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.