As part of the Scottish Diabetes Group, we have multiple sub-groups focusing on projects related to unscheduled and emergency care. Many of the commitments within the Diabetes Improvement Plan will have secondary outcome measures aiming to reduce attendances at A&E and out of hours care. Measures are continuously being developed as we utilise data within the diabetes dashboard. The Scottish Diabetes Group continues to review these projects to ensure we are always targeting the most appropriate stages of the pathway.

The information requested is not held centrally.

The information requested is not held centrally.

I refer the member to the answer to question S6W-14393 on 9 February 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

As part of the implementation of the Diabetes Improvement Plan, we funded a Diabetes Improvement Lead post. The primary aim of this role was to support the sub-group chairs and key stakeholders to utilise data from the diabetes dashboard and implement quality improvement methodology across their programmes of work.

One example of this is the development of the quality index scoring system to enable teams to share learning and make best use of the SCI-Diabetes data. Other examples include mapping of current education processes across Scotland and ongoing tests of change to identify ‘Once for Scotland’ pathways for the delivery of diabetes education.

This information can be found as part of the Scottish Diabetes Survey. The Scottish Diabetes Survey provides an annual summary of key issues and trends in diabetes care and treatment in Scotland and can be found by following link: https://www.diabetesinscotland.org.uk/publications/#survey-docs.

The Scottish Diabetes Survey 2021 is due to be published this month, February 2023.

I refer the member to the answer to question S6W-14415 on 9 February 2023. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

In 2021, the Scottish Diabetes Group commissioned a short life working group to produce recommendations on mental health screening and pathways for people living with diabetes. They published their recommendations in February 2022 and the Scottish Diabetes Group continues to work with clinicians, NHS Boards and wider Mental Health policy teams to determine the best routes of implementation.

Mental health and wellbeing awareness for health professionals will also form part of the ‘Once for Scotland’ Diabetes Education Pathways, which are currently being developed by a short life working group formed through the Scottish Diabetes Education Advisory Group (SDEAG).

As part of the Scottish Diabetes Group, we have a sub-group working specifically on pregnancy related projects. To date, they have supported the Scottish Health Technologies Group to develop up to date guidance which now allows the use of Continuous Glucose Monitors during pregnancy.

The Scottish Diabetes Education Advisory Group (SDEAG) has established short life working groups which are currently developing a ‘Once for Scotland’ education pathway for Type 1 and Type 2 diabetes.

For women living with Type 2 diabetes, the redesign of educational pathways will have a specific focus on pregnancy. Understanding and awareness of the hormonal changes related to insulin are crucial to improving pregnancy outcomes for these women and will be considered as part of the redesign work.

Officials meet regularly with Diabetes Scotland in order to identify areas of shared interest and opportunities for collaboration. Representatives from Diabetes Scotland sit on the Scottish Diabetes Group (SDG) and its sub-groups.

The Scottish Government has funded the ALLIANCE to develop a network of people living with diabetes. The experience of people within this network is key to the success of implementing the Diabetes Improvement Plan.

People living with diabetes are represented on SDG sub-groups and are co-producing specific pieces of work such as the diabetes education pathways and prescribing guidelines.