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The role of joint working between primary and secondary care in supporting people with type 1 diabetes

Key points • People with Type 1 Diabetes are at high risk of acute and chronic complications due to the long duration of the disease and high glucose variability • All patients with Type 1 Diabetes should have access to specialist care and the wide range of treatments as described in NICE guidance • The traditional model of regular attendance at specialist clinics is not effective for all patients with Type 1 Diabetes, particularly those who are regularly attend the emergency department and do not engage with primary or secondary care • Enablers of joint working include articulating shared outcomes, a shared clinical record, rapid and easy communication between primary and secondary care and other services such as mental health care