The Scottish Government

Contents

Foreword- Minister for Health and Community Care
Executive Summary
Introduction
Diabetes - a priority for Scotland
Diabetes - an international concern
What is diabetes?
How many people in Scotland have diabetes?
Why are the numbers of people with diabetes increasing?
What is the economic cost of diabetes?
What are the origins of the Scottish Diabetes Framework?
How were the evidence base and standardsfor diabetes developed?
What is the purpose of the Scottish DiabetesFramework?
What are the key features of a high quality diabetes service?
Building blocks of diabetes care: an overview
The first stage priorities
How it all fits together
Building Blocks of Diabetes Care
Prevention and Early Detection
Health promotion
Public education
High risk groups
Care, Monitoring and Treatment
Patient information, education and empowerment
Heart disease
Eye care
Initial and continuing care
Feet
Kidney and Nerve Problems
Psychology/Mental Health
Diabetic Emergencies and Elective Care
Specific Groups
Children and Young People
Ethnic Minority Groups
Pregnancy and Sexual Health
Vulnerable Groups
Planning and Managing Services
Strategy, Leadership and Teamworking
Education and Training for Professionals
IM&T and Diabetes Registers
Patient Support
Research and Development
Implementation
Implementation and Monitoring
Community Issues
Issues involving other agencies
Next Steps
Scottish Diabetes Group
Conclusion
Annexes
A Membership of Scottish Diabetes Framework Working Group
B An Introduction to Diabetes
C References and Further Reading
D Sources of Further Information
E Glossary of Terms

Figures and Tables
Table 1 Definition and diagnosis of diabetes mellitus
Figure 1 Number of people with diabetes in Scotland
Table 2 Care of people with diabetes in a general practice population
Table 3 Calculating the cost of diabetes
Table 4 Why diabetes?
Table 5 Timetable of the development of the Scottish Diabetes Framework
Table 6 Clinical Standards for Diabetes and the Clinical Standards Board
Table 7 Key features of a high quality diabetes service
Figure 2 Building blocks of diabetes care
Figure 3 The healthcare cycle
Table 8 SIGN and diabetes
Table 9 SPICE-PC
Table 10 Patient Focus and Public Involvement
Table 11 Partners in Change: Listening to people with diabetes
Table 12 Your responsibilities as a person with diabetes
Table 13 Coronary Heart Disease and Stroke Reference Group
Table 14 Health Technology Board for Scotland
Table 15 Diabetes annual review
Table 16 Scottish Study Group for the Care of Diabetes in the Young
Table 17 Cultural competence
Table 18 Local Diabetes Service Advisory Groups
Table 19 Integrated workforce planning
Table 20 Diabetes Collaborative Improvement Programme
Table 21 Managed Clinical Networks
Figure 4 Tayside Diabetes Managed Clinical Network
Table 22 Community pharmacy
Table 23 Working with the pharmaceutical industry
Table 24 SCI-DC: Developing a national clinical management system for diabetes
Table 25 Data protection and patient confidentiality
Table 26 Volunteering
Table 27 Diabetes research in Scotland
Table 28 Scottish Diabetes Group