Joint Practice-Based Diabetes Clinic

Diabetes Consultant or a DSN see patients jointly with a GP and a Practice Nurse

  • Each practice, who has signed up to the GP Local Enhanced Service, has been offered 3 dates for Joint Practice-based Clinics in a year which include the GP and Consultant, with the Practice Nurse attending if possible, to see patients most benefitting from joint review
  • The optional extra clinic offered should include the Practice Nurse and Diabetic Specialist Nurse with the GP attending if possible
  • Patients are selected by the practice (occasionally patients seen in urgent clinic are reviewed in joint clinic)
  • 40min slots are allocated to see patients face to face or 15 min – for virtual review
  • Several GPs may attend and bring their own patient cases for discussion
  • The Consultant should not see patients in the joint clinic without the presence of the GP
  • The DSN should not see patients in the joint clinic without the presence of the PN

 Clinics include:   

  • Seeing patients (eg persistently poor diabetes control, those not engaging with hospital diabetes clinic, different co-morbidities, insulin and GLP-1 starts etc)
  • Patients who are strong candidates for a hospital referral
  • Discussing some cases without patients being there eg next step in therapy
  • Discussing suitable patients that might be discharged from hospital clinics
  • Anything the GPs / PNs want to discuss.

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