The prevalence of diabetes in Scotland is increasing. Nearly one fifth of patients in hospital have diabetes, and these patients, due to complications in their care, often have a longer length of stay than patients without diabetes.

Service Description

Diabetes – think, check, act aims to improve the clinical safety, patient experience and efficiency of diabetes care for adult patients admitted to hospital with secondary diagnosis of diabetes. Results in test sites (NHS Lothian, NHS Greater Glasgow and Clyde) have included a reduction in the rate of hypoglycaemia events (where a patient has low blood sugar) of 20% and an increase in the appropriate management of hypoglycaemic events by 50%. The outcome of this is a reduction in length of stay. This programme is now sustaining and spreading the learning from this work beyond the test sites to more NHS boards across Scotland.

The NHSScotland Inpatient Diabetes Conference in Stirling on 9 September 2016 brought together colleagues from all over Scotland to share innovation and experience within the acute care setting. We were delighted to welcome Neera Agarwal from NHS Wales and Rustam Rea from Oxford University Hospitals NHS Foundation Trust.

Each speaker’s slides are available for download below. Please feel free to share them with any colleagues who were unable to attend. 

Dr Babu Mukhopadhyay


Brian Kennon


Debbie Voigt


Dr Geraldine Brennan, Ms Connie Sharrock


Jane Cook


Dr Neera Agarwal


Ruth Burns


Dr Rustam Rea


Dr Stuart Ritchie


Susan D Siegel


Tomoyo Fujiwara


This programme is now sustaining and spreading the learning from this work beyond the test sites (NHS Lothian and NHS Greater Glasgow and Clyde) to all NHS boards across Scotland.


NHS Boards

Benefits of programme

To date, Diabetes- think, check, act has successfully piloted approaches to improving inpatient diabetes care across test sites in NHS Scotland. Within these test sites the project has demonstrated significant improvements to inpatient care whilst also delivering increased efficiency through a reduction in length of stay.


Tom McCarthy