Long term conditions including type 2 diabetes

Question 1

what are long term conditions

Answer 1

requires ongoing medical care, limits what one can do and is likely to last more than one year

Question 2

what is the impact of long term conditions

Answer 2

80% of all NHS resources
80% of GP consultations
clearly linked to deprivation
2 million Scottish people

Question 3

what are the features of Scotland’s mutual care model for LTCs

Answer 3

A culture which supports people with LTCs and their carers to be the lead partners in decisions about there health and wellbeing
A workforce that has awareness, environment, knowledge skills and capability to enable people to live well with their conditions
Health, housing, social services, community and voluntary partners work together with people with long term conditions and their families“

Question 4

what is SPARRA

Answer 4

Scottish patients at risk of readmission and admission

Question 5

what are the features of SPARRA

Answer 5

Admission
•Identify those patients aged over 65 most at risk of emergency admission in the coming year
•Feed back probabilities and details of patients to front-line teams
As basis for:
•Further assessment to identify those patients who will benefit most from preventive interventions e.g. intensive case management

Question 6

describe a holistic approach to case management

Answer 6

clinical management
proactive anticipatory care
patient carer empowerment
coordination 
strategic direction 
quality of life
right place
right people 
multi disciplinary

Question 7

what is the prevalence of diabetes in Scotland

Answer 7

5%

88% are DM2

Question 8

what is the age of onset of DM2 for someone with a BMI of 40

Answer 8

20 years

Question 9

what type of obesity is worst for diabetes

Answer 9

visceral obesity (abdominal)

reducing abdominal obesity increases insulin sensitivity

Question 10

describe ethnicity and obesity

Answer 10

for a given BMI, south Asians have a higher proportion of body fat than europeans

Question 11

what community models can be used to tackle obesity

Answer 11

healthy weight communities
breastfeeding support
walking clubs
community centres
parks 
total environment approach

Question 12

how can the law tackle obesity

Answer 12

taxes on fast food and sugary drinks

Question 13

how can we tackle obesity

Answer 13

encourage greater personal responsibility
encourage greater societal responsibility
encourage greater societal and personal legislation