# data[].attributes.headline
Numbers of patients that require support and administration at home and the time sensitive nature.

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Numbers of patients that require support and administration at home and the time sensitive nature.

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increase in volume of referrals

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Patients being deconditioned whilst in hospital - losing their independence in insulin administration - end up being referred to DN's

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People who can self administer being admitted to hospital and discharged needing support.

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People who can self administer being admitted to hospital and discharged needing support.

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patients independence being taken from them in hospital

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patients independence being taken from them in hospital

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staff complacency and need to go back to the basics

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staff complacency and need to go back to the basics

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Reluctance to self care due to perceived needle phobia and the amount of time needed to address this

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Reluctance to self care due to perceived needle phobia and the amount of time needed to address this

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patients being on oral medication, getting admitted with an infection - started on low dose insulin, no follow up to stop the insulin when infection resolved

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Geographical spread of patients requiring timed administration

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Geographical spread of patients requiring timed administration

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Reduced staffing at weekends and bank holidays so not the same number of staff available to deliver the care

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Reduced staffing at weekends and bank holidays so not the same number of staff available to deliver the care

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link with our DN liaison nurses (where we have the service) to encourage self-care

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link with our DN liaison nurses (where we have the service) to encourage self-care

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linking with care agencies around times that food will be prepared and available to the patients to ensure administered in a timely manner to ensure good control

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linking with care agencies around times that food will be prepared and available to the patients to ensure administered in a timely manner to ensure good control

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Support from other teams to manage insulin administration.  May be health care support staff in specialist teams that could support some of these times interventions

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Support from other teams to manage insulin administration.  May be health care support staff in specialist teams that could support some of these times interventions

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Residential care homes to support with administration of insulin?

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Residential care homes to support with administration of insulin?

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support from GP's/Matrons/prescribers to review medications - EG low dose BD insulin being changed to OD insulin - takes pressure off peak times

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Linking with partners such as SCC, care agencies and residential homes to see what there future contracting and service planning are doing to consider how they could support around time sensitive interventions

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Linking with partners such as SCC, care agencies and residential homes to see what there future contracting and service planning are doing to consider how they could support around time sensitive interventions

# data[].attributes.headline
review the exceptions of insulin administration in residential care homes some patients requiring 3 x daily 

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review the exceptions of insulin administration in residential care homes some patients requiring 3 x daily 

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increase in the number od patients requiring tds or qds support

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increase in the number od patients requiring tds or qds support

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if you are struggling to recruit in dsn roles, could you look at using that funding to recruit a team of administrators of insulin...a big wish i know, but if a team could be put together for our long term stable patients, to admin insulin and review these patients weekly, 

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if you are struggling to recruit in dsn roles, could you look at using that funding to recruit a team of administrators of insulin...a big wish i know, but if a team could be put together for our long term stable patients, to admin insulin and review these patients weekly, 

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Quality checks within the team  individual management/care plans are completed timely and re assessed

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Quality checks within the team  individual management/care plans are completed timely and re assessed

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scheduled clinic appointments for non house bound?

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scheduled clinic appointments for non house bound?

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Ensure we ask the right questions on the new referral form.

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Ensure we ask the right questions on the new referral form.

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Further training for home first staff to administer insulin, often overlap with dn teams and patient receiving 2 services at once at the same time in the morning and evenings 

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Further training for home first staff to administer insulin, often overlap with dn teams and patient receiving 2 services at once at the same time in the morning and evenings 

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Community nursing teams could consider moving away from historical rota patterns and have equal staff spread across 7 days and no reduction in staffing at weekend.  This would mean different visiting schedules around house bound wound care, catheters ect 

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Community nursing teams could consider moving away from historical rota patterns and have equal staff spread across 7 days and no reduction in staffing at weekend.  This would mean different visiting schedules around house bound wound care, catheters ect 

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Develop insulin ISW services to undertake regular administration and have weekly reviews from DN team rather than daily visits may work around family friendly schools hours 

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Develop insulin ISW services to undertake regular administration and have weekly reviews from DN team rather than daily visits may work around family friendly schools hours 