Service providers ensure people with diabetes are offered, as a minimum, an annual assessment for the risk and presence of diabetes-related complications and for cardiovascular risk. In addition, people with diabetes should be enabled to participate in annual care planning with documented agreed goals and an action plan, and to support this, training is provided for health care professionals.
Health care professionals ensure they are competent to undertake support an annual assessment for the risk and presence of diabetes-related complications and for cardiovascular risk and practice in a way that enables people with diabetes to participate in their care, including agreeing on specific achievable goals and an action plan in annual care planning.
Funders and planners ensure services are commissioned that ensure people with diabetes have access to an annual assessment for the risk and presence of diabetes-related complications and for cardiovascular risk and delivered in a way that people with diabetes are encouraged to participate in their own care.
People with diabetes have access to an annual assessment for the risk and presence of diabetes-related complications and for cardiovascular risk, and are involved in annual planning for their own care, which includes agreeing on the best way to manage their diabetes and setting personal goals.
