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qÜÉ=aá~ÄÉíÉë=a~ëÜÄç~êÇ= Diabetes is a condition where the amount of glucose in the blood is too high because the body cannot use it properly. This is because the pancreas does not produce any insulin, or not enough, to help glucose enter the body’s cells – or the insulin that is produced does not work properly. There are 2.8 million people diagnosed with diabetes in the UK and a further estimated 850,000 people who have the condition but have not yet been diagnosed. Nine billion pounds a year is spent on treating diabetes and its complications, and this accounts for about 10 per cent of total NHS spending. There are two main types of diabetes. Type 1 diabetes, a non-preventable condition, is when no insulin is produced at all because the insulin-producing cells in the pancreas have been destroyed. Type 2 diabetes is when the body either does not produce enough insulin, or the insulin it produces does not work as well as it should (insulin resistance) and this type of diabetes can be controlled by the patient through lifestyle changes. The Diabetes Dashboard has been created by the Quality Observatory to help identify areas for improvement in diabetes care. A range of indicators are displayed from both primary and secondary care that together help describe the current status of diabetes services across practices and GP Commissioning Consortia (GPCC) in the South East Coast region. It can also help in finding other localities that are performing particularly well. Key diabetes QOF indicators: exception rates
12% 10% Key diabetes QOF indicators: underlying achievement
8%
100%
6%
90%
4%
80%
Diabetic em ergency adm issions (per 10,000 population) and com plication rate 70%
100%
1.2
2% 60%
90%
All emergency diabet es admissions
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20% 10%
All emergency diabet es admissions: SHA
%admissions wit h complicat ions
%admissions wit h complicat ions: SHA
Mar-11
Jan-11
Feb-11
Nov-10
Dec-10
Oct-10
Sep-10
Jul-10
Aug-10
Jun-10
Apr-10
May-10
Mar-10
0% Jan-10
Nov-09
SHA
Record of retinal screening in the previous 15 months
0
Dec-09
Consort ia
30%
Last blood pressure is Diagnosis of proteinuria Cholesterol within the 145/85 or less 0.2 or micro-albuminuria previous 15 months is treated with ACE 5mmol/l or less inhibitors (or A2 antagonists)
Oct-09
Pract ice
HbA1c is 7 or less
40% 0.4
Sep-09
BMI recorded in the previous 15 months
50%
Jul-09
0%
60%
0.6
Aug-09
10%
70%
Jun-09
SHA
80%
Record of retinal screening 0.8in the previous 15 months
Apr-09
Consortia
Last blood pressure is Diagnosis of proteinuria Cholesterol within the 40% 145/85 or less or micro-albuminuria previous 15 months is treated with ACE 5mmol/l or less 30% inhibitors (or A2 20% antagonists)
May-09
Practice
HbA1c is 7.5 or less
% with complications
BMI recorded in the previous 15 months
1
Feb-10
50%
Number of admissions/10,000
0%