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Endocrine Network

Working to improve the experience and delivery of healthcare by designing and promoting models of care for patients with endocrine disorders such as diabetes.

Read more about the Endocrine Network

Priorities

  • To complete the NSW Model of Care for People with Diabetes Mellitus which covers identification, treatment and management of people with type 1 and 2 diabetes, gestational diabetes and diabetes in pregnancy.
  • To establish standards for high risk foot services for people with diabetes mellitus in NSW.
  • To conduct a pilot of the NSW subcutaneous insulin chart in selected NSW hospitals, audit and evaluate.
  • To conduct research involving 18 hospitals in NSW to determine if routine glucose screening in emergency departments, with an automated system for testing and notification for patients who are hyperglycaemic, leads to an improvement in detection and follow-up of their diabetes.
  • To hold a rural survey of diabetes service provision within NSW.
  • To develop a formal credentialing process for podiatrists working with diabetic patients.
  • To provide education for mental health clinicians on cardiometabolic risk factors for mental health patients.
  • To develop diabetes resource links for clinicians to access via intranet.
  • To develop a NSW Intravenous Insulin Chart.

Achievements

  • The Agency for Clinical Innovation (ACI) Endocrine Network has contributed to a range of in house working groups including those focusing on diabetes models of care, rural and Indigenous health, mental health and inpatient hyperglycaemia.
  • In June 2010 the network hosted a major workshop focusing on best practice care of the diabetic foot. Attended by almost 100 people the workshop focused on early identification of complications, assessment and treatment. The main complications of a diabetic foot are peripheral neuropathy, peripheral arterial disease, foot ulceration and Charcot’s arthropathy.
  • Collaborative education sessions with ACI Cardiac and Stroke Networks for rural, remote and regional clinicians on diabetes, cardiac and stroke (DICAST) issues, including sessions for rural general practitioners with specialists
  • Diabetes and Mental Health Summit in 2009 which attracted 190 mental health and diabetes clinicians. Major areas of focus were cardiometabolic disease in mental health, living with mental illness, models of care in mental health and physical mortality and morbidity in mental health.
  • Development of Diabetic Foot Advanced Wound Care Core Competencies for podiatrists. 
  • Analysis of High Risk Foot Services in NSW.
  • NSW Standards for High Risk Foot Services for People with Diabetes Mellitus developed for use by clinicians, health service managers, administrators and policy makers to guide planning, implementation and funding of best practice multidisciplinary foot care services.
  • NSW subcutaneous insulin chart drafted in 2010 after the network identified safety errors in the proposed National Insulin Chart. The chart is to be piloted in three NSW hospitals.
  • Diabetic Wound Identification Workshops to engage general practitioners in how to review and treat early diabetic foot wounds before they became high risk.
  • Diabetes and mental health workshops held in several local health districts to raise awareness of the physical health of mental health patients.
  • The Endocrine Network has also developed an obesity management plan for the medical and surgical management of obesity in NSW public hospitals.

Endocrine Network

Contact

Monica Nash
Endocrine Network Manager

Recently Added

NSW Diabetes Forum 2017

Added: 6 April 2017

Type: Webpage

NSW_Diabetes_Forum_2017_-_Slide_deck.pdf

Added: 6 April 2017

Type: PDF File (374.1 KB)

The Get Healthy Service Type 2 Diabetes Prevention Program

Added: 6 April 2017

Type: PDF File (942.3 KB)