By Gwen Hall
A realistic guide on how one can offer healthiness take care of individuals with diabetes within the fundamental care atmosphere.
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Extra info for Providing Diabetes Care in General Practice: A Practical Guide to Integrated Care
The contract includes new proposals to help GPs manage their workload by enabling practices to transfer responsibility for providing some services – including out-ofhours care – to their PCO. ■ A focus on quality and outcomes. The Quality and Outcomes Framework (QOF) rewards practices for meeting targets, many of which are clinical (see below). Practices can set the targets they aspire to. ■ Fairer funding. The new contract structure removes inequalities in funding associated with the previous payment for the numbers of people on lists rather than how they were cared for.
In general, dietitians are hospital based, working with their colleagues and linking in with the diabetologist and nurse specialist, although they may increasingly be working with primary care organisations to provide care and education in the community. If nurses and other health professionals in primary care are providing first-line advice for people with diabetes, there should be an ongoing system of education in place for them. The dietitian should be an important resource in the provision of training and continuing education for all those providing diabetes care in the community.
The practice manager has an increasing responsibility in developments related to the GMS contract or Personal Medical Services. Responsibilities of those involved in the provision of diabetes care 37 An understanding of the roles and responsibilities of administrative staff is important in diabetes care in general practice. Educating the practice manager, receptionists and clerical staff about diabetes, its treatment and acute problems requiring immediate access to the doctor or nurse enables them to understand the problems encountered by people with diabetes and dispels some of the fear, ignorance, mystery and ‘old wives’ tales’ surrounding this condition.
Providing Diabetes Care in General Practice: A Practical Guide to Integrated Care by Gwen Hall