A survey of staffing levels in paediatric diabetes services throughout the UK

被引：3

作者：

Charalampopoulos, D. ^{[1
]}

Amin, R. ^{[1
]}

Warner, J. T. ^{[2
]}

Viner, R. M. ^{[1
]}

Campbell, F. ^{[3
]}

Edge, J. A. ^{[4
]}

Stephenson, T. ^{[1
]}

机构：

[1] UCL, UCL Great Ormond St Inst Child Hlth, London, England

[2] Childrens Hosp Wales, Dept Paediat Endocrinol & Diabet, Cardiff, S Glam, Wales

[3] Leeds Teaching Hosp NHS Trust, Leeds Childrens Hosp, Leeds, W Yorkshire, England

[4] Oxford Childrens Hosp, Dept Paediat Endocrinol & Diabet, Oxford, England

来源：

DIABETIC MEDICINE | 2018年 / 35卷 / 02期

关键词：

GUIDELINES;

D O I：

10.1111/dme.13550

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims To assess staffing levels of healthcare professionals involved in the care of children and young people with diabetes in the UK. Methods A web-based questionnaire was distributed to lead consultant paediatricians from all paediatric diabetes services in the UK between October and December 2014. Data on staffing levels and other aspects of diabetes services were collected and differences between the four nations of the UK and across the 10 English diabetes networks were explored. Results Some 175 services (93%) caring for 29711 children and young people aged 24years with diabetes participated in the survey. Northern Ireland and Wales had the lowest ratio of total staff to patient population. Nursing caseloads per one whole-time equivalent (WTE) nurse ranged from 71 patients in England to 110 patients in Northern Ireland with only 52% of the UK services meeting the Royal College of Nursing recommended nurse-to-patient ratio of >1:70. Scotland and Northern Ireland had the highest ratio of consultants and fully trained doctors per 1000 patients (3.5 WTE). Overall, 17% of consultants had a Certificate of Completion of Training in Endocrinology and Diabetes. Some 44% of dietitians were able to adjust insulin dose. Only 43% of services provided 24-h access to advice from the diabetes team and 82% of services had access to a psychologist. Staffing levels adjusted for volume were not directly related to glycaemic performance of services in England and Wales. Conclusions Wide variations in staffing levels existed across the four nations of the UK and important gaps were present in key areas.

引用

页码：242 / 248

页数：7

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