Comprehensive diabetes care in North Tyneside

Diabet Med. 1995 Aug;12(8):691-5. doi: 10.1111/j.1464-5491.1995.tb00571.x.


The care of a 25% (n = 559) random sample of all patients with diabetes in a district was assessed to determine whether comprehensive diabetes care was being achieved. Process measures initially assessed were repeated 3 years later after several changes in the programme of diabetes care were instituted. The number of patients with diabetes in structured care increased from 91% to 95% between 1991 and 1994, at the same time as an increase in prevalence from 1.2% to 1.8%. There was a shift in the proportion of patients attending primary care from 27% to 40%. There were significant improvements in the delivery of process measures including education. The majority of process measures were delivered to more than 75% of the district diabetes population (for example HbA1c in 93%, fundoscopy in 86%, urine protein in 81%, education on diabetic control in 84%). Comprehensive diabetes care has not yet been fully achieved in North Tyneside district but the programme of care has shown continuous improvement over a 3-year period. Comprehensive diabetes care should be an aim of every district diabetes programme.

Publication types

  • Comparative Study

MeSH terms

  • Delivery of Health Care*
  • Diabetes Mellitus / therapy*
  • England
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin A / analysis
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Patient Education as Topic*
  • Patient Satisfaction*
  • Random Allocation
  • Registries
  • Surveys and Questionnaires


  • Glycated Hemoglobin A