Type 1 - Connect

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  • 1.  Have your say: Access to primary care after hours

    Posted 30 days ago

    Living with diabetes affects people at all times of the day and night, and it's critical that people can access the medical care they need, when they need them.

    The Australian Department of Health and Aged Care is undertaking a review of after hours primary care policies and programs. The Review will consider the need for primary care after hours services, the current state of after hours service provision and successful models of primary care after hours service provision.

    In order for Diabetes Australia to contribute to the Review, we're keen for you to share your thoughts:
    •    What's been your experience accessing medical services after hours? 
    •    Can you access multi-disciplinary care after hours?
    •    What works well?
    •    What should be improved?
    •    How do these enablers and barrier vary across Australia, and for different groups of people?
    •    What is (or should be) the role of telehealth and home visits in the after hours care system?
    •    What changes to after hours primary care policies and programs would be most effective in increasing after hours service provision?

    You can respond in a comment to this post, or email our national manager of advocacy, James Farrell, at jfarrell@diabetesaustralia.com.au. You can also contribute directly to the Review by completing this survey

    Thank you for your help with this.



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    Natasha, Ange and Erin

    Membership and Community Team
    community@diabetesaustralia.com.au
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  • 2.  RE: Have your say: Access to primary care after hours

    Posted 29 days ago

    I would like my Toowoomba diabetes services at the hospital to have oncall after hours support. Also there needs to be availability of free mental health services for newly diagnosed T1 diabetes patients, as they might need it straight away, this should be included in diabetes management team during the day and after hours. After care support should include Advice about insulin, the number of times I had questions to ask my de on a weekend. By time the diabetes services were available issue resolved it self. My diabetes educators and team only available Monday to Friday 8am to 5pm. So currently no help for after hours. 



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    Anne
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  • 3.  RE: Have your say: Access to primary care after hours

    Posted 28 days ago

    We cannot underestimate the importance of the right quality advice on diagnosis. The wrong advice about complications, instilling fear as a means of encouraging good practice can have long, long term adverse impacts. The shock that accompanies diagnosis can mean that people will be susceptible to incorrect messages (how ever well meaning) which will stay with them forever. How the newly diagnosed person should be treated will vary and that means best quality psychological care is essential in those initial consultations.



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    Gordon
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  • 4.  RE: Have your say: Access to primary care after hours

    Posted 27 days ago

    Hi Team,

    I have always found going to hospital with type one diabetes  challenging and posing huge difficulties with most doctors and surgeons.  
    I am still giving multiple dose injections and always speak with my endocrinologist for a detailed plan of insulin regime before surgery.  
    I have found that most nurses are confronted by dosages and are happy for me to give my needles which can be complex after reassessing the effects of surgery on the insulin.  
    I can only imagine how difficult it may be using an insulin pump before and after surgery. 

    A detailed plan of action must follow each type one into primary care, either being on a pump or MDI.  This should be done in conjunction with an endocrinologist and placed on the web  as part of the chronic health plan which is the first port of call in an emergency for all primary care patients.  For example, doses of insulin, which insulin to put into the pump et etc. 
    This plan certainly needs updating and reviewing once a year with an endocrinologist.  This could even be done with a bulked billed video consultation with an endocrinologist for those that find it difficult to get to an appointment.  



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    Michael
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