Could this be the answer for vulnerable Type 1 diabetes patients?

PUBLISHED: 09:01 09 June 2018

Dr Peter Winocour is the clinical director for diabetes and endocrine services at the East and North Herts NHS Trust. Picture courtesy of the East and North Herts NHS Trust.

Dr Peter Winocour is the clinical director for diabetes and endocrine services at the East and North Herts NHS Trust. Picture courtesy of the East and North Herts NHS Trust.


A new initiative to help vulnerable patients with Type 1 diabetes who are putting their lives at risk is proving to be successful.

Living with Type 1 diabetes as a young adult can be particularly challenging, with some finding it difficult to stay in touch with the clinical teams looking after them. So, a service has been introduced by the East and North Hertfordshire NHS Trust to help those who have disengaged from the regular care of a specialist team of doctors and nurses.

This initiative, which is being funded by the East and North Hertfordshire Clinical Commissioning Group for two years, seeks to ensure that these young people look after their condition better and help avoid serious complications in their health that could arise otherwise – including emergency admissions and later eyesight and kidney problems.

Doctor Peter Winocour, the NHS trust’s clinical director for diabetes and endocrine services, said: “Following a successful bid to our local clinical commissioning group, we secured two years of funding to set up the telehealth project.

“We are working with GP practices to help identify those patients with Type 1 diabetes who may need this extra help, which is offered to them in a variety of ways that meets their needs – everything from texting to face-to-face meetings.

“To date, we have supported around 160 people in this way – the majority of who are men in their twenties who had disengaged from medical care, thus putting their health at serious risk.

“They are now in contact with our diabetes specialist nurses and young adult support worker, which has allowed us to review people’s medication, and enable retinal screening and blood tests that may not have happened otherwise.”

Dr Winocour also said they are beginning to see a reduction in unscheduled emergency admissions from this vulnerable group of patients.

He said: “Working this way, we can help keep this at-risk group of people healthier than might otherwise have been the case, as well as avoid unnecessary hospital admissions.

“And by carrying out regular reviews with them at six and 12 months, we can also make sure they continue to do as well as possible.”


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