Report of the 1994 BPA/BDA Survey of Services for Children with Diabetes: Changing Patterns of Care. British Paediatric Association/British Diabetic Association

Diabet Med. 1997 Aug;14(8):693-7. doi: 10.1002/(SICI)1096-9136(199708)14:8<693::AID-DIA412>3.0.CO;2-T.


The results of a 1994 survey of consultant paediatricians in the UK were compared with those of a 1988 survey to assess how the organization of services for children with diabetes had changed. We found evidence of a substantial improvement, in line with the recommendations of the 1988 BPA Working Party Report on the Organization of Services of Children with Diabetes. Key features of this improvement included a service rationalization with fewer consultants (325 versus 360) providing care for more children: 45% with a clinic size of over 40 children compared with 23% in 1988. More consultants saw children in a designated paediatric clinic (88 % compared with 63%) and expressed a special interest in diabetes (48% compared with 32%). Eighty-seven % of consultants had a diabetes nurse specialist regularly attending the clinic (vs 61% in 1988) and 91% (vs 75%) reported that a dietitian attended regularly. Although more consultants had a psychologist or psychiatrist attending the clinic, these specialists remained a scarce resource (20% compared with 9% in 1988). Continuing deficiencies in the quality of service for some children were identified with small cohorts of children being managed in general paediatric clinics with inadequate expert support staff; there was a widespread shortage of diabetes nurse specialists and only 30% of those in post worked full time with children. In addition 52% of consultants expressed no special interest in diabetes and 10% did not regularly monitor glycated proteins. Continuing improvement of services for children with diabetes in the UK is needed.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child Health Services* / organization & administration
  • Child Health Services* / standards
  • Child Health Services* / trends
  • Diabetes Mellitus / therapy*
  • Hospitals, Pediatric / organization & administration*
  • Humans
  • Medical Staff, Hospital
  • Quality of Health Care
  • Referral and Consultation
  • Retrospective Studies
  • Surveys and Questionnaires
  • United Kingdom