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Joint British Diabetes Societies (JBDS) for Inpatient Care Group

The Joint British Diabetes Societies (JBDS) for Inpatient Care group was created in 2008 to ‘deliver a set of diabetes inpatient guidelines and proposed standards of care within secondary care organisations’, with the overall aim of improving inpatient diabetes care through the development and use of high quality evidence based guidelines, and through better inpatient care pathways. The JBDS – IP group was created and supported by Diabetes UK, ABCD and the Diabetes Inpatient Specialist Nurse (DISN) UK group, and works with NHS England, TREND-UK and with other professional organisations.

The 2016 Rowan Hillson Insulin safety award:

We are inviting colleagues to submit entries to this competition to find the best joint pharmacy and diabetes team initiative to improve insulin and prescribing safety in hospital. This JBDS – IP project is being led by our colleagues Umesh Dashora, Debbie Stanisstreet, and Erwin Castro. The submissions will be judged against predetermined criteria, by an independent panel chaired by Rowan Hillson, and the winner will be awarded the prestigious annual Rowan Hillson insulin safety award at the ABCD Spring meeting. The outcome of this initiative will be published on the ABCD, Diabetes UK and DISNUK Group websites to share excellent practice. This competition follows the very successful 2014 and 2015 competitions to find the best UK insulin chart and best hypoglycaemia avoidance initiative. Competitive applications are likely to be those that show hard evidence of benefit, that are translatable to other Trusts, are costed, are relatively simple and sustainable, and which have been commissioned or supported by an Acute Trust. This competition is open to all health care professionals. The attached document outlines the application, and the closing date is 31.01.17.

Guidelines
The guidelines produced by the JBDS – IP group (including those planned for the future) are listed below and for those already published click the live link on the date to view:
 

No.

Guideline

Date

1

Hospital management of hypoglycaemia in adults with diabetes

March 2010

1a

Hospital management of hypoglycaemia in adults with diabetes - revised - second edition 2013

Sept. 2013

2

The management of diabetic ketoacidosis (DKA) in adults

March 2010

2a

The management of diabetic ketoacidosis (DKA) in adults - revised - second edition 2013

Sept. 2013

2b

Adult diabetic ketoacidosis emergency care pathway to use in the case notes - accompanies the DKA revised guideline 2013

Sept. 2013

3

Management of adults with diabetes undergoing surgery

March 2011a
March 2011b

3a

Management of adults with diabetes undergoing surgery – full document

March 2016

3b

Management of adults with diabetes undergoing surgery - summary

March 2016

3c

Management of adults with diabetes undergoing surgery – changes to 2011 guideline

Sept 2015

4

Self management of diabetes in hospital

March 2012

5

Glycaemic management during enteral feeding in stroke

June 2012

6

Management of Hyperosmolar Hyperglycaemic State (HHS)

August 2012

7

Admissions avoidance in diabetes

Nov. 2013

8

Steroid use for inpatients with diabetes

Oct. 2014

9

Variable rate insulin infusion (VRII) for medical inpatients with diabetes

Oct. 2014

10

Discharge planning for people with diabetes

Oct. 2015

11

Management of adults with diabetes on the haemodialysis unit

April 2016a
April 2016b

12

Managing diabetes during and after delivery

In progress

13

Diabetes in inpatients with mental health issues

In progress

14

New diagnosis of diabetes in inpatients

In progress


A SurveyMonkey of JBDS-IP guidelines undertaken at the end of 2012 revealed:

• Guidelines have been actively distributed (>21,000 copies, excluding downloads)
• 85-100% responding teams were aware of the guidelines
• >90% adoption in 118 UK Trusts for older guidelines, and around 50% for 2012 guidelines
• Rated highly in terms of patient safety, overall quality and clinical value

The group administrator is Christine Jones and if you or your organisation would like to contribute to future guidelines please contact her (christine.jones@nnuh.nhs.uk).

The core members of JBDS-IP (listed below) include diabetes consultants and diabetes specialist nurses from across the UK, with all 4 nations represented. Twice yearly face to face meetings interspersed with teleconferences ensure regular contact between members.

Chair
Professor Mike Sampson, Norfolk and Norwich University Hospitals NHS Foundation Trust

JBDS IP Group
Dr Belinda Allan, Hull and East Yorkshire Hospital NHS Trust
Dr Hamish Courtney, Belfast Health and Social Care Trust, Northern Ireland
Dr Umesh Dashora, East Sussex Healthcare NHS Trust
Dr Ketan Dhatariya, Norfolk and Norwich University Hospitals NHS Foundation Trust
Dr Daniel Flanagan, Plymouth Hospitals NHS Trust
Dr Stella George, East and North Hertfordshire NHS Trust
Dr Rob Gregory, University Hospitals of Leicester NHS Trust
June James, University Hospitals of Leicester NHS Trust
Tracy Kelly, Diabetes UK
Dr Omar Mustafa, King’s College Hospital NHS Foundation Trust
Dr Colin Perry, NHS Greater Glasgow and Clyde
Dr Gerry Rayman, The Ipswich Hospitals NHS Trust
Dr Stuart Ritchie, NHS Lothian
Dr Aled Roberts, Cardiff and Vale University Health Board
Professor Mike Sampson, Norfolk and Norwich University Hospitals NHS Foundation Trust
Debbie Stanisstreet, East and North Hertfordshire NHS Trust
Professor Jonathan Valabhji, National Clinical Director for Obesity and Diabetes
Esther Walden, Norfolk and Norwich University Hospital NHS Foundation Trust
Dr Peter Winocour, East and North Hertfordshire NHS Trust
 

 

Working to support high quality diabetes care in the UK

 
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