Enhancing diabetes care for the most vulnerable in the 21st century: Interim findings of the National Advisory Panel on Care Home Diabetes (NAPCHD)

A.J. Sinclair, S. Bellary, U. Dashora, A.H. Abdelhafiz, S. Rowles, L. Reedman, B. Turner, M. Green, A. Forbes, A. Middleton, P. Newland-Jones, H. O’Neil, K. Higgins, J. James, G. Rayman, J. Rayner, C. Newbert, S. Manley, J. Cheung, G. KaurD. Flanagan, P. Ivory, E. Castro, D. Parijat, K. Fernando, J. Bullion, P. Scanlon, S. Thirkettle, L. Ellison, R. Hammond, J.A. Wilson, L. English, D. Lipscomb, B. Allan

Research output: Contribution to journalArticlepeer-review


Older adults with diabetes may carry a substantial health burden in Western ageing societies, occupy more than one in four beds in care homes, and are a highly vulnerable group who often require complex nursing and medical care. The global pandemic (COVID-19) had its epicentre in care homes and revealed many shortfalls in diabetes care resulting in hospital admissions and considerable mortality and comorbid illness. The purpose of this work was to develop a national Strategic Document of Diabetes Care for Care Homes which would bring about worthwhile, sustainable and effective quality diabetes care improvements, and address the shortfalls in care provided. A large diverse and multidisciplinary group of stakeholders (NAPCHD) defined 11 areas of interest where recommendations were needed and using a subgroup allocation approach were set tasks to produce a set of primary recommendations. Each subgroup was given 5 starter questions to begin their work and a format to provide responses. During the initial phase, 16 key findings were identified. Overall, after a period of 18 months, 49 primary recommendations were made, and 7 major conclusions were drawn from these. A model of community and integrated diabetes care for care home residents with diabetes was proposed, and a series of 5 ‘quick-wins’ were created to begin implementation of some of the recommendations that would not require significant funding. The work of the NAPCHD is ongoing but we hope that this current resource will help leaders to make these required changes happen.
Original languageEnglish
Article numbere15088
Number of pages10
JournalDiabetic medicine
Issue number8
Early online date31 Mar 2023
Publication statusPublished - Aug 2023

Bibliographical note

Copyright © 2023 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.


  • AGE
  • care delivery
  • care homes
  • clinical diabetes
  • education
  • elderly


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