Integrated Community Diabetes Service

Luton Integrated Community Diabetes Service supports the prevention of diabetes and supports patients and their family/carer to understand and self manage the condition. 

The pharmacy technicians work within the integrated district nursing team. We support the clinical staff with medication related queries, reviewing care plans to ensure medication is still appropriate as well reviewing medication in patient’s own home when discharged from hospital.  Referrals can be made electronically via the Holistic Care Template or at pharmacy.techs@nhs.net

Who can use the service? 
The service is accessible to patients over the age of 18 years diagnosed with diabetes, impaired fasting glucose or impaired glucose tolerance. The service runs specialist diabetes clinics and promotes diabetes education programmes.

The usual route of referral is from a GP, Nurse, Health Care Professional or Hospital Consultant.

The service is based at:

Clinical Base
Luton Treatment Centre
Vestry Close
Luton
LU1 1AR

Office Base
The Poynt
Units 2-3
Poynters Road
Luton, LU4 0LA

Tel: 0333 405 3128

Operating Hours: 8.00 am – 5.30pm on Mondays to Fridays.

Diabetes and Walking Away Support Group
A support group is also available to Diabetes patients.  Click on the links for the patient leaflet and flyer and further information about the group.  Please note that his group is not run by CCS NHS Trust.

 The Integrated Community Diabetes service provides:

 Structure Group Support

  • Walking Away From Diabetes
    This programme focuses on people who are at high risk of developing Type 2 Diabetes or have already been diagnosed with impaired fasting glucose or impaired glucose tolerance. It is a 3 hour group education programme for people fluent in English. 
  • DESMOND
    This is a 6 hour structured group education programme for people fluent in English and newly diagnosed with Type 2 Diabetes. This programme focuses on people newly diagnosed with Type 2 Diabetes, support their understanding about their condition and gives them  the information they require to self-manage.
    DESMOND Foundation
    This is a 6 hours structured group education programme for people who are fluent in English and who have had Type 2 Diabetes for more than one year.   Like DESMOND for newly diagnosed, this programme support understanding about diabetes and gives the information required to self-manage.

    If you are a Luton GP looking to refer to either of the above DESMOND programmes - click here for a referral form.
  • Living with Diabetes in Urdu
    This is a diabetes education programme delivered by a trained diabetes support workers who speaks Urdu and is supported by a Diabetes Specialist Nurse and Dietitian.  The programme is delivered with DESMOND principles of increasing understanding and supporting self-care.  It is a three hour education programme.
  • Living with Diabetes in Bengali
    This is a diabetes education programme delivered by a trained diabetes support workers who speaks Bengali and is supported by a Diabetes Specialist Nurse and Dietitian.  The programme is delivered with DESMOND principles of increasing understanding and supporting self-care.  It is a three hour education programme.
  • Carbohydrate Awareness Programme
    This education programme was developed in-house by a Diabetes Specialist Dietician.  The delivery of the programme is supported by a Diabetes Specialist Nurse.   The programme supports participants to understand, that by choosing different types of carbohydrate food, they can manage their weight and improve their diabetes control, without necessarily increasing their medication.. The target audience is people who have recently started insulin, or have been on insulin for a while and need more advice about diet as a means to improve their diabetes control.  Referrals will be considered for people not on insulin, if motivated to make dietary changes to improve their diabetes. The programme consists of one 3 1/2 hour session. 
  • Insulin Group Starts
    This structured education programme is for people with Type 2 diabetes who have already been referred to, and attended a diabetes review clinic, where it has been agreed that they will start insulin.  The education is delivered in a small group; a partner or friend can also attend.  Participants need to be fluent in English and all be starting on the same insulin regime. The programme last for 1 hour and is designed to provide all the information participants need for them to self-manage their insulin; they are given an information pack to take away with them. After attending they are supported with telephone contact, initially twice weekly, this reduces as they become confident in managing and adjusting their insulin.

Diabetes Support delivered 1:1

  • Diabetes Specialist Nurse Community Clinic
    These diabetes review clinics are regularly held clinic at Luton Treatment Centre.  The consultation is conducted by an experience diabetes specialist nurse and patients will need to meet defined referral criteria of maximum oral medication or be on injectable therapy. At the consultation a diabetes management plan will be agreed and a copy sent to GP and patient.
  • Dietitian clinics
    These diabetes dietitan clinics are regularly held clinic at Luton Treatment Centre.  If meets the ‘Housebound’ referral criteria, this being; they are unable to leave their home to attend their GP practice.  Patient can also be seen in their own home.
  • Podiatory clinics
    These clinics are for more complex diabetic foot problems.  Clinics are held regularly at Luton Treatment Centre. If meets the ‘Housebound’ referral criteria, this being; they are unable to leave their home to attend their GP practice.  Patient can also be seen in their own home.
  • Housebound Diabetes Specialist review NON routine
    Patients referred need to meet ‘Housebound’ referral criteria, this being; they are unable to leave their home to attend their GP practice.  They will be seen at home by a Diabetes Specialist Nurse or Diabetes Support Worker, depending on reason for referral.
  • Diabetes Mentorship (Urdu and Bengali)
    This is a  3 to 6 months, 1:1 diabetes mentorship support programme for people who have attend Living with Diabetes Education in Urdu or Bengali, have had type 2 diabetes for more than 1 year and who have a high  HbA1cand would benefit from intensive 1:1 support to improve their diabetes.  The mentorship programme is delivered by an  Urdu or Bengali speaking, diabetes support worker.  When necessary the support worker is supported by a diabetes specialist nurse.
  • Housebound Routine Diabetes Review
    Patients referred need to meet  They will be seen at home by a Diabetes Support Worker or a Diabetes Specialist Nurse.  A routine 6 or12 monthly diabetes review will be performed.
  • Housebound Patient/Carers Education
    A basic 1:1 education programme that takes a maximum of 1 hour to deliver.  Available for housebound patients fluent in English, Urdu or Bengali who fit the ‘Housebound’ referral criteria, this being; they are unable to leave their home to attend their GP practice.

 Referrals to this service can be made by:

  • General practitioners and Practice Nurses
  • Community Nurses
  • Specialists Nurses
  • Diabetes Consultants at the Luton and Dunstable Hospital
  • Other health care professionals and social care workers
  • Self-referrals from people living in NHS Luton area if unable to get referred by usual route

Contact Details:
Integrated Community Diabetes Service
Tel: 0333 405 3128

 


FileTypeSizeUploaded onDownload
0524 - ICDS Service Information LeafletPDF1.10 MB12 Mar, 2018 Download
ICDS Referral form - March 2018DOC87.50 KB05 Jul, 2016 Download
0364 - Diabetes TeamPDF753.05 KB04 Nov, 2015 Download
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