NICE publishes new diabetes in adults quality standard
NICE has published a new diabetes quality standard for adults featuring seven new and updated statements covering type 2 diabetes prevention, structured education programmes, care and treatment, and prevention and management of foot problems. The new quality standard updates the 2011 version. A number of statements from the 2011 version are no longer considered national priorities for improvement but may still be useful on a local level. Each statement is supported on the NICE website with clinical rationale and a range of quality measures intended to aid service providers, health practitioners and commissioners to improve the structure, process and outcomes of care for people with diabetes.
List of quality statements in the new diabetes NICE quality standard (QS6)
Statement 1. Adults at high risk of type 2 diabetes are offered a referral to an intensive lifestyle-change programme. [new 2016]
Statement 2. Adults with type 2 diabetes are offered a structured education programme at diagnosis. [2011, updated 2016]
Statement 3. Adults with type 1 diabetes are offered a structured education programme 6–12 months after diagnosis. [2011, updated 2016]
Statement 4. Adults with type 2 diabetes whose HbA1c level is 58 mmol/mol (7.5%) or above after 6 months with single-drug treatment are offered dual therapy. [new 2016]
Statement 5. Adults at moderate or high risk of developing a diabetic foot problem are referred to the foot protection service. [2011, updated 2016]
Statement 6. Adults with a limb-threatening or life-threatening diabetic foot problem are referred immediately for specialist assessment and treatment. [2011, updated 2016]
Statement 7. Adults with type 1 diabetes in hospital receive advice from a multidisciplinary team with expertise in diabetes. [2011, updated 2016]
NICE quality standards describe high-priority areas for quality improvement in a defined care or service area. Each standard consists of a prioritised set of specific, concise and measurable statements. They draw on existing guidance, which provides an underpinning, comprehensive set of recommendations, and are designed to support the measurement of improvement.
NICE Quality Standard (QS6). Diabetes in adults. Updated August 2016.