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The Management Of Adult Diabetes Services In The Nhs
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Book Synopsis The management of adult diabetes services in the NHS by : Great Britain: National Audit Office
Download or read book The management of adult diabetes services in the NHS written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2012-05-23 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2009-10, there were an estimated 3.1 million adults with diabetes in England and this is expected to increase by 23 per cent to 3.8 million by 2020. The Department estimates that it has increased its spending on diabetes services from £0.9 billion in 2006 - 2007 to £1.3 billion in 2009-10. The NAO considers these figures to be a substantial underestimate, and estimates that NHS spending on diabetes services in 2009-10 was at least £3.9 billion, or around four per cent of the NHS budget. The Department's data show that only half of people with diabetes received the recommended standards of care in 2009-10, even though the proportion has increased from 36 per cent in 2006-07. The standards originally set in 2001, state that people with diabetes should receive nine basic care processes each year but no primary care trust achieved the aim of delivering all nine basic care processes to all people, with the highest trust scoring 69 per cent and the lowest just 6 per cent. Furthermore, fewer than one in five people with diabetes are achieving recommended standards for controlling glucose, blood pressure and cholesterol levels. As well as diminishing quality of life, diabetic complications place a significant burden on the NHS. The Department also estimates that up to 24,000 people die each year from avoidable causes related to their diabetes. There is significant variation in the quality of care received by people with diabetes which cannot be satisfactorily explained. Through better management of people with diabetes, the NHS could save £170 million a year.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215090845 Total Pages :21 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 563 - Management of Adult Diabetes Services in the NHS: Progress Review by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 563 - Management of Adult Diabetes Services in the NHS: Progress Review written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2016 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the previous Committee of Public Accounts reported in 2012, the Department of Health and NHS England have made progress in improving outcomes for diabetes patients. International evidence now available also suggests that the UK performs well compared to other countries in terms of outcomes for diabetes patients. However, there are significant variations in the routine care and support that diabetes patients receive, and in outcomes for diabetes patients. We are concerned that the witnesses from the Department and NHS England painted an unduly healthy picture of the state of diabetes services in England. Although an individual diabetes patient's prospects are getting better, the number of people with diabetes is rising by 4.8% a year, and performance in delivering the nine care processes and achieving the three treatment standards, which help to minimise the risk of diabetes patients developing complications in the future, has stalled. In addition, very few new diabetes patients are taking up education that could help them manage their condition, and the number of diabetes patients experiencing complications (which account for over two-thirds of the cost of diabetes to the NHS) continues to rise. This all means that the costs of diabetes to the NHS will continue to rise. In order to control these costs, the Department and NHS must take significant action to improve prevention and treatment for diabetes patients in the next couple of years.
Book Synopsis Managing Diabetes and Hyperglycemia in the Hospital Setting by : Boris Draznin
Download or read book Managing Diabetes and Hyperglycemia in the Hospital Setting written by Boris Draznin and published by American Diabetes Association. This book was released on 2016-05-20 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.
Book Synopsis Integrated Diabetes Care by : David Simmons
Download or read book Integrated Diabetes Care written by David Simmons and published by Springer. This book was released on 2016-10-31 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating care across disciplines and organisations around the needs of the person with diabetes has been proposed as an approach that could improve care while reducing cost- but has it and can it? Integrated Diabetes Care- A Multidisciplinary Approach collates evidence of worldwide approaches to both horizontal integration (across disciplines) and vertical integration (across organizations) in diabetes care and describe what was done, what worked and what appeared to be the barriers to achieving the goals of the programmes. Evidence is sought from groups who have developed different approaches to integrating diabetes care in different health systems (eg insurance vs tax payer funded, single vs multiple organization, published vs unpublished). A final chapter brings the evidence together for a final discussion about what seems to work and what does not.
Book Synopsis Pancreas and Islet Transplantation by : Nadey S. Hakim
Download or read book Pancreas and Islet Transplantation written by Nadey S. Hakim and published by . This book was released on 2002 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Mellitus is the principle cause of kidney failure and blindness in adults and leads to more cases of amputation and impotence than any other disease. It is one of the most common chronic diseases in childhood. The aims of pancreas or islet transplantation are to improve the quality of life of patients with insulin dependent diabetes mellitus and to ameliorate secondary complications. This book provides a comprehensive and international review of the recent advances in pancreas and islet transplantation. It covers surgical techniques, issues surrounding organ preservation, immunosuppression and the control of other complications, all of which contribute to the potential for such transplantations to evolve as the treatment of choice for insulin dependent diabetes. The editors have compiled a strong and international team of contribution authors. This book is essential reading for transplant surgeons and all those involved in researching or treating diabetes mellitus.
Book Synopsis Fast Facts: Type 1 Diabetes in Adults by : R. Zaidi
Download or read book Fast Facts: Type 1 Diabetes in Adults written by R. Zaidi and published by Karger Medical and Scientific Publishers. This book was released on 2021-10-07 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Fast Facts: Type 1 Diabetes in Adults' provides a practical overview of this chronic autoimmune condition. Written by and for health professionals working in primary care, this colourful and accessible handbook highlights important practice points that cover: • the identification and management of adults with type 1 diabetes • the prevention and treatment of complications • advances in technology and future treatments An indispensable read for anyone wanting to get up to speed with best practice in primary care. Table of Contents: • Overview • Diagnosis • Management • Hypoglycemia • Education • Special circumstances • Complications • Living with the condition • Technology • Future treatments
Book Synopsis Textbook of Diabetes by : Richard I. G. Holt
Download or read book Textbook of Diabetes written by Richard I. G. Holt and published by John Wiley & Sons. This book was released on 2017-03-06 with total page 1104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fifth edition, the Textbook of Diabetes has established itself as the modern, well-illustrated, international guide to diabetes. Sensibly organized and easy to navigate, with exceptional illustrations, the Textbook hosts an unrivalled blend of clinical and scientific content. Highly-experienced editors from across the globe assemble an outstanding set of international contributors who provide insight on new developments in diabetes care and information on the latest treatment modalities used around the world. The fifth edition features an array of brand new chapters, on topics including: Ischaemic Heart Disease Glucagon in Islet Regulation Microbiome and Diabetes Diabetes and Non-Alcoholic Fatty Liver Disease Diabetes and Cancer End of Life Care in Diabetes as well as a new section on Psychosocial aspects of diabetes. In addition, all existing chapters are fully revised with the very latest developments, including the most recent guidelines from the ADA, EASD, DUK and NICE. Includes free access to the Wiley Digital Edition providing search across the book, the full reference list with web links, illustrations and photographs, and post-publication updates Via the companion website, readers can access a host of additional online materials such as: 200 interactive MCQ's to allow readers to self-assess their clinical knowledge every figure from the book, available to download into presentations fully searchable chapter pdfs Once again, Textbook of Diabetes provides endocrinologists and diabetologists with a fresh, comprehensive and multi-media clinical resource to consult time and time again.
Book Synopsis Diabetes in Old Age by : Alan J. Sinclair
Download or read book Diabetes in Old Age written by Alan J. Sinclair and published by John Wiley & Sons. This book was released on 2017-02-13 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of the popular and market-leading Diabetes in Old Age features up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly type 2 diabetes. With a strong evidence-based focus throughout, the entire range of issues surrounding diabetes and its many complications are covered, each with a clear focus on how they relate directly to the older patient. Varying approaches to optimizing diabetes care in the community, primary care and secondary care health care arenas are presented, and the importance of comprehensive functional assessment is emphasized. Coverage of areas unique to an ageing population of older people with diabetes such as falls management, frailty and sarcopenia, and cognitive dysfunction form a key cornerstone of the book. In every chapter, best practice points and key learning outcomes are provided, as well as published evidence bases for each major conclusion. Diabetes in Old Age, 4th edition is essential reading for diabetologists and endocrinologists, diabetes specialist nurses, primary care physicians, general physicians and geriatricians, podiatrists and dieticians with an interest in diabetes, as well as all health professionals engaged in the delivery of diabetes care to older people.
Book Synopsis Managing diabetes, managing medicine by : Martin D. Moore
Download or read book Managing diabetes, managing medicine written by Martin D. Moore and published by Manchester University Press. This book was released on 2019-03-01 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: This electronic version has been made available under a Creative Commons (BY) open access license. This book is available as an open access ebook under a CC-BY-NC-ND licence. Through its study of diabetes care in twentieth-century Britain, Managing diabetes, managing medicine offers the first historical monograph to explore how the decision-making and labour of medical professionals became subject to bureaucratic regulation and managerial oversight. Where much existing literature has cast health care management as either a political imposition or an assertion of medical control, this work positions managerial medicine as a co-constructed venture. Although driven by different motives, doctors, nurses, professional bodies, government agencies and international organisations were all integral to the creation of managerial systems, working within a context of considerable professional, political, technological, economic and cultural change.
Book Synopsis Managing Diabetes, Managing Medicine by : Martin D. Moore
Download or read book Managing Diabetes, Managing Medicine written by Martin D. Moore and published by Social Histories of Medicine. This book was released on 2019-02-25 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is available as an open access ebook under a CC-BY-NC-ND licence. Through its study of diabetes care in twentieth-century Britain, Managing diabetes, managing medicine offers the first historical monograph to explore how the decision-making and labour of medical professionals became subject to bureaucratic regulation and managerial oversight. Where much existing literature has cast health care management as either a political imposition or an assertion of medical control, this work positions managerial medicine as a co-constructed venture. Although driven by different motives, doctors, nurses, professional bodies, government agencies and international organisations were all integral to the creation of managerial systems, working within a context of considerable professional, political, technological, economic and cultural change.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215049803 Total Pages :52 pages Book Rating :4.0/5 (498 download)
Book Synopsis Department of Health by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Department of Health written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2012-11-06 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The percentage of the population diagnosed with diabetes doubled between 1994 and 2009 and is continuing to increase which could have a significant impact on NHS resources. Too many diabetic people are developing complications because they are not receiving the straightforward care and support they need. The Department estimates that 24,000 people with diabetes die prematurely each year because their diabetes has not been managed effectively and it's estimated 80% of the costs of diabetes in the NHS are attributable to the treatment and management of serious, yet avoidable, diabetic complications. These costs will continue to increase as the number of diabetic people rises as will premature deaths. The National Service Framework for Diabetes, 2001 set out minimum standards for good diabetes care, including nine basic care processes which check for the early signs of avoidable diabetic complications as well as treatment targets for the management of blood glucose, blood pressure and cholesterol to minimise the risk of diabetic complications developing. Progress in delivering these standards of care and in achieving treatment targets has been poor. There is no strong national leadership, no effective accountability arrangements for commissioners, and no appropriate performance incentives for providers. The Committee saw no evidence that the Department will ensure that these issues are addressed effectively in the new NHS structure. Variation in the level of progress across the NHS also means that there is an unacceptable "postcode lottery" of care
Book Synopsis Public Health Mini-Guides: Diabetes by : Josie Evans
Download or read book Public Health Mini-Guides: Diabetes written by Josie Evans and published by Elsevier Health Sciences. This book was released on 2015-08-05 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: - Part 1 – lay out problem - Epidemiology, background, key facts, NICE guidelines - Population group most affected - Part 2 - Current strategies - How are they working? – evidence - Boxes - Thinking points - will be of interest to practitioners - Key debates - Case studies - Current strategies – Gov. targets - Further Reading - Useful web links.
Book Synopsis Care in Healthcare by : Franziska Krause
Download or read book Care in Healthcare written by Franziska Krause and published by Springer. This book was released on 2017-10-24 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This book examines the concept of care and care practices in healthcare from the interdisciplinary perspectives of continental philosophy, care ethics, the social sciences, and anthropology. Areas addressed include dementia care, midwifery, diabetes care, psychiatry, and reproductive medicine. Special attention is paid to ambivalences and tensions within both the concept of care and care practices. Contributions in the first section of the book explore phenomenological and hermeneutic approaches to care and reveal historical precursors to care ethics. Empirical case studies and reflections on care in institutionalised and standardised settings form the second section of the book. The concluding chapter, jointly written by many of the contributors, points at recurring challenges of understanding and practicing care that open up the field for further research and discussion. This collection will be of great value to scholars and practitioners of medicine, ethics, philosophy, social science and history.
Book Synopsis Pathophysiology and Pharmacology in Nursing by : Sarah Ashelford
Download or read book Pathophysiology and Pharmacology in Nursing written by Sarah Ashelford and published by Learning Matters. This book was released on 2019-05-25 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pathophysiology and Pharmacology in Nursing has been carefully designed to provide an integrated introduction to both the biology of disease and the therapeutic agents that are used to manage them. It covers the basics of pharmacology, the core pathological concepts of inflammation, infection and cancer, as well as a systems based consideration of the pathophysiology and relevant pharmacology of common disorders. New to the second edition: All content updated and mapped to the 2018 NMC standards Two new chapters on ‘Mental health conditions’ and ‘Renal conditions. The ideal starting point for student nurses to develop a robust, integrated knowledge of human disease and pharmacology, enabling them to provide care that is based on up-to-date knowledge of this important subject.
Author :Great Britain: Department of Health Publisher :The Stationery Office ISBN 13 :9780101788120 Total Pages :64 pages Book Rating :4.7/5 (881 download)
Book Synopsis Equity and excellence: by : Great Britain: Department of Health
Download or read book Equity and excellence: written by Great Britain: Department of Health and published by The Stationery Office. This book was released on 2010-07-12 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Book Synopsis Early Action by : Great Britain: National Audit Office
Download or read book Early Action written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2013-01-31 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Early action is the early deployment of resources by public bodies to prevent problems occurring or getting worse in service provision, rather than spending money reactively once those problems have occurred. Determined leadership is necessary to divert resources away from pressing and highly visible current needs, in line with public expectations, towards long-term early action programmes, particularly at times of fiscal austerity. Evidence of early action's impact and cost-effectiveness is thin and since information on costs within most departments is also patchy, specifying an amount that could be reduced within the estimated £377 billion spent on 'social' spending in 2011-12 is not possible. However, projects with the strongest evidence base show that some early action projects can achieve returns of up to 4 to 1. The Government has adopted the principle that early action is important in public service provision but does not plan a significant shift in resources. The total amount spent each year by the Department of Health, Department for Education, Home Office and Ministry of Justice on early action intervention programmes has remained fairly constant at around £12 billion, about 6 per cent of the departments' spending in 2011-12. The NAO has identified four key challenges the addressing of which could help in the design and implementation of early action programmes: namely, more consistent and robust gathering of evidence of what works; overcoming short-term thinking and other practical barriers; effective cross-government coordination of early action; and strengthening departments' capacity to innovate and take bold long-term decisions.
Book Synopsis Pathophysiology and Pharmacology for Nursing Students by : Sarah Ashelford
Download or read book Pathophysiology and Pharmacology for Nursing Students written by Sarah Ashelford and published by Learning Matters. This book was released on 2016-05-28 with total page 549 pages. Available in PDF, EPUB and Kindle. Book excerpt: Carefully designed to provide an integrated introduction to both the biology of disease and the therapeutic agents that are used to manage them, this book considers the underlying pathology of many common illnesses and diseases but by focusing on those conditions which have a pharmacological intervention is able to provide nurses with a broader understanding of bioscience that reflects care given in practice. It covers the basics of pharmacology, the core pathological concepts of inflammation, infection and cancer as well as a systems-based consideration of the pathophysiology and relevant pharmacology of common disorders. Providing the ideal starting point for student nurses to develop a robust, integrated knowledge of human disease and pharmacology, this book will enable them to provide care based on up-to-date knowledge of this important subject.
