Author Topic: GPs to manage 50% of Type-1 diabetic patients under CCG plans  (Read 685 times)

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Offline Lucy

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http://www.pulsetoday.co.uk/news/commissioning/gps-to-manage-50-of-type-1-diabetic-patients-under-ccg-plans/20032125.article


The first i heard about this was a few days ago when a diabetes friend mentioned theyd heard about it from a doctor friend of theirs. Cant see it mentioning asking patients what is preffered, and i don't know how GPs can be expected to have the knowledge or time to take this on. I imagine it coming down to the "diabetes specialist practice nurse" who knows nothing about insulin...
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline himtoo

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Re: GPs to manage 50% of Type-1 diabetic patients under CCG plans
« Reply #1 on: 21 June 2016, 10:11:35 PM »
in a nutshell -- Dorset Dumbs down their care

shocking and outrageous if it goes through
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Pattidevans

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Re: GPs to manage 50% of Type-1 diabetic patients under CCG plans
« Reply #2 on: 22 June 2016, 09:27:56 AM »
The comments from GPs are interesting.  Also this is just one Commisioning Care group in Dorset, it flies in the face of NICE guidelines and basically, it's that CCG trying to save money, which they won't.  Not in the long run anyway.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: GPs to manage 50% of Type-1 diabetic patients under CCG plans
« Reply #3 on: 22 June 2016, 11:16:53 AM »
It's a bit like telling all Dorset T1s to commit suicide now, cos you will get no specialist help any more.

If that happened here, I would actually feel like I have been slapped across the face and told to F.. off.

Next appointment currently available with my practice 'Diabetes' doc? - sometime in late July at around 7.00 am otherwise not till August.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Lucy

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Re: GPs to manage 50% of Type-1 diabetic patients under CCG plans
« Reply #4 on: 23 June 2016, 07:03:43 PM »
More information is here: http://www.dorsetccg.nhs.uk/news/The-future-of-care-for-Diabetics-in-Dorset.htm
and here: http://www.dorsetccg.nhs.uk/Downloads/aboutus/CCP/CVD/Commissioning%20Intention%20notification%20Diabetes%20v1%20final.pdf
Quote
The anticipation is that up to 50% of Type 1 and 90% of Type 2 people with diabetes will have their care provided in primary care with support, if clinically indicated, from the Dorset Diabetes Care Service via virtual/real MDT meetings, telephone/email advice or consultation appointments.
Quote

The following groups of patients will have consultant led care, and a high proportion of this will be delivered within the community:

  • During pre-conception and antenatal period of care;
  • Associated renal disease;
  • Foot disease, ulcers;
  • Unstable Type 1 & 2;
  • Adolescents in transition to adult services;
  • Insulin pump users.
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline sedge

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Re: GPs to manage 50% of Type-1 diabetic patients under CCG plans
« Reply #5 on: 23 June 2016, 09:19:51 PM »
When I was struggling - my GP would NEVER have referred me back to the hosp - after all, my A1c was reasonable, wasn't it?

Well yes - it was - because all the HIs were counteracted by the LOs .........
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4