Themes: Inequalities, community engagement, service design, primary care
Some of the people most affected by diabetes are also the least visible in our services: frail older adults who are housebound or living in care homes, reliant on others for their daily care, and navigating diabetes alongside multimorbidity, poverty, ethnicity-related inequalities, and limited access to health services. Their care is often delivered at the edges of the system by community nurses, care providers, pharmacists, and overstretched teams, yet their needs are rarely centred in diabetes education, guidelines, or service design.
This interactive multidisciplinary session shines a light on this overlooked population. Bringing together perspectives from system leaders, physicians, pharmacists, nurses, and dentistry, the session will explore how social determinants of health translate into real barriers to diabetes care, and how professionals across sectors are responding.
Themes will include the realities of supporting people dependent on community and care-home services; the role of deprescribing and appropriate escalation in the context of frailty; and the frequently neglected issue of dental health and nutrition in people with diabetes who are functionally and socially vulnerable. Through practical examples and shared discussion, delegates will gain insight into how to recognise, advocate for, and better support some of the most marginalised people living with diabetes in the UK today.
Talk 1 - Inequality in plain sight: Why care-dependent older adults with diabetes struggle to access the care they need
Dr Srikanth Bellary, Reader (Metabolic Medicine), Aston University, Birmingham & Consultant (Diabetes and Endocrinology), University Hospitals Birmingham NHS Foundation Trust
Talk 2 - Redesigning community diabetes care: GIRFT initiatives for frail adults and an overstretched workforce
Professor Gerry Rayman, GIRFT Diabetes Co-Lead, NHS England; & Consultant Diabetologist, Diabetes Centre and Diabetes Research Unit, Ipswich Hospital
Talk 3 - When less is more: optimising diabetes therapy in ageing, frailty and care-dependency
Anna Hodgkinson, Consultant Specialist Pharmacist (Diabetes), Guy's and St Thomas' NHS Foundation Trust. & Diabetes Pharmacist Representative, United Kingdom Clinical Pharmacy Association
Talk 4 - 'caught in the middle: prescribing decisions for care-dependent adults with diabetes and advancing chronic kidney disease'
Hellena Habte-Asres, Diabetes specialist research nurse in Diabetes and Chronic kidney disease, Royal Free Hospital, London
Talk 5 - 'The missing piece: dental care access for care-dependent older adults living with diabetes'
Chairs: Professor Alan Sinclair, Professor in Diabetes Care, Kings College London & Director of Foundation for Diabetes Research in Older People