Quality statement 2: Structured education programmes for adults with type 2 diabetes

Quality statement

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

Rationale

Type 2 diabetes is a progressive long-term medical condition that the person predominantly self-manages. Managing type 2 diabetes involves lifestyle changes, and treatment can be complex. Structured education programmes can help adults with type 2 diabetes to improve their knowledge and skills and also help to motivate them to take control of their condition and self-manage it effectively.

Quality measures

Structure

Evidence of local arrangements to ensure that adults with type 2 diabetes are referred for a structured education programme at diagnosis.

Data source: Local data collection.

Process

a) Proportion of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.

Numerator – the number in the denominator who are referred for a structured education programme at diagnosis.

Denominator – the number of adults newly diagnosed with type 2 diabetes.

Data source: Local data collection. National data are collected in the Quality and Outcomes Framework indicator DM014 and the National Diabetes Audit.

b) Proportion of adults with type 2 diabetes who attend a structured education programme after a referral.

Numerator – the number in the denominator who attend a structured education programme.

Denominator – the number of adults with type 2 diabetes who are referred for a structured education programme at diagnosis.

Data source: Local data collection. National data are collected in the National Diabetes Audit.

c) Proportion of adults with type 2 diabetes who complete a structured education programme.

Numerator – the number in the denominator who complete a structured education programme.

Denominator – the number of adults with type 2 diabetes who attend a structured education programme.

Data source: Local data collection.

Outcome

Patient satisfaction with ability to self-manage their type 2 diabetes after attending a structured education programme.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers (such as GPs and community healthcare providers) ensure that systems are in place for adults with type 2 diabetes to be offered a structured education programme at diagnosis.

Healthcare professionals (such as GPs, practice nurses and community healthcare providers) ensure that they offer a structured education programme to adults with type 2 diabetes at diagnosis.

Commissioners (clinical commissioning groups and NHS England) ensure that they commission structured education programmes for adults with type 2 diabetes.

What the quality statement means for patients, service users and carers

Adults with type 2 diabetes are offered a course to help them improve their understanding of type 2 diabetes and how to manage it in their everyday life. This course should be offered at the time of diagnosis.

Source guidance

Definitions of terms used in this quality statement

Structured education programme

Should include the following components:

  • It is evidence-based, and suits the needs of the person.

  • It has specific aims and learning objectives, and supports the person and their family members and carers in developing attitudes, beliefs, knowledge and skills to self-manage diabetes.

  • It has a structured curriculum that is theory-driven, evidence-based and resource-effective, has supporting materials, and is written down.

  • It is delivered by trained educators who have an understanding of educational theory appropriate to the age and needs of the person, and who are trained and competent to deliver the principles and content of the programme.

  • It is quality assured, and reviewed by trained, competent, independent assessors who measure it against criteria that ensure consistency.

  • The outcomes are audited regularly.

Further information on these components can be found in the Department of Health's Structured patient education in diabetes: report from the Patient Education Working Group.

Information given to adults with type 2 diabetes should cover aspects of lifestyle modification that may be necessary, such as dietary advice, and weight loss for adults who are overweight.

[Adapted from NICE's guideline on Type 2 diabetes in adults: management, recommendations 1.2.2, 1.3.2 and 1.3.4, and expert opinion]

Equality and diversity considerations

Structured education programmes should meet the cultural, linguistic, cognitive and literacy needs in the local area. Information should be provided in an accessible format (particularly for people with physical, sensory or learning disabilities and those who do not speak or read English) and educational materials should be translated if needed.

Alternative programmes of equal standard should be made available for people unable to participate in group education.