Diabetes and the quality and outcomes framework

doi:10.1136/bmj.331.7528.1340

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Diabetes needs reintegration of primary and secondary care

Harry Keen, professor (h.keen@ntlworld.com)

Unit for Metabolic Medicine, King's College London, London SE1 9RT

E-DITOR—Kenny analysed the way in which the care for people with diabetes has developed in Britain over the past 15 years or so.1 This primary sector concern for the welfare of people with diabetes is a welcome but recent turn of events.1 In the late 1980s, the rising prevalence of diabetes drove two major developments in hospital based diabetes care: the introduction of diabetes specialist nurses, and the …