: 3030 / 7345
Area covered: National
Source: NHS Digital. National Diabetes Audit.

Quality standard measure: Proportion of adults with type 1 diabetes who are referred for a structured education programme 6–12 months after diagnosis.
What was measured: DM014: The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register.
Data collection end: March 2015
66.27%
Data collection end: March 2016
71.1%
Data collection end: March 2017
69.6%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.

Quality standard measure: Proportion of adults with type 1 diabetes who are referred for a structured education programme 6–12 months after diagnosis.
What was measured: Proportion of patients with newly diagnosed type 1 diabetes who attended structured education in the last year.
Data collection end: March 2016
3.3%
Number that met the criteria: 245 / 7345
Area covered: National
Source: NHS Digital. National Diabetes Audit.


Statement: 5

Adults at moderate or high risk of developing a diabetic foot problem are referred to the foot protection service. [2011, updated 2016]

Quality standard measure: Incidence of foot and lower limb amputations in people with diabetes.
What was measured: Proportion of people with diabetic foot ulcer admitted to hospital within 6 months of first expert assessment for a minor or major amputation of lower limb.
Data collection end: April 2016
8.4%
Number that met the criteria: 988 / 11703
Area covered: England and Wales
Source: NHS Digital. National Diabetes Foot Care Audit. Hospital Admissions Report 2014-2016.

Quality standard measure: Incidence of foot and lower limb amputations in people with diabetes.
What was measured: Proportion of people with diabetic foot ulcer admitted to hospital within 6 months of first expert assessment for a minor (below ankle) amputation.
Data collection end: April 2016
7.1%
Number that met the criteria: 831 / 11703
Area covered: England and Wales
Source: NHS Digital. National Diabetes Foot Care Audit. Hospital Admissions Report 2014-2016.

Quality standard measure: Incidence of foot and lower limb amputations in people with diabetes.
What was measured: Proportion of people with diabetic foot ulcer admitted to hospital within 6 months of first expert assessment for a major (above ankle) amputation.
Data collection end: April 2016
1.8%
Number that met the criteria: 211 / 11703
Area covered: England and Wales
Source: NHS Digital. National Diabetes Foot Care Audit. Hospital Admissions Report 2014-2016.

Quality standard measure: Evidence of local arrangements to ensure that adults at moderate or high risk of developing a diabetic foot problem are referred to the foot protection service.
What was measured: The proportion of commissioners that provide a diabetic foot protection service pathway.
Data collection end: July 2017
85%
Area covered: England and Wales
Source: NHS Digital. National Diabetes Foot Care Audit.


Statement: 6

Adults with a limb-threatening or life-threatening diabetic foot problem are referred immediately for specialist assessment and treatment. [2011, updated 2016]

Quality standard measure: Proportion of presentations of limb-threatening or life-threatening diabetic foot problems that are referred immediately for specialist assessment and treatment.
What was measured: Proportion of CCGs and local health boards providing a pathway for foot assessment within 24 hours.
Data collection end: April 2015
54.1%
Area covered: England
Source: Health and Social Care Information Centre. National Diabetes Foot Care Audit.

Quality standard measure: Evidence of local arrangements to ensure that adults with a limb-threatening or life-threatening diabetic foot problem are referred immediately for specialist assessment and treatment.
What was measured: Proportion of CCGs and local health boards providing a pathway for foot assessment within 24 hours, if needed.
Data collection end: July 2017
67.2%
Area covered: England and Wales
Source: NHS Digital. National Diabetes Foot Care Audit.


Statement: 7

Adults with type 1 diabetes in hospital receive advice from a multidisciplinary team with expertise in diabetes. [2011, updated 2016]

Quality standard measure: Proportion of hospital admissions for adults with type 1 diabetes in which they receive advice from a multidisciplinary team with expertise in diabetes.
What was measured: Proportion of diabetes inpatients who were visited by a member of the diabetes team.
Data collection end: September 2012
31.6%
Data collection end: September 2013
34.4%
Data collection end: September 2015
35.5%
Area covered: England
Source: Health and Social Care Information Centre. National Diabetes Inpatient Audit.

Quality standard measure: Proportion of hospital admissions for adults with type 1 diabetes in which they receive advice from a multidisciplinary team with expertise in diabetes.
What was measured: Percentage of inpatients with type 1 diabetes seen by the diabetes team where it was deemed appropriate.
Data collection end: September 2015
78.3%
Data collection end: September 2016
82%
Data collection end: September 2017
78.5%
Area covered: England and Wales
Source: NHS Digital. National Diabetes Inpatient Audit.

Quality standard measure: Evidence of local arrangements to ensure that adults with type 1 diabetes in hospital receive advice from a multidisciplinary team with expertise in diabetes.
What was measured: Percentage of hospital sites with at least one diabetes inpatient specialist nurse.
Data collection end: September 2016
72.1%
Data collection end: September 2017
72.1%
Area covered: England and Wales
Source: NHS Digital. National Diabetes Inpatient Audit.

Quality standard measure: Evidence of local arrangements to ensure that adults with type 1 diabetes in hospital receive advice from a multidisciplinary team with expertise in diabetes.
What was measured: Percentage of hospital sites with 7 day diabetes inpatient specialist nurse provision.
Data collection end: September 2015
6.4%
Data collection end: September 2016
7.7%
Data collection end: September 2017
8.8%
Area covered: England and Wales
Source: NHS Digital. National Diabetes Inpatient Audit.


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