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Gaps in NHS diabetes care remain Gaps in NHS diabetes care remain
(about 1 hour later)
Diabetes care is improving, but there is still a long way to go before the NHS is providing top quality services, a government report will say today. Diabetes care is improving, but there is still a long way to go before the NHS is providing top quality services, according to a government report.
The Department of Health study analyses progress made since the publication of its diabetes plan for England five years ago. The Department of Health study analysed progress made since its diabetes plan was published five years ago.
The report is expected to say that the prevention, diagnosis and treatment of patients are getting better. The report said that the prevention, diagnosis and treatment of patients in England was getting better.
But more needs to be done for pregnant women, children and emergencies. But it warned more needed to be done for pregnant women, children and emergencies.
The 10-year diabetes national service framework set out 12 key standards for care in 2003.The 10-year diabetes national service framework set out 12 key standards for care in 2003.
The report will say progress is being made on all of them. The report said progress was being made on all of them.
Since 2003, an extra 600,000 diagnoses have been made - the equivalent of 2,000 a week.Since 2003, an extra 600,000 diagnoses have been made - the equivalent of 2,000 a week.
But experts still say up to 500,000 cases may still be undiagnosed. But experts still estimate up to 500,000 cases may be undiagnosed.
Future challengesFuture challenges
The report will point out the NHS faces a challenge managing the growing number of people with the condition. The report pointed out the NHS faces a challenge managing the growing number of people with the condition.
It now stands at 2m, but is expected to increase because of the ageing population and more people becoming obese.It now stands at 2m, but is expected to increase because of the ageing population and more people becoming obese.
Fighting diabetes: One man's story of living with the illness for 25 yearsFighting diabetes: One man's story of living with the illness for 25 years
The report praises the work being done on involving people in their own care - a key requirement of the recent review of the NHS by Lord Darzi. The report praised the work being done on involving people in their own care - a key requirement of the recent review of the NHS by Lord Darzi.
The report will also say good work is being done to help prevent complications. The report also said good work is being done to help prevent complications.
Screening is already being offered for diabetes retinopathy, an eye problem which can lead to blindness if left untreated, while a vascular screening programme for all over 40s was announced in April to look for the early signs of heart disease, stroke and kidney problems.Screening is already being offered for diabetes retinopathy, an eye problem which can lead to blindness if left untreated, while a vascular screening programme for all over 40s was announced in April to look for the early signs of heart disease, stroke and kidney problems.
However, the report is expected to say more does need to be done over the management of emergencies, such as hypoglycaemic attacks, episodes of low blood sugar which in the most severe cases can induce comas. However, the report said more needed to be done over the management of emergencies, such as hypoglycaemic attacks, episodes of low blood sugar which in the most severe cases can induce comas.
Just half of patients get the recommended standard of treatment.Just half of patients get the recommended standard of treatment.
'Challenges remain''Challenges remain'
The report will also highlight gaps in care for children and pregnant women - up to 5% of pregnancies are complicated by the condition. It says these patients need access to specialist services, but provision remains variable. The report highlighted gaps in care for children and pregnant women - up to 5% of pregnancies were complicated by the condition. It said these patients needed access to specialist services, but provision remained variable.
Dr Rowan Hillson, the government's diabetes tsar, is expected to say: "The NHS has responded impressively to the first five years of the national service framework. Dr Rowan Hillson, the government's diabetes tsar, said: "The NHS has responded impressively to the first five years of the national service framework.
"More and more people with diabetes are getting good routine care.""More and more people with diabetes are getting good routine care."
But she will add challenges remain for the future. But she added challenges remain for the future.
Douglas Smallwood, chief executive of Diabetes UK, said: "Diabetes causes 100 amputations a week and recent figures reveal that one in ten deaths in England can be attributable to the condition; in areas of high deprivation this figure nearly doubles. Douglas Smallwood, chief executive of Diabetes UK, said diabetes was still taking a terrible toll on the population.
"Last year's accident and emergency admissions of children with diabetes complications rose to 3,000, an increase of 8% on the previous year. He pointed out the condition caused 100 amputations a week and was linked to one in 10 deaths.
"In view of such outcomes, much more needs to be done to ensure that all people with, and those at risk of, diabetes have access to the information, education, support and high-quality care to enable them to manage their condition on a day-to-day basis, with the help of specialist diabetes teams." He added: "Much more needs to be done to ensure that all people with, and those at risk of, diabetes have access to the information, education, support and high-quality care to enable them to manage their condition on a day-to-day basis with the help of specialist diabetes teams."