'Unacceptable Inequality' In Diabetes Care Across Scotland
There is ``unacceptable inequality'' in diabetes care between Scotland's health boards areas, according to a charity.
There is unacceptable inequality'' in diabetes care between Scotland's health boards areas, according to a charity.
Diabetes Scotland has published its annual report charting the variations in care for people living with the condition across the country.
About 276,000 people in Scotland have been diagnosed with diabetes, with a further 45,500 estimated to be unaware they have type 2 diabetes, the charity said.
Its report looked at how health boards are performing in delivering nine essential checks for people with type 1 and type 2 diabetes, such as recording blood pressure, cholesterol and weight as well as testing kidney function.
NHS Greater Glasgow and Clyde (NHSGGC) was found to be below the Scottish average in the majority of the categories while NHS Orkney came out as the best performing three times.
Jane-Claire Judson, national director of Diabetes Scotland, said: It is indefensible that people living with diabetes are subjected to such disparities of care across Scotland.
Whether you live in Orkney or Forth Valley should have no bearing on the level of care a person receives but what we are seeing are significant differences in the percentage of people receiving each of the nine essential care processes dependent on the health board area in which they live.''
She added: We must focus on improving diabetes care for all, reducing avoidable complications, and supporting people to live well with the condition which should include offering a range of appropriate education opportunities.
If action is not taken now, the longer-term costs will be severe to people living with the condition, NHS Scotland and wider society.''
The report also revealed people with type 1 diabetes receive poorer care than those with type 2.
Its authors looked at other factors and said there were poorer health outcomes for people living in areas of deprivation.
They said: The healthy lifestyle interventions required to reduce the number of people from deprived areas developing type 2 diabetes, and support people to live well with the condition, have to reflect the realities of the environment in which people live.
This includes removing real and perceived barriers, ensuring people living with the condition are enabled to attend healthcare appointments and that they receive all nine care processes. People must be supported in a realistic, practical way to make improvements to their health.''
A spokeswoman for NHSGGC said the health board was fully committed'' to continuously improving the care people with diabetes receive.
Our aim is to prevent people developing diabetes in the first place but for those who do, we are committed to managing their condition in an effective way to minimise the long term health effects.
We recognise there are areas where more improvement needs to be made and a detailed programme of work is already in place and is being led by our expert group of specialist clinicians in this field.''
It is a well known phenomenon that it is more difficult to achieve a high take up of screening and regular check-ups with populations in the most deprived communities. NHSGGC has amongst the highest concentration of people living with deprivation anywhere in Scotland.
It must be recognised however that this is factor in some of these areas of performance.''
The data in the charity's State of the Nation report was sourced from figures contained in the Scottish Diabetes Survey 2014.
The charity recognised that front-line healthcare professionals are dedicated'' to delivering the best care for their patients but called for aScotland-wide revolution'' in the provision of person-centred diabetes care.
Public Health Minister Maureen Watt said: We know that the number of people living with diabetes in Scotland is increasing. However, this is not because we are seeing an increase in the number of new cases of diabetes picked up every year, but rather that people with diabetes are living longer with the condition.
Latest figures show that for the first time we are seeing the percentage of people with poor glucose control decreasing and more people than ever accessing crucial eye screening and feet checks.
Our Diabetes Improvement Plan, which was published in November 2014, builds on these positive findings and sets out a programme of work to enhance services for people with diabetes, and help reduce their risk of complications.
We are also taking concerted action to encourage people to make healthy lifestyle choices, including eating healthily, managing their weight and increasing physical activity. All of these things have a vital role to play in preventing type 2 diabetes, which accounts for the vast majority of diabetes cases in Scotland.''