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Re: [IPk] private pump training, psychologist, etc

In message <001801c2181e$2781d1e0$email @ redacted>, Abigail King
<email @ redacted> writes
TONNES of good stuff, including ...
>It astounds me that the consultant you are seeing now refuses to let you trial
>a pump if you are paying the costs, and the pump manufacturers are overseeing
>your training and providing support when you need it. If he cannot see that a
>pump may have something to offer you then he has not done his homework, and
>basically does not have diabetes expertise
Diabetes expertise is abysmally low.  I would like to propose that
Diabetes UK fight for set of meaningful performance indicators for those
with the care of diabetics:
*  average hba1c of patients.
*  average improvement of hba1c of patients, per year (this is to treat
fairly a specialist clinic which takes a lot of 'no hope/out of control'
patients, at say, 10 or 13, and gets them down to 8 or 11 - in
comparison to a clinic which has people at 8, and doesn't make any
*  average number of hypos per patient, per year
*  average number of hypos per patient, per year, which are not treated
by the patient
* average length of time between hba1c measurements
* average length of time between foot examinations
* average length of time with consultant, per year
* average length of time with unqualified doctor, per year
* average length of time with nurse, per year

Then we could vote with our feet!

This is not an administrative burden - this is stuff which a clinic
needs to know, in order to work out if it is 'doing ok', or if it needs
to critically look at its knowledge base, it's resourcing, etc.

With best wishes to all,

(who is seriously considering a change of career to the Audit Commission

Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time" 
   (T. Pratchett)
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