“Home clinic” facilitates communication with carers

EDITOR—Tattersall and Page highlighted the problem of providing diabetes care for patients in residential and nursing homes.1 In Hull we have attempted to tackle the growing problem of unstructured diabetes care in these establishments with the development of our “home clinic service.” 2 This service started in 1991 to provide structured diabetes care in the community by secondary care staff.

We had identified a small but increasing number of patients who attended the hospital based clinic but gained little from the consultation. A high proportion of this group lived in nursing …