Quality and Value

Focus on: inpatient care for people with diabetes

diabetes100.jpgWelcome to the NHS Institute's diabetes team website

We are looking at inpatient care in England for people admitted for non diabetes reasons who happen to have diabetes. We have narrowed our remit down to look specifically at routine elective surgery, such as joint replacement, and emergency admissions for acute coronary syndrome. We hope that what we learn from these pathways will be relevant to other clinical areas. The diabetes project (diabetes project 41.60 KB) is part of the High Volume Care work within the Delivering Quality and Value Priority Programme.

Register your interest in the ThinkGlucose toolkit launch here

Read our newsletter

Inpatient care for people with diabetes ThinkGlucose newsletter October 2008 (4.66 MB)


Listen to an interview with James Kennedy (GP) and Jonathan Thow (Diabetologist) about inpatient care for people with diabetes


inpatientcare50.jpgRead the report: Focus on: Inpatient care for people with diabetes.

You can also view the view presentation (1.73 MB given at the launch of this document at the Diabetes UK annual professional conference in March 2008.




Using the NHS Institute's innovative work methodology, the aim of the project is to identify what makes the care of these patients work well in some hospitals, and how this expertise can be shared with other hospitals.


What we have done

We visited 6 hospitals in England in September and October 2007 to identify best practice and explore with them what can be done to share this across the wider NHS. We held a stakeholder event in early September 2007 to explore this area with frontline clinical staff in terms of both the challenges and solutions to improving inpatient care for people with diabetes. We held a co production event in early December 2007 to share and validate our early findings from our visits, and to begin to develop prototype tools that might help organisations improve the inpatient care they provide for people with diabetes.

What happens now

We are currently in the tool development and testing phase of our project. In co production with front line staff, we are developing a series of tools. The following tools are expected to be available by the early part of 2009, with some available earlier:

  • Tool to help ward staff determine whether specialist diabetes team input is required for individual patients
  • Tool to help ward staff agree with patients their ability to self manage their diabetes care
  • “Think Glucose!” pack to raise awareness throughout the hospital of the importance of glucose management
  • Tool outlining patient experience of inpatient care for people with diabetes
  • Tool to support staff with measures for success
  • Tool to help specialist diabetes teams analyse their service and make their case for improvement to senior hospital management and commissioners

Patient experience stories

We are currently looking for 8 people with diabetes who have been in hospital in the past 12 months to share their experiences of how it was.  Through a 3 day workshop in Coventry we will work with you to make a digital story.  Similar stories can be viewed at www.patientvoices.org.uk.  If you might be interested or know someone who might click here to view the UpdatedadvertforpatientstoryworkshopCD.pdf advert (47.57 KB) and pvworkshopflierCD.pdf further information (80.42 KB) about what is involved.

How to get involved

We would genuinely welcome and value your contribution to our work. If you have comments or would like to be involved, please contact the team at: diabetes@institute.nhs.uk *

* Please note that the NHS Institute is an innovation and improvement organisation and is unable to give medical advice to patients or their carers


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