This document outlines a 7 step model for improving GP and nurse education on diabetes type 2 management. The steps include conducting a training needs assessment, analyzing diabetes patient data, establishing treatment pathways, providing refresher and foundation level courses, and offering two advanced level training courses (PITstop and PREDICT) with mentorship support to help trainees achieve competencies. The goals are to register all clinicians on a training needs assessment system, use data to improve practice engagement, standardize treatment protocols, and expand course offerings based on needs assessment results.

1. GP and Nurse Education
Model for Diabetes Type 2
Sumaira Tabassum

2. 7 steps to improved quality
• Training Needs Assessment
• Diabetes HES/ QoF data
• Diabetes Treatment Pathways
• Refresher training sessions and foundation level training courses
• Advanced level training course (PITstop)
• Advanced level training course (PREDICT)
• Mentorship to support PITstop and PREDICT competencies

3. Training needs assessment (TNA)
• To be rolled out early next year.
• Every GP, Nurse and HCA details to be
registered onto the system by the end of this
year.
• TNA dashboard to be visible centrally to plan
future training events.
• Suitable for use during individual appraisals.

4. Diabetes HES / QoF data
• Data to be analysed to support and improve
engagement with practices.
• E.g. practice level data length of stay, number
of patients not achieving set HBA1c targets.

5. Diabetes treatment pathways
• Insulin pathway
• Oral hyperglycaemic pathway
• Blood glucose testing guidance

6. Refresher training sessions and foundation
level training courses
• NPH insulins
• Oral hyperglycaemics refreshers
• Access to Birmingham Community Health
Training via Dr Malik
• Other courses/ sessions added as per TNA
• Foundation level course- early next year.

7. Advanced level training- PITstop
and PREDICT
• RCGP accredited
• Structured training courses
• Competency based assessments
• Comprehensive content
• Why 2? Different ways of learning to suit and
because of high demand for advance level
training.

8. Mentorship
• Independent diabetes specialist nurse to give
hands-on support to all students enrolled onto
the 2 advanced level courses. Mentorship will
support the competency sign off for both
courses.