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Latest audit of diabetes care published, finds people with diabetes still not receiving all vital health checks

The Health and Social Care Information Centre (HSCIC) today published its National Diabetes Audit (NDA), examining the state of diabetes care in England and Wales. The audit showed that a significant proportion of people living with diabetes still aren’t receiving all essential health checks and processes they are entitled to.

Other key findings include:

  • Participation: GP practices taking part in the audit, which is voluntary, is the lowest it’s been in seven years. High participation is extremely important in order to properly plan for diabetes services and ensure high quality diabetes care is being provided.
  • Care: NICE recommends everyone with Type 1 and Type 2 diabetes receive essential health checks every year to make sure they are getting they care they need and to check for signs of complications. The audit found that more than 4 in 10 people with Type 2 diabetes are not getting all essential NICE recommended health checks. For people with Type 1, this number is even worse– more than 6 in 10 aren’t getting the care they should be receiving.
  • Age: The NDA showed that people under the age of 40 are much less likely to receive all their annual health checks compared to those 40 and over.
  • Treatment targets: For both people with Type 1 and Type 2, cholesterol levels have remained stable while blood pressure targets have steadily improved. For people with Type 2, blood glucose levels have remained stable while for people with Type 1 there are signs that blood glucose levels may be improving.
  • Self-management education: Access to structured education courses for people with diabetes is incredibly important in order to help them better understand and manage their condition. But although the number of people newly diagnosed with diabetes being referred to structured education course has significantly increased, the number attending has barely budged, rising only from 3.4% in 2012/13 to 5.3% in 2014/15.

The latest data demonstrate that urgent action must be taken to address some of the major variation in care across the country, and the APPG will continue to raise these issues in Parliament in 2016.

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