NHD clinical - - diabetes in Hackney
in the wider healthcare team, Hackney Dia-
Partnership organisations and patient
• a DVD giving information about diabe-
betes Team members themselves strive to
activities
tes, designed for the Orthodox Jewish
maintain and extend their skills in diabetes
The Hackney Diabetes Team works to-
community
care delivery. Some recent training undertak-
gether with other local organisations that can
en during 2009 was in behaviour change fa-
offer services to patients which complement
The future
cilitation (Behaviour Change Training - Parts
those offered by the Diabetes Team itself.
The Hackney Diabetes Team is unlikely
EXCLUSIVE SUBSCRIPTION OFFER
1 and 2) which the Diabetes Team as a whole
The patients with diabetes are encouraged
to have any further expansion in the near
attended (DSNs, DSDs and Lay Educators).
to make use of these services, including the
future, so it is now consolidating the new
following:
services that have been initiated during
What do the Diabetes Lay Educators do?
• Cook and Eat classes (10 weekly ses-
2008-09. However, some new develop-
The Team's Lay Educators undertake other
sions), supported by the PCT.
ments are envisaged, including the follow-
activities, including:
• Exercise Referral Scheme, run at two lo-
ing:
cal Leisure Centres in Hackney, similar
• more patients with Type 1 diabetes us-
(a) Weekly Walking Group
to those that exist in many PCT areas.
ing insulin pumps, with group educa-
This is offered to any of the patients with
• Activities for people aged 50 and over,
tion sessions to learn about diet and
diabetes and is particularly popular with
run by several local voluntary sector or-
adjustment of the insulin delivery, so as
those who have completed X-PERT cours-
ganisations. These include low impact
to make the most of the insulin pump
es. Led by the Lay Educators, the Walking
aerobics, line dancing, gentle seated ex-
features;
Group patients are discovering some attrac-
ercise, healthy heart dance, Tai Chi and
• more patients with Type 2 diabetes
tive corners of Hackney that they had previ-
many other activities.
starting insulin therapy in groups (run
ously been unaware of!
by a DSN and DSD)
• more training for GP practice teams, for
(b) Diabetes awareness sessions
Engaging with diabetes patients in Hackney
example for titrating insulin doses with
The Diabetes Team is regularly called
With so many new posts in the Hackney
confidence in the community;
upon to run a stall at public health events,
Diabetes Team, offering a more comprehen-
• development of a Transition clinic to al-
organised by the PCT (such as an annual
sive service in 2008-09, both in the Hackney
low a more structured transfer for young
‘Your Health in Your Hands’ event) or by
Diabetes Centre and in the community, the
people from the paediatric to the adult
groups from the voluntary sector (such as
Team organised a major event on 16 June
diabetes service;
the local Stroke Prevention Project or Age
2009, sponsored by the PCT, to highlight the
• more diabetes awareness events, in-
Concern). In addition, the Team organises its
extra services now available to patients with
cluding risk assessment for the public,
own timetable of awareness events in public
diabetes. Using the title ‘Striking the Balance
in local large employers, such as the
places, such as the hospital entrance area
– Your Diabetes, Our Service and You’, the
London Borough of Hackney or the
or local libraries or shopping centres.
one-day event in National Diabetes Week
nearby Olympic Park (where currently
The Diabetes awareness sessions are in-
featured the whole Team (ably supported by
around 6,000 people are working);
tended to raise awareness of diabetes in the
eight dietetic students) in a central-Hackney
• a research project to investigate why
community at large, in particular in those who
venue. As well as stalls setting out the full
some patients with diabetes do not en-
may be at risk of developing diabetes. The
range of the Diabetes Service (including
gage with the Hackney Diabetes Ser-
Lay Educators weigh and measure people,
details of clinics, education sessions, reti-
vice (the ‘hard-to-reach’ patients);
calculating their Body Mass Index and also
nal screening and so on), there were talks
• another Striking the Balance event in
measure their waist circumference. In addi-
by the HUH Consultant Diabetologists and
June 2010 – watch this space!
tion, they offer random blood glucose testing.
a number of interactive sessions, including a
These events are very well received, with re-
healthy cookery demonstration run by well-
markable numbers of people being keen to
known TV dietitian Azmina Govindji, a feed-
The people of Hackney deserve the
come forward for both weighing and measur-
back session for patients to air their views
very best diabetes service and City and
ing and finger prick testing. The Lay Educa-
about the service, competitions and quizzes
Hackney PCT has invested heavily in pro-
tors talk to those who come forward about the
and a chance to try out the ‘Cook and Eat’
viding one. With the increased support be-
features of diabetes and how to make lifestyle
sessions available to patients in Hackney.
ing put into both Secondary and especially
changes to help reduce their risk of develop-
Altogether 315 people attended the
Primary Care, the local diabetes outcomes
ing the condition. If the random blood glucose
event, including local MP Diane Abbott who
have begun to show some improvement
test is higher than 7mmol/l, a standard letter
lent her personal support in her remarks to
(2). The 2004 position, where City and
to the GP is given to the person, advising that
the audience. Everyone very much enjoyed
Hackney PCT came bottom of the national
the blood glucose be investigated further.
the event, as indicated by the positive re-
ranking (position 1 - lowest - in the 1-100
The Hackney Diabetes Team is aware
sponses received, since it combined infor-
ranking) for diabetes QOF outcomes, has
that Diabetes UK is advocating a slightly
mation about diabetes with some fun activi-
been improved. For HbA1c<7.5% (DM 20
different approach to this, by raising aware- ties for all.
in the QOF), City and Hackney has begun
ness of diabetes and its wider risk factors, In addition to all the publicity materials
to edge forward, now being placed in po-
rather than focusing on blood glucose alone. connected with Striking the Balance, in-
sition 7 in the national ranking in 2008-09.
The ‘2 Minute Test’, as found on the Diabe- cluding leaflets promoting all the structured
The Hackney Diabetes Team is committed
tes UK website (4) to assess a person’s risk education sessions and walking groups, the
to bringing about still more improvement in
of diabetes - taking into account family his- Hackney Diabetes Team has produced a
the future.
tory, ethnicity, weight/BMI, waist circumfer- number of resources specifically for the local
References
ence and other factors (such as women with Hackney population. These include: 1 www.healthcareforlondon.nhs.uk/assets/Diabetes/Diabetes-
Polycystic Ovarian Syndrome or past history • a Turkish CD and a DVD, giving informa-
guide-for-London.pdf
Subscribing is easy
2 www.ic.nhs.uk/webfiles/QOF/2008-09/Exception/
of gestational diabetes) - may well be the tion in Turkish about coping with diabetes Exceptions_0809_Diabetes.xls
method adopted by the Hackney Diabetes • information leaflets about all aspects of
3 www.dh.gov.uk/en/Publicationsandstatistics/Publications/
PublicationsPolicyAndGuidance/DH_4002951
Team at future Diabetes Awareness Events. diabetes care in Turkish
4 www.diabetes.org.uk/measure-up/
www.NHDmag.com NHDmag.com Mar '10 - issue 52
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