• Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
  • We seem to be having technical difficulties with new user accounts. If you are trying to register please check your Spam or Junk folder for your confirmation email. If you still haven't received a confirmation email, please reach out to our support inbox: support.forum@diabetes.org.uk

How's your PCT doing?

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Northerner

Northerner

Admin (Retired)
Relationship to Diabetes
Type 1
Map - Percentage of people in the National Diabetes
Audit (NDA) with Type 1 diabetes receiving all nine key care
processes by PCT:

http://www.rightcare.nhs.uk/atlas/downloads/EndocrineMaps_AoV_2011.pdf

The nine care processes are:

1. HbA1c measurement;
2. Cholesterol measurement;
3. Creatinine measurement;
4. Micro-albuminuria measurement;
5. Blood pressure measurement;
6. Body mass index measured;
7. Smoking status recorded;
8. Eye examination;
9. Foot examination.
 
Last edited:
Can't really tell TBH, where's the actual key to the map since there aren't any real clues geographically and I have no idea what shape my PCT is! - just roughly where it is .....
 
2 a year out of all of them northener 😱
 
trophywench said:
Can't really tell TBH, where's the actual key to the map since there aren't any real clues geographically and I have no idea what shape my PCT is! - just roughly where it is .....
Click to expand...

Mine's easy as it's just above the Isle of Wight! 🙂

scotty said:
2 a year out of all of them northener 😱
Click to expand...

That's poor :(

I've also just realised there are loads of other maps in that document for various things! 🙄
 
Pity they couldn't include Wales in the survey. We supposedly follow (most of) NICE guidelines but whenever there's something good or useful happening, we get excluded (except the free scripts, but who pays them anyway ?! 🙄) 🙂

Rob
 
Pfft, some serious fudging of figures in that. Like it's all about tick the boxes, and not quality of care in the areas are show...or ability to actually get your hands on a consultant or anyone. Looks mostly like nothing but massaged figures to give the usual middle management types a slap on there backs for the wonderful management in certain areas.
 
Surprised to see Southampton so low - way below the national average yet my care has been excellent. Glad I don't live in Mid-Essex or Swindon! 😱
 
Well, I have to disagree with our PCT areas (yes areas). It may be a bit different for children, but the East Riding is dark blue (very good) and Hull is slightly lighter. Excuse me, but that's the wrong way round!!!
Although we live in the East Riding, Carol's care is based in Hull. And all those tests are done once a year, without fail.
Hull PCT puts far more money into paedriatic Diabetes care than East Riding. Hull will pay for a psychologist - East Riding will not.
 
HelenM said:
You can see the percentages of patients having all 9 processes by named PCT in England here fig 7
:http://www.ic.nhs.uk/webfiles/Servi...iabetes_Audit_Executive_Summary_2009_2010.pdf

At the end of the report there are overall figures for Wales, (fig 22) but not broken down by area
Click to expand...

Thanks Helen. 🙂

Northerner said:
Surprised to see Southampton so low - way below the national average yet my care has been excellent. Glad I don't live in Mid-Essex or Swindon! 😱
Click to expand...

I used to live in Swindon for a while. I was under the local GP, who wasn't really of any use but his nurse was good. She was the one who bullied me into not reusing needles. And was always willing to listen. Few and far between.🙂

Rob
 
imtrying said:
Enter the Essex-massive!!! lol

aren't we lucky Mark??!!! :confused:
Click to expand...
Well, I've actually had all 9 checks this year (and some of them done more then once) - but that might be because I'm in the first year of my diagnosis.

It saddens me that (a) most people aren't so lucky (b) it's likely to be less in the future

Of course being on a forum like this means that I at least know what I should be expecting and therefore I can at least badger people if I don't get it.
 
Reading this, it's all about tick boxes for statistics. 9 little boxes which if they score high on, they get good, and if they don't they get a bad mark. Frankly a tick box doesn't equate to quality care.

Looking at this, and coming from someone who has unfortunately had to suffer the utter ineptitude of the Cumbrian PCT (which scores very highly), but little things like, oh trying to get to see a consultant without a wait of 8-12 months+ or even to get a phone call off a DSN. My GP switched me to the Morecombe, Lancaster PCT (which scores lower in these wonderful figures) I am actually allowed to speak to someone. Heck they even allow me to get an appointment.

If I sound rather bitter with Cumbria it's been antagonised lately as they stealth reclaimed me from Lancaster (Lancaster had warned me that Cumbria was putting pressure on them to reclaim it's "lost diabetics" (they discharged us all...how the hell is that even possible?!) but I made it known I wanted nothing to do with them due to earlier issues). Anyhow, after my last meeting with Lancaster in May, it seems Cumbria pulled some politics and did a wonderful stealth retrieval of me...for which myself, and my GP wasn't ever notified and they only found out when I asked them to contact Lancaster to learn why my October appointment had vanished. Long story short (much is still on going), Lancaster did allow my transfer (am annoyed over) but stated in all the notes and letters to Cumbria (got to love the GP for trawling the correspondents between the two) that I had an appointment in October planed for my acquiring of a pump and if they took my care it was expected they keep things to how they had been planned. We're now in December, Cumbria have no plans for any consultations (and the DSN and consultant hasn't returned any calls to me or the GP), and they've canned the idea of me getting a pump. Even though under Lancaster I should of been on it now for the last two months according to the letter I was able to see which was nicely stamped URGENT (guess urgent hasn't any meaning at in Cumbria).

Anyhow, that's off subject. But shows this report is utterly worthless for deeming quality of care. It's statistical back slapping with no real world relevance.
 
Last edited:
Ask your GP for a new referral, to Lancaster (NHS Choices!) for the purpose of discussing pumping!

As far as I know, the only thing the PCT are actually repsonsible for is your funding - and that's the PCT that belongs to your actual address, not the doctors address or the hospital's address !!!! They cannot dictate what hospital you attend ......
 
Haven't a clue on the background politics. The doc originally sent me there, and is trying to get me back there now due to getting no answer from the county folks yet again. The only reason I got on a DAFNE course was because Lancaster forced the issue (before getting transferred to Lancaster, Cumbria felt I wasn't "severe" enough for DAFNE and refused the GP numerous times to send me on it...even when in one week I was scraped up by paramedics three times, one of them even accused me of trying to top myself).

As mentioned though, no idea on how the funds are handled. But just wish the gov's proposed idea of given the sending of funds to the GP's had got through as from my point of view it would of made life so much easier. But Cumbria is skint as they piddled away over half their budget on a stupid shiny hospital, and we only kept the smaller hospitals as a certain nuclear group (felt they were very necessary for themselves) decided to fund them as the PCT where in hiding (due to protests they held a meeting at Glen Eagles...which after that didn't accomplish anything they then decided to have another meeting in the Canaries as people outside ticked off at them disrupted them). But county is skint and they won't pay for my care as far as it seems, which may well prove to be the sticking point between the two PCT's.

But Lancaster is the best care I've ever had. Solved most my problems, fixed a lot of issues which were causing no end of hassle. Haven't needed outside help with a hypo since seeing them. And as far as I knew, I thought at the very least I would of been asked if I was being referred. Just hope the GP can transfer me back.

But my opinion on PCT's is they are feckless middle management serving no useful purpose other than to themselves and wasting resources which should be spent on medical care. The lot of them should be got rid of.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Back
Top