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Diabetes

This indicator is aimed at improving the recording of diabetes in the PMS. It is based on a comparison between a prevalence estimate from the MoH and the actual number recorded in the PMS.

All the data for this indicator is sourced from your PMS. The data is obtained from the READ codes in classifications or patient history.

There have been interesting results. In the main, High Needs practices have much higher numbers in the practice than the prevalence estimate, while non-High Needs practices have lower numbers. Over time, MoH have changed from using a prevalence estimate to looking at observed numbers and estimating from those numbers. 

Diabetes annual review (DAR)

This indicator is aimed at improving the management of diabetes. It is based on a comparison between a prevalence estimate from the MoH and the number of diabetes annual reviews recorded in the PMS.

All the data for this indicator is sourced from your PMS. The data is obtained from screening completed.

There have been several cases of diabetes annual reviews (DAR) done using third party tools like Predict and Best Practice where the DAR has not been written back correctly in the PMS. So if you think the Karo numbers are too low, it is still important to check this at patient level.

Despite Diabetes Annual Reviews no longer being universally funded, the percentage of patients with diabetes having a review in the last 12 months is still an indicator worthy of consideration.  You can still use the same codes to record DAR in the PMS. To be a valid DAR, the following checks must have been done:

  • eye (retinas) within the last two years
  • feet sensation and circulation
  • blood pressure
  • HbA1c level to check average blood glucose levels over previous six weeks
  • cholesterol levels
  • height and weight
  • kidney function