A mobile screening programme for the cardiovascular and microvascular complications of Type 2 diabetes in primary care.
The Diabetes National Service framework (NSF), and the quality payments in the new contract for UK General Practitioners, promote regular screening for diabetes complications. The new contract also includes immediate incentives to meet screening and quality targets, but it will be difficult to meet these targets in primary care. We have developed a mobile 'annual review' programme for patients with Type 2 diabetes managed solely in primary care, that screens for cardiovascular disease, hypertension, retinopathy and neuropathy at the patient's general practice, and gives written foot care, dietary advice and level 1 smoking cessation advice to all patients.
Sampson
M J
MJ
Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital, Norwich, UK. mike.sampson@nnuh.nhs.uk
Barrie
P
P
Dozio
N
N
Flatman
M
M
Hadley-Brown
M
M
Harvey
I
I
Heyburn
P J
PJ
Jones
C
C
Mann
R
R
Temple
R C
RC
Greenwood
R H
RH
D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D011320:Primary Health Care