The Community Diabetes Service was established in 2010 to provide a Tier 3 diabetes service to patients of practices across the Royal Borough of Kingston.

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We deliver specialist care predominantly for patients with Type II Diabetes over and above that which is normally delivered in General Practice.

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The service is provided by an experienced clinical team comprising;

• Consultant Endocrinologist, Mr Mark Spring;

• GP with Extended Roles (GPwER) Dr Catherine Ramsey

• Diabetes Nurse Specialist’s Jan Paish & Natalie Blackie

• Dietitian, Marialice Albertini.

The clinical team are supported by Christine Griffin, our clinic administrator and overall Service Management is provided by Alix Polley.

 

We operate monthly clinics from two locations across the borough:

• CI Tower in the North of the Borough provides GPwER and Nurse led reviews on the first Thursday of each month

• Merritt Medical Centre in the South of the Borough provides Consultant, GPwER, Nurse and Dietitian led reviews on the second, third and fourth Thursday of each month

 

Your GP can refer you directly to this service, and you will typically be seen within four to six weeks.

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Services we offer include:

• Review and improvement of Type 2 diabetic control

  • Full patient assessment

  • Annual Diabetic Review in line with the Diabetes LCS and NICE guidelines

  • Review of blood results, including blood glucose monitoring

  • Review of diabetes medication and adjustment where required

  • Patient education including lifestyle issues

• Insulin initiation

• GLP1 initiation

• Change of insulin regime

• Full Dietetic Service (Merritt Medical Centre ONLY)

• Medical review and treatment – blood pressure, lipids, CV risk factors

• Complications review and treatment

 

‍When patients are seen in the service, the clinician that sees them has full access to their medical records, as held by their GP. This is on the basis that the patient gives their consent to access. This will allow the team to see any past history or current medications that may be affecting the condition being reviewed and also supports the seamless transfer of information between the Community Clinics and the patients own registered GP.

 

Referrals to the service are made by the patient's registered GP and patients can be referred to see any or all of the clinical team depending on the type of diabetic input that is needed.

The full referral criteria for the service can be accessed by clicking here.