GIRFT’s national report for diabetes (2020) highlighted variation in the provision of transition services to help young people living with diabetes move out of paediatric and into adult care. This can result in young adults losing touch with their type 1 diabetes service, resulting in poorer outcomes such as completion of care processes and achievement of the HbA1c treatment target, as well as a higher rate of admissions for 19 to 25-year-olds as a result of diabetic ketoacidosis (DKA).
In addition, data from national audits shows that completion of key health checks, achievement of treatment targets and uptake of technology between paediatric diabetes units (PDUs) varies within and between regions.
The new GIRFT/NHS Diabetes Programme ‘gateway’ reviews will cover care for those up to the age of 25, and will bring together colleagues from paediatric, young adult and adult services with Integrated Care Board (ICB) commissioning leads and key decision makers for discussions about local challenges and how they might be overcome, based on a core set of data and metrics.
A GIRFT questionnaire will be circulated to all units and ICBs in advance of each visit. Following an initial pilot phase, the full programme of GIRFT gateway reviews is expected to begin in Spring 2024.