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QI 1331 Improving hospital identification of Type 1 diatetes and and disordered eating (HiT1DE)
Brookes, Eleanor Bloomfield, James Heaps, Charlotte Winston, Anthony Supported by the Quality Improvement Team, Coventry and Warwickshire Partnership Trust
Brookes, Eleanor
Bloomfield, James
Heaps, Charlotte
Winston, Anthony
Supported by the Quality Improvement Team, Coventry and Warwickshire Partnership Trust
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Affiliation
Coventry and Warwickshire Partnership NHS Trust
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Publication date
2025
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Abstract
Aim: To establish the effectiveness of screening patients with DKA in identifying those with previously undiagnosed eating disorders.
Young people with Type 1 Diabetes have elevated rates of eating disorders, resulting in increased complications and mortality. A 2024 UK Parliamentary report emphasises the importance of early recognition and intervention for Type 1 Diabetes with Disordered Eating (T1DE). While screening tools exist for T1DE, there is no overarching structure for screening, and at risk patients may not be approached to access appropriate support. Screening for T1DE offers an opportunity to identify patients who might otherwise not present to services and try to engage them in treatment. People living with Type 1 Diabetes are also recognised as having increased rates of other mental health problems compared to the general population. Liaison Psychiatry Teams can support Diabetes Services to assess mental health needs for patients with Type 1 Diabetes. This project assesses the value of T1DE screening combined with psychiatric assessment via outpatient liaison services.
Tools Used:
PDSA Cycles - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf.
Project Impact: The pilot demonstrates feasibility of screening and demonstrates unmet mental health needs of this population locally. Assessors are able to offer appropriate support plans for those referred. The screening process and clinic have strengthened collaboration between the Mental Health Liaison Team and local diabetes services. Patient feedback demonstrates the beneficial impact.
Citation
Brookes, Eleanor; Bloomfield, James; Heaps, Charlotte; Winston, Anthony. QI 1331 Improving hospital identification of Type 1 diatetes and and disordered eating (HiT1DE). Coventry and Warwickshire Partnership NHS Trust. 2025.
Type
Internal Poster