Counselling and Diabetes?
- Thread starter Jess33marsh
- Start Date
A weapon on mass information
In order to address the lack of psychological support, detailed information about the deficiencies in service are needed and this report provides these data. It allows individuals working in services to start to develop plans and lobby for an improvement in psychological care.My thanks must go to those who have worked so hard to create an accurate picture of the state of current diabetes psychological services. This is an invaluable piece of work. If you have had difficulties in accessing psychological support, and even if you have not, I commend this report to you. It should not gather dust but be used to improve your local services by creating the basis for a dialogue with those who commission care.Professor Richard IG HoltChairman Professional Advisory Council Diabetes UK Professor in Diabetes & EndocrinologyDevelopmental Origins of Health and Disease Division School of MedicineUniversity of Southampton
In order to address the lack of psychological support, detailed information about the deficiencies in service are needed and this report provides these data. It allows individuals working in services to start to develop plans and lobby for an improvement in psychological care.My thanks must go to those who have worked so hard to create an accurate picture of the state of current diabetes psychological services. This is an invaluable piece of work. If you have had difficulties in accessing psychological support, and even if you have not, I commend this report to you. It should not gather dust but be used to improve your local services by creating the basis for a dialogue with those who commission care.Professor Richard IG HoltChairman Professional Advisory Council Diabetes UK Professor in Diabetes & EndocrinologyDevelopmental Origins of Health and Disease Division School of MedicineUniversity of Southampton
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- 56
- Type of diabetes
- Type 1
- Treatment type
- Insulin
It seems to have been simply just gathering dust though look at the time lapse. I'm sure statistics would have changed now. Appalling that no action has been taken after these findings hey!
This says it all with what we all say here
Importantly, treatment for psychological conditions, including depression, has been shown to lead to reduced symptoms and improved glycaemic control, as well as reductions in both psychological distress and the costs of healthcare.
Over the last decade the importance of psychological problems in diabetes, and of effective psychosocial care for people with diabetes, has been repeatedly acknowledged, in the National Service Framework for diabetes, the NICE guidance for diabetes, and in a range of both research projects and policy statements. In addition, the Government White Paper Our Health, Our Care, Our Say prioritises health, independence and well-being and the provision of better mental health and emotional support.Before being able to justify and work towards the development of high quality services to meet the psychological needs of people with diabetes in the UK it is important to identify and describe the nature and level of existing service provision, including to what extent services currently comply with the National Service Framework (NSF) standards and NICE guidelines. This has not previously been assessed.
Ie...if you want us to look after our self Mr government...u plonker...then provide the services so we can take control and cost you less...
Importantly, treatment for psychological conditions, including depression, has been shown to lead to reduced symptoms and improved glycaemic control, as well as reductions in both psychological distress and the costs of healthcare.
Over the last decade the importance of psychological problems in diabetes, and of effective psychosocial care for people with diabetes, has been repeatedly acknowledged, in the National Service Framework for diabetes, the NICE guidance for diabetes, and in a range of both research projects and policy statements. In addition, the Government White Paper Our Health, Our Care, Our Say prioritises health, independence and well-being and the provision of better mental health and emotional support.Before being able to justify and work towards the development of high quality services to meet the psychological needs of people with diabetes in the UK it is important to identify and describe the nature and level of existing service provision, including to what extent services currently comply with the National Service Framework (NSF) standards and NICE guidelines. This has not previously been assessed.
Ie...if you want us to look after our self Mr government...u plonker...then provide the services so we can take control and cost you less...
And I want to bring it back to forefront...why should we let this gather dust ..this report says it all...it should be there ...it must be there ....so we can provide better self care .....
- Messages
- 56
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Key Findings of mind the gap report 20081 Only 31.5% of diabetes services state that they have access to specialist psychological service provision, and only 25% can actually name and give contact details for a person providing such a service. When looking in detail at that 25%, only 58.5% of them have dedicated psychological services, as opposed to simply access to local generic services. This amounts to no more than 15% of diabetes services overall. So, some 85%of people with diabetes in the UK have either no defined access to psychological support and care, or at best only in the form of local generic services. In those services people with diabetes will be seen by mental health professionals who may have very little or virtually no useful knowledge of diabetes and the particular challenges people face as a result of it.2 In 57.3% of cases, psychological input into diabetes teams is provided by psychologists, and in 17.5%by liaison psychiatrists. Where psychological services do exist they are provided by a range of disciplines, and there is no clear plan or rationale for developing such services. If a person’s local hospital happens to contain a psychologist or liaison psychiatrist who happens to have a particular interest in diabetes they will be likely to be able to access specialist help when required, but if not they will not.It is not acceptable in a 21st century NHS for such important service provision to be provided, or not provided, on such a basis.3 Responders felt their teams were reasonably skilled in managing the common and relatively simple psychological or self-management issues, such as problems with self-management of diabetic medications and needle phobias, but with increasing psychological or psychosocial complexity there was a significant drop in the perceived skill of teams to manage these issues, such as depression, anxiety, eating disorders/problems, psychosexual problems and drug and alcohol abuse. With regard to what might be considered more difficult psychiatric issues to manage, such as psychosis or suicidal patients, responders felt that these issues would be poorly managed by their teams. Diabetes teams feel they need help with managing almost all psychological presentations and an opportunity to involve, or refer on to, specialist services for a whole range of conditions.4 Many diabetes teams lack some quite basic elements of care relating to psychological needs.Less than one third have telephone advice available which can provide any form of psychological support, only a little over 10% use any defined screening and assessment tools for psychological problems, and almost 80% of services have no protocols or guidelines for referral of patients with psychological problems of moderate severity. It is precisely the latter commonly occurring problems which were the main focus of this survey and the extent of this gap in the care available to people with diabetes is very concerning.5 Around half of the diabetes services in this survey had referral pathways for the care of patients with what might be considered more severe psychological and psychiatric issues. This is, however, a reflection of the fact that all centres tend to have some form of local psychiatric service provision. Thus, if a patient is suffering with, for example, a Bipolar Affective Disorder they can be referred to the local psychiatric team. But this will be a generic mental health team, in which any specific knowledge or understanding with regard to the particular issues faced by people with diabetes is likely to be at best limited and at worst almost entirely lacking. Psychiatric services in secondary care increasingly focus upon what has come to be known as ‘severe mental illness’. That is, in effect, psychotic conditions. The vast majorityof people with diabetes who have significant psychological problems do not suffer with such conditions and need specialist, as opposed to generic, psychological input to help address their specific needs
Not being funny Jess....last year the was a short fall of over 36,000 beds in the winter time through to this year ...that's fro nov to end of February ...DTOCS
They pumped £37mil to look at that issue....and what they found at the end of looking into this.....
Teams need to talk to each other better and that means care even after leaving your bed in wards .....
Now if they can pump £37 mil to not get egg on face...but oh they so did ....
They can spare £5mil to run 6 pilots for 4 years ......and show that the better care will have better diabetics and show that they life has less impact on services .....
I don't need to go on to details on how that works we all know it
So my point to this is ....if they know that now...now that the votes are going in...soon as new gov is formed ...we hit em with as much on it as can
And if hung ...then we have another wepon to lobby with towards the voters ...2.5mil diabetics in UK.......that a massive voice to be reckoned with.....
Fayefaye1429
Well-Known Member
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Fayefaye1429
Well-Known Member
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- 809
- Type of diabetes
- Type 1
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- Pump
- Messages
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- Type of diabetes
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- Treatment type
- Insulin
Dam right .....I have to say the idea of every so an so paying 12%NI...is looking so much more an idea...it would raise so much more for the NHS. But everyone freaks when you say it
Fayefaye1429
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donnellysdogs
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People that can't listen to other people's opinions.
People that can't say sorry.
And no politician is brave enough to talk about raising NI!!! And would it go to NHS? I doubt it.
None of them can even suggest charging patients for DNA's... So none would be brave enough to hit us pre election with a NI increase.
donnellysdogs
Master
- Messages
- 13,233
- Type of diabetes
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People that can't listen to other people's opinions.
People that can't say sorry.
We surveyed our patients and the vast majority wanted DNA's charged but the Govt will not listen.
