Type 1 Hospital clinic and GP clinic??

[sleepster]

Hello, I have type 1 and use an insulin pump. I go to a diabetes clinic at the hospital and have only once gone to a diabetes clinic at a GP surgery, before I was referred to the hospital clinic after moving house. It was a waste of time. I didn't use a pump at that point.
I moved to a different GP surgery about 5 months ago, and they now want me to attend their diabetes clinic.
I guess my question is, do other people go to both a hospital clinic and a GP clinic? Is it unusual that I don't already attend both?

 

[Knikki]

I can't ever remember attending both a hospital and GP Surgey for diabetese clincs, for me it has either been one or the other and for the last 10 or more years it has bben the local Surgrey as they have a DSN.

Only change to this is now attend a different place as well because I'm on a Libra.

 

[Boo1979]

I am seen at the hospital endocrinology clinic but the Gp surgeery keep hassling me to go there too and have all the same bloodtests done by them. Turns out its all about money and lack of communication between primary & secondary care - the Gps have financial incentives for ensuring diabetic checks are done and penalties if they fail to ensure a certain % of patients have them. If the endo clinic dont tell the GP practice what the results are or if the GP practice fails to look at the linked IT based results service then the practice will suffer financially.
Ive reached an agreement with my GP that Ill bring her a copy of the results myself following my next hospital review - reslting in happy bunnies all round

 

[therower]

@sleepster . Prior to a recent house move / change of GP I was always given a 6 monthly appointment at my hospital clinic and my GP also requested an annual diabetic review.
Hospital check up was far more in depth where as GP check up was just a few questions usually about medication levels.
It would appear that my new GP also requires me to have an annual review. I’m still using same hospital as prior to moving so no change there.
GP ‘s generally have a diabetic nurse and not a diabetic specialist nurse. This results in GP reviews not being overly informative.
( my opinion/ experience)

 

[db89]

I am under hospital clinic care and attend appointments with consultant and DSN but everything else is handled by my GP practice here - that's things like blood tests, yearly checks we are all meant to have such as feet. Data from this is then used by my clinic team whenever I have an appointment.

I think this allows the GP Practice to check the boxes for saying I've had whatever reviews the system says I should have but refers all my care back to the clinic team.

 

[sleepster]

Thanks everyone. I have to get my bloods done at the GP as the hospital don't do them, as they are in different trusts(?) I have to get a print-out of my results from the GP to take to the hospital with me communication between the two is pretty non-existent. Really helpfully my last set of test results went missing.
I am overdue a foot check so will go to the appointment they have made for me, maybe just the once though!

 

[fairylights]

I get everything done at the hospital clinic, but they then send copies of any letters to the GP and they use the same system so can both see all history.

 

[himtoo]

i attend hospital every 6 months and used to get hassled by GP to attend there as well
I have educated him politely and now only see the diabetic nurse at GP for annual foot check

 

[Japes]

I'm mostly at the hospital clinic, who are good at getting Hba1c and other results back to the GP so they don't repeat those when they call me up for review.

However, as I'm likely to be discharged back to the GP next time, I've carried on with the annual review of feet (GP intimated it was what the hospital was poor at remembering to do from his experience at the time of my referral to the clinic) and whatever the system there wants as they are the ones who do all the prescriptions!