Diabetes services (adult and children)

Who the service is for

Patients with metabolic and endocrine diseases.

Outpatient services

We run the following outpatient clinics:

Dedicated diabetes and endocrine clinics
Foot clinics for patients with complications of diabetes
Adolescent clinics for transition of paediatric to adult services
Gonadal clinics
Testosterone implant clinic
Joint Antenatal/gestational clinics
Hirsuitism Polycystic Ovarian Syndrome
Inpatient services

Our team of diabetes specialist nurses provide inpatient support to all patients with diabetes in Basildon University Hospital and The Essex Cardiothoracic Centre (CTC).

The services include:

Diabetes foot disease
Retinal screening
Calcium disorders
Lipid disorders
Antenatal
Adolescent services
Thyroid/pituitary/adrenal disorders
Gonadal/erectile dysfunction clinics
Nurse led renal/diabetes services

Contact

Diabetes specialist nurses: 01268 524900 ext 4817
Endocrine department: 01268 524900 ext 8717 or ext 3502

Mid Essex integrated diabetes service works in partnership with PROVIDE (formerly known as  Central Essex Community Services) to deliver an integrated care pathway.

The hospital based component of the diabetes service provides highly specialist care for patients with Type I and Type II Diabetes Mellitus, on both an in- patient and an out -patient basis.

Patients benefit from a comprehensive service that includes Diabetologists, Nurse specialists, specialist Dieticians, podiatry and  specialist  foot wear

The joint diabetes / obstetric ante-natal clinic is held on level 4 of the PFI wing at Broomfield Hospital.
 
The team works closely with the paediatric service to deliver transition care.  

Contact Details
Tel 01245  516371 

Fax 01245 516380

Mid Essex Diabetes Centre, West Wing 2, Broomfield Hospital, Court Road, Chelmsford CM1 7ET

Referrals 

Referrals to the diabetes clinics should be made via the GP to the department for:

Type 1 patients
Any Patients with diabetes related complications including diabetic nephropathy
Insulin pumps
In-patients 
Foot care
Ante-natal clinic
In-patients

Consultant Diabetologist
Endocrine and in-patient diabetes

Diabetes Specialist Nurses (DSN)
For assessment and education 
For out-patients via letter or fax from GP or Practice nurse)
For in-patient care ( via Ordercomms)

The DSN team have special interest areas as follows:

Lead Nurse - interest in  renal diabetes (Haemodialysis, PD) ante-natal care,  CGMS and insulin pumps
Pre-conceptual and ante-natal care, CGMS and insulin pumps
In-patient care with an interest in Erectile dysfunction, insulin pumps
Adolescents and young people with Type 1 diabetes
In patient care and Education
In-patient care 

Nutrition and Dietetics

For assessment and education 
For out-patients via letter or fax from GP or Practice nurse

The Nutrition and Dietetic Team and special interest areas are as follows:

Clinical Manager for dietetics - special interests in ante- natal care and BERTIE education
Special  interest in Type 1 education (BERTIE) and weight management 
Special  interest in ante natal care
Adult and children’s diets

Podiatry 

Lead and Senior Podiatrist
Referral for in-patient diabetes related foot-care is via the ordercomms system or for toe nail service (for patient who have extended admissions only) by fax to diabetes centre
Out-patient referral via the community podiatry clinics depending on locality

Diabetes Specialist Midwife

Bleep #6555 1490
Referrals taken via fax 01245 516380 or telephone 01245 516371 
All women with newly diagnosed gestational diabetes 
Newly pregnant women with existing Type 1 and Type 2 diabetes

Other services include: 

New patient diabetic assessment, Consultant and/or senior DSNs
Telephone advice for admission avoidance and treatment titration
Telephone advisory service for patients and Primary care health care professionals.
In-patient care  
Email to diabetes nurses (DSNs) for current patients
Education programme for Type II patients, including insulin conversion
Education programme for Type I patients with diabetes (BERTIE)
Continuous Blood Glucose monitoring
Education for both primary and secondary staff
Insulin pump service
Pre-conceptual care clinic

Children’s Diabetes Service

The team is a specialist diabetes service provided jointly by the acute hospital (MEHT) and community services (Provide), for children and young people 0-18 years age range within the local catchment areas.

This is an integrated service based in the acute hospital setting with on-going support and management conducted in the community. The specialist diabetes team provides a service for children with Type I and Type II Diabetes Mellitus, in both an inpatient and community setting.
Diabetic children benefit from a comprehensive service that includes Paediatric Consultants, Children's Diabetes Nurse specialists, Specialist Dietician, Podiatry, and access to the Psychotherapy and Counselling Service. We acknowledge that children and young people with the help of their parents require a holistic (seamless/whole) approach to their care and education.
The team provides flexible age-related support to ensure the wellbeing of the child and to encourage the young person to participate in all normal activities at home, school and through their personal life to maintain a healthy life-style.
We maintain close links with the adult diabetes service and we support our young adults in the transitioning of their care.

Diabetes Team

The Children’s Diabetes Specialist Nurses are based at Wren House, Hedgerows Business Park, Colchester Road, Chelmsford, CM2 5PF

The consultant paediatricians and dietitians are based in Broomfield Hospital NHS Trust, Court Road, Chelmsford Essex CM1 7ET

Provide Team Secretary - 0797 068 0968 (Tues - Fri)

Mid Essex Consultant Paediatricians’ Secretary - 01245 513010 (Monday - Friday)

Mid Essex Diabetes Administrator - 01245 362000 using extension 3331 (Monday- Friday)

Children’s Diabetes team email - mse.broomfieldcdt@nhs.net

Paediatric secretaries email - mse.mehtpaediatricsecretaries@nhs.net

Children’s Diabetes Dietitians 

Our team comprises of a specialist paediatric dietitian (specialising in diabetes and general dietetics) and/or a diabetes dietitian (working in both adult and paediatric caseloads). 

Email: mse.broomfieldcdtdietitians@nhs.net

Call: 01245514451. 

 

Children’s Diabetes Specialist Nurses

Anna Owen (Team Lead) - 07580 912610 (Monday - Friday) or email annelita.owen@nhs.net

Brady Ramsay (Children’s Diabetes Specialist Nurse) - 0758 091 2269 (Monday - Friday) or email brady.ramsay@nhs.net

Out of Hours on call number (5pm - 9am week days, weekends and bank holidays) - 07880 500802

The Children's Diabetes Consultants are based in Phoenix Ward (E122):

• Dr Sharon Lim - Consultant Paediatrician
• Dr Sharmila Nambiar - Consultant Paediatrician

The Consultants can be contacted via the Paediatric Diabetes Secretary on extension 3010 or 01245 513010.

What do we provide?

Multidisciplinary Consultant led clinics are held twice monthly on Wednesdays and Fridays in the Children's Outpatients 101 Level 1 at Broomfield Hospital

• Home visits
• School / Nurseries Visits
• School staff training
• Education and support for families/children/young people Updates on diabetes for community health professionals We work in partnership with other agencies e.g. social and educational services
• Pump therapy service
• Diabetes Workshops

How do we help you?

By guiding, advising  and supporting parents to manage their child’s diabetes.  To encourage young people to develop independent management of their diabetes.  Our education and support is ongoing throughout our involvement with you.

Referrals

All children (0-18yrs) suspected of having diabetes mellitus should be referred by their family doctor on the same day to the Paediatric registrar to be seen on the  Phoenix assessment Unit at Broomfield Hospital. The Children's Diabetes team will be contacted straight away with every new admission. All children (0-16yrs) presenting in DKA(Diabetic ketoacidosis) to the Emergency department should be referred to the Paediatric registrar and treatment initiated by following the DKA integrated care pathway(DKAICP). 

Diabetes and endocrine

Diabetes, endocrinology and metabolism are based in the diabetes centre. Clinical services are provided by a team of consultants. Diabetes services are supported by our diabetes specialist nurses.

Diabetes

Our diabetes team includes two hospital-based diabetes specialist nurses who support those with pre-existing or newly diagnosed diabetes.

The department provides specialist inpatient care for new presentations of type 1, type 2 or secondary diabetes, hyperglycaemic and hypoglycaemic emergencies and comprehensive care for the complications of diabetes alongside other specialist teams.

Outpatient clinics provide routine care for patients with type 1, type 2 and secondary diabetes, a diagnostic assessment for possible familial diabetes mellitus (MODY or mitochondrial diabetes), managment of obesity and diabetes, and specific review of the control of macrovascular and microvascular risk factors. 

We work closely with the department of dietetics, running a weekly clinic together to consider overall metabolic control in diabetes, dyslipidaemia, hypertension and renal disease.  Our specialist nurses and dieticians run carbohydrate counting courses and supervise a local DAFNE programme for patients on intensive insulin regimes. Care of the diabetic foot is provided alongside our vascular surgeons and the wound care team.

We run specialist clinics to manage diabetes mellitus in pregnancy, transitional care of the adolescent and diabetic nephropathy. Pre-pregnancy counselling for diabetic patients is provided alongside our specialist diabetes midwife.

Contact - Diabetes centre: 01702 385350

Endocrine

Endocrinology is a specialist medicine which involves the study of glands that secrete hormones and the effect they have on the body. Sub-specialties include thyroid; thyroid oncology; lipid disorder and metabolic medicine.

Endocrinology reception: 01702 385350