Statement of Aims, Values & Principles of NHS Tayside Diabetes Managed Clinical Network

The stated Aims of the NHS Tayside Diabetes Managed Clinical Network are:

  • To minimise premature morbidity and mortality in those with diabetes
  • To maximise quality of life by detecting and treating disease and its complications at an early
  • To provide equal access to high quality diabetes care to all the residents of Tayside.
  • To take forward the key recommendations of the Scottish Diabetes Framework

The following values and principles, adapted from priorities drawn up by Diabetes UK, are adhered to by The NHS Tayside Diabetes Managed Clinical Network:

  • Care for patients with diabetes should be patient-centred and based on the principle of equity:
    • Patient-centred: People with diabetes should be treated as individuals and given reasonable choice in the means and personnel providing diabetes care. People with diabetes must be at the centre of their care and must be enabled to have their # views heard at all levels of the NHS.
    • Equity: All people with diabetes should equally receive the best standards of care and access to care, irrespective of who they are, where they live and what complications they may have.
  • Within the context of these two Principles the following are held as fundamental requirements for The Tayside Diabetes Network:
    • Information and Education: All people with diabetes and all members of the multi-disciplinary team who care for them should be provided with up-to-date, consistent and ongoing information and education
    • Access: All people with diabetes in Tayside should have access to integrated diabetes services which meet their individual needs
    • Standards and Quality Assurance: All people with diabetes should have access to a uniformly high standard of patient-centred care, assured through regular performance management.
    • Communication and Co-ordination: Systems should be in place which ensure a high level of communication and co-ordination of diabetes care between professionals across primary, secondary and tertiary care, to ensure seamless movement between different parts of the system for all patients.
    • Resources: The system must be appropriately resourced to achieve these aims and to enable clinicians to cope, at all levels (Primary, Community & Secondary Care) with the increasing burden of diabetes care within Tayside.

In addition to these principles the NHS Tayside Diabetes Managed Clinical Network has sought to adhere to the following five fundamental Health Care Development Principles laid down by the World Health Organisation.

Thus, within our Managed Clinical Network, we should seek to assure:

  • Equity - by ensuring that the appropriate care is delivered to patients with local accessibility.
  • Empowerment -by enabling a clinically led and developed service which is sensitive to patients’ needs.
  • Co-operation - by delivering a seamless service jointly delivered by primary and secondary care.
  • Participation - by including patient representation and all disciplines who are currently involved in the delivery of care.
  • Primary health care – by, where appropriate, enabling a shift in the point of delivery of care from secondary to primary care.

Operational Objectives:

The Diabetes Managed Clinical Network aims to deliver a high quality, integrated and equitable diabetes service. Through the framework of a Managed Clinical Network it seeks to promote effective collaboration across traditional professional and organisational boundaries and to facilitate health professionals to work in partnership with patients to ensure the best use of resources, facilities, knowledge and experience. The MCN will operate in line with the core principles set out by the Scottish Executive NHS HDL (2002) 69.

It is our objective to meet this challenge through;

  • Increased emphasis on the development of patient focused services
  • The implementation of evidence based care guidelines
  • Monitoring of progress as part of a structured evaluation programme which incorporates an integrated clinical governance strategy
  • Increased professional and patient education
  • Effective communication via an advanced clinical information system (SCI-DC)
  • Effective and efficient co-ordination of effort across traditional professional boundaries