[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]

Re: [IPk] Funding of Designated Specialist Centres for Diabetic Insulin Pum p Users



Removing my Minimed hat for a moment it strikes me as a little dangerous to
talk about specialised centre in relation only to pump users. It is quite
clear from all the clinical evidence that there is a great need for
improvement in the educational aspects for intensive control of glucose
levels. The only unique thing about pumpers (as a group now, not as
individuals) is that they use a particular mechanical device to administer
their insulin.

The difficult part of Diabetes control seems to me (As a non-diabetic) this
whole matter of balancing insulin + food to get the right degree of control.
This is just as valid for people on MDI as on CSII.

There is no reason therefore why you should not aim for centres of
excellence in diabetes care, one of whose functions would be to look after
pump users where that was the most appropriate form of therapy.

One of the major objections we get to the extension of pump funding is that
the costs of pump training is too high and requires extraordinary efforts
for training. I would say that pump users require the same training that is
appropriate for anyone wishing to achieve good control, and would only
require the realtive minor extra skills required for pump operation. Most
users will agree (I hope) that actually using a pump is not difficult, it's
all the background knowledge and understanding which is most important.

By stressing the specialised nature of training specifically related only to
pump usage we are in danger of confirming these misconceptions, and thus
making it more difficult to achieve the expansion of pump use, and the
benefits this can bring.

Just some thoughts

Ray Morrissey



----- Original Message -----
From: "Cork Phillip" <email @ redacted>
To: <email @ redacted>
Sent: Thursday, October 12, 2000 10:15 AM
Subject: RE: [IPk] Funding of Designated Specialist Centres for Diabetic
Insulin Pum p Users


> Carmel & Pat,
>
> The idea with funding Designated Specialist Centres is not prescriptive
but
> seen as part of an evolution to widespread support for IP users. Support
for
> IP users is still innovative and can, I believe, benefit from proper and
> direct funding from Regional Specialised Commissioning Groups (RSCGs)
until
> it becomes widespread and therefore no longer specialised!
>
> What is needed is a definition of the service, the support centre, and
> really what benefits arise as a business case.
>
> Philip
>
> -----Original Message-----
> From: Carmel Matthews [mailto:email @ redacted]
> Sent: Wednesday, October 11, 2000 5:56 PM
> To: email @ redacted
> Subject: Re: [IPk] Funding of Designated Specialist Centres for Diabetic
> Insulin Pum p Users
>
>
> Do you mean that funding would have to be sought for new centres of
> excellence? Judging by the correspondance to tnsulin pumpers there do
> already seem to be hospitals with experience but not enough funding .
Could
> the money not be chanelled to these centres? Carmel
>
>
> >From: Cork Phillip <email @ redacted>
> >Reply-To: email @ redacted
> >To: "'email @ redacted'" <email @ redacted>
> >Subject: [IPk] Funding of Designated Specialist Centres for Diabetic
> >Insulin Pum p Users
> >Date: Wed, 11 Oct 2000 15:23:06 +0100
> >
> >While attending a meeting on Commissioning of Specialised Services on
> >Monday, I spoke to Barbara Gill (Head of Specialised Commissioning,
London
> >Region) about possible support for centres of excellence nationally that
> >provide support for Diabetic Insulin Pump Users in NHS Trusts. She was
very
> >receptive to the idea but asked for a case to be made. Can anyone help in
> >putting together a case for separate funding of these centres? The
> >timetable
> >is tight but I am sure someone may already have something that can help.
> >
> >Philip
> >
> >
> >----------------------------------------------------------
> >for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> >help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> _________________________________________________________________________
> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.
>
> Share information about yourself, create your own public profile at
> http://profiles.msn.com.
>
> ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
> ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml

----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml