The National Service Framework (NSF) for Diabetes sets out the framework for the prevention and diagnosing of diabetes, developing services and improving outcomes for people with diabetes. The national health service has made good progress against the NSF with the number of people getting the key tests and measures to help prevent or delay the complications of diabetes rising year on year. In addition, the National Quality Standard for Diabetes is currently subject to public consultation before being finalised in 2011.
The NHS is taking a structured approach to risk assessment and management of diabetes with the NHS Health Check programme. The Quality and Outcomes Framework encourages general practitioners to maintain a register of people with a diagnosis of diabetes and to ensure that they receive the key processes of care on an annual basis.
Supporting people with diabetes to better understand their condition is key to reducing complications arising from diabetes. Structured education programmes, access to specialist diabetes advice, care planning discussions and annual checks are all part of the wide range of NHS support for people with diabetes.
NHS Diabetes, the national service improvement team has an extensive range of work programmes in place to support the NHS in improving diabetes care at the local level. Specifically, they have produced "Commissioning Without Walls" which provides commissioning advice across a number of facets of diabetes care.
To raise awareness of type 1 diabetes, in July 2010, NHS Diabetes in association with Diabetes UK and the Department published an exemplar patient journey to highlight the diagnosis and entire care pathway for a child with type 1 diabetes. This is aimed at professionals from a broad range of backgrounds including education, the NHS, social services and the voluntary sector.