From 1st October 2015 a new Integrated Community Diabetes Service has been introduced. For further information please see below along with attached referral form.
Community Adult Specialist Diabetes Team
Service Location: PORTERS AVENUE
Directly Bookable: No
Age Range Treated: All ages
Gender Treated: Male and Female
Contact Address
PORTERS AVENUE HEALTH CENTRE
DAGENHAM
ESSEX
England
RM8 2EQ
Contact Telephone Number: 0208 522 9826
Conditions Treated
Inclusion Criteria
General
Patients over the age of 16 years of age
People with Diabetes who are poorly controlled with HbA1c >8%
-on maximum tolerated diabetic oral agents
-or on insulin
Hypoglycaemia
-persistent frequent Hypoglycaemia
-Hypoglycaemia unawareness
Frequent hospital admissions eg Diabetes Ketoacidosis
Assessment for insulin initiation
For education and advice regarding insulin dose adjustment
Education
New and existing type 1 diabetes patients for DAFNE structured education/ general education.
(DAFNE = Dose Adjustment for Normal Eating)
Newly Diagnosed / established Type 2 diabetes Patients for DESMOND structured education / general education.
-newly diagnosed Type 2 (up to 6 months)
-established Type 2 (more than 6 months)
(DESMOND = Diabetes Education & Self Management Ongoing & Newly Diagnosed)
Pre conceptual Advice
Other
Please specify reason for referral
Procedures Performed
face to face only
Exclusions
Pregnant Women with diabetes
Patients with micro-vascular complications (Nephropathy, Neuropathy, Retinopathy) Who are not under a endocrinologist / diabetolagist
Patients with macro-vascular complications ( IHD,CVA, PVD) Who are not under endocrinologist / diabetologist
Erectile dysfunction.
Havering Clinical Commissioning Group is piloting a new way of providing diabetes care. This model has been developed using recognised best practice outlined by Diabetes UK. We have involved the local branch of Diabetes UK, as well as doctors and nurses working with the local population to plan the way diabetes care will be delivered in Havering.
The pilot service has been designed to:
This is something that we are testing through a nine month pilot which will be independently evaluated. We will then decide whether this is a change that we want to consider making permanent.
We anticipate that the new arrangements will lead to even better care, experience and outcomes for patients. So we are keen to hear your views about what we are proposing above and on your experience of these new service arrangements. If you have any questions about the improvements to the service; please contact me on 01708 574907 or email: clare.burns@haveringccg.nhs.uk
Please find attached the Service referral form, this form should be merged into your clinical systems and used every time a referral is made into this service.
*** All referrals must be made by using the attached form and via NHS E-Referrals (Choose & Book)***
Referral Criteria
Exclusion criteria
Where care is led by another secondary care speciality (for example Obstetrics)
Integrated Community Diabetes Service Team:
Diabetes Specialist Nurses:
Amanda Lock
Jeanette Suters
Emma Rhodes
Lucy Brown
Lisa Moore
Consultants:
Dr Stojanovic
Dr Nkonge
Dr Marouf
Service Telephone Number: 01708 576267
*** All referrals must be made by using the attached form and via NHS E-Referrals (Choose & Book)***