Diabetes: Children and Young Adults (CYA)

GIRFT is working with the NHS Diabetes Programme on a national review of services for children and young adults living with diabetes.

The workstream aims to tackle variation in care and outcomes between and within Integrated Care Systems (ICSs) in England, working to identify challenges and opportunities, and developing recommendations for improvement.

A particular focus is on reducing health inequalities for CYA, including in access to technology, transition from paediatric to adult services and workforce.

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.

Dr Fulya Mehta

Clinical lead for CYA diabetes

Fulya is the clinical lead for the national children and young adult diabetes programme at NHS England. She is a paediatrician working in a large diabetes unit at Alder Hey Children’s Hospital in Liverpool, caring for over 500 children and young people with diabetes. Her areas of interest include improving transition and young adult diabetes care and improving access to diabetes treatment technology.

Dr Dita Aswani

Clinical advisor for CYA diabetes

Dita has been a consultant in paediatric diabetes since 2012. She was clinical lead of the Derbyshire Children’s Hospital Service and vice-chair of the East Midlands CYP Diabetes Network from 2015 until 2021, when she joined Sheffield Children’s Hospital to additionally specialise in children’s obesity and complications from excess weight.

She was a Diabetes UK clinical champion between 2021-23, and an experienced peer reviewer for the Royal College of Paediatrics and Child Health (RCPCH) National Diabetes Quality Programme.

Dita holds a number of roles in paediatric diabetes and obesity. She sits on the National Paediatric Diabetes Audit (NPDA) methodology and dataset group, NICE committees for diabetes (NG18) and weight management (NG10182), and the Quality Standards Committee for obesity. She is a member of RCPCH Health Improvement Committee as assistant officer for nutrition and obesity, and represents the College on the National Child Measurement Programme (NCMP) board.

She is an NHSE regional clinical lead for children and young adults’ diabetes, has been on the editorial board of the RightCare toolkit for CYA diabetes and T2 e-lfh learning package. She is on the oversight board for Digibete, and has been a clinical lead for the YoungType2 platform. She is also a clinical co-investigator on the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research (HSDR) funded ENHANCE study – evaluating the NHSE complications from excess weight clinics.

Find out more about GIRFT’s data-led approach and best practice resources: