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Parameter | Previous | New model |
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Setting of diabetes care | Hospital based (secondary care) | General practitioner surgery (Primary care) |
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Access to care | Mixed community/secondary care | Community |
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Structure | IT systems | IT systems to support annual review, recall, and management systems introduced |
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Care provided | Annual Screening and review of clinical parameters | Annual screening and review of clinical parameters Followup appointments for management of clinical parameters; greater empowerment of self-care |
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| Laboratory results sent onto GP with recommendations for action | GP receives laboratory results directly and acts accordingly |
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| Recommendations to GP for change in prescriptions | GP alters prescriptions and initiates necessary therapies |
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| Review by dietitian, podiatrist, and diabetes specialist nurse at annual review that may require considerable waiting times | Review by dietitian, podiatrist, and practice nurse at annual review as part of a one stop shop so no waiting between professionals |
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| Management of diabetes and related risk factors | Management of diabetes, related risk factors within a holistic context |
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| Referral to specialist services as required for example, renal physicians | Referral to specialist services as required for example, renal physicians |
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Educational preparation | Staff have significant clinical expertise in diabetes with or without recognised qualifications | Staff all required to undertake a credit-rated qualification in diabetes |
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Retinal screening | Secondary care | National level directed |
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