Quality Standards for Diabetes Care Toolkit

At a practice level: The following knowledge and skills are required:

an understanding of the patient’s perspective

the ability to guide patients to sources of information on health and health care

the ability to educate patients about protecting their health and preventing the occurrence or recurrence of disease

the ability to elicit and take into account a patient’s preferences

the ability to communicate information on risk and probability

the ability to share treatment decisions

the ability to provide support for self-care and self-management

the ability to work in multidisciplinary teams

the ability to use new technology to assist patients in becoming more engaged in their health

the ability to manage time effectively to make all this possible.

Process

NICE (2011) provides the following quality process measures: www.nice.org.uk/guidance/QS6/chapter/Quality-statement-5-Medication.

(a) The proportion of people with diabetes who have received a medication review in the past 12 months.

Numerator	The number of people in the denominator receiving a review of medication in the past 12 months
Denominator	The number of people with diabetes

(b) The proportion of people with diabetes whose blood glucose, blood pressure and blood lipids are managed in accordance with New Zealand guidelines.

Numerator	The number of people in the denominator whose blood glucose, blood pressure and blood lipids are managed in accordance with New Zealand guidelines
Denominator	The number of people with diabetes

(c) The proportion of people with diabetes whose medications are not managed according to New Zealand guidelines who have medical notes documenting clinical reasons for exception.

Numerator	The number of people in the denominator who have medical notes documenting clinical reasons for exception
Denominator	The number of people with diabetes whose medications are not managed according to New Zealand guidelines