Letters The crisis in diabetes care

Current diabetes services in England need to be reorganised

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e6274 (Published 24 September 2012) Cite this as: BMJ 2012;345:e6274
  1. Adrian R Scott, clinical director, diabetes and endocrinology1,
  2. Joanne Ferraby, service manager1,
  3. Sue Beveridge, diabetes specialist nurse1,
  4. Lis Reid, head, public health development nursing2,
  5. Jenny Stephenson, diabetes lead2
  1. 1Sheffield Teaching Hospitals NHS Foundation Trust, Diabetes Centre, Northern General Hospital, Sheffield S5 7AU, UK
  2. 2NHS Sheffield, Sheffield S9 4EU, UK
  1. adrian.scott{at}sth.nhs.uk

Rayman and Kilvert make some important points about diabetes care in England.1 The NHS “reforms” will probably exaggerate the divide between hospital and primary care services unless commissioners and specialists work collaboratively. NHS Sheffield ring fenced money spent on diabetes outpatient services. By working with commissioners and primary care, the hospital diabetes team has discharged nearly 3000 people …

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