Delivery of Specialist Community Diabetes Teams

Diabetes Ireland has launched its 2022 Pre-budget submission and is proposing 8 immediate actions for implementation which will improve the quality of life for over 225,000 people living with diabetes and reduce the long term costs of preventable diabetes complications. The submission is focused on a range of deliverable actions that are person-centred, cost effective and builds on existing HSE commitments to tackle chronic conditions including diabetes.


One of these Actions is the delivery of  Specialist Community Diabetes Teams

Enhanced Community Care

Enhanced Community Care

The HSE Winter Plan 2020 included provisions to commence a targeted reform programme, in line with the vision set out by Sláintecare, known as the ‘Enhanced Community Care Programme’ (ECCP). This programme aims to resource and scale-up community healthcare services including specialist chronic disease (Diabetes; Cardiology; Respiratory) services in line with the National Framework for the Integrated Prevention and Management of Chronic Disease.


Diabetes Ireland welcomes and gives its full support to these reforms in care and requests that the allocated funding be ringfenced and not reduced in any way.

As part of this initiative, funding has been secured to appoint specialist community diabetes teams to cover all community health networks across the country. These specialist diabetes teams are comprised of:

  • Clinical Nurse Specialists Diabetes Integrated Care
  • Senior Dietitians (Diabetes)
  • Staff Grade Dietitians (Diabetes Prevention)
  • Clinical Specialist, Senior and Staff Grade Podiatrists (Foot Protection)

In addition to these community posts, funding was also secured for a limited number of specialist diabetes posts in the acute setting comprised of:

  • Consultant Endocrinologist, Lead in Integrated Diabetes Care (2 in total linked to Cork University Hospital and University Hospital Waterford)
  • Advanced Nurse Practitioners (Diabetes)
  • Diabetes Dietitians (Mixture of staff grade and senior grade)

Community and acute specialist diabetes teams will work together to support their colleagues in General Practice to develop and implement ambulatory care pathways and to manage complex diabetes care, and associated co-morbidities, within the community setting (where appropriate) and in line with the Model of Integrated Care for Type 2 Diabetes. The diabetes community support this model of integration for all people with diabetes and is calling for the community diabetes teams to be appointed.


With the HSE Cyber breach still preventing answers to Parliamentary Questions from public representatives and the Dail going into summer recess, we have postponed our “call to action” where we will be asking members of the diabetes community to contact their local representatives on the issue(s) most relevant to them until late August/early September as the Dail resumes.


However, Diabetes Ireland contacted all TDs and Senators on Wednesday 14 July on behalf of our community asking them to make representations on all these issues on our behalf. Some of our active volunteers groups also followed up locally with their own local representatives. In late August/early September, we will need your help to highlight these issues once again in advance of the upcoming budget.

Please note there are many other important issues we plan to highlight and advocate for implementation  and we will be working with all stakeholders to do this in a strategic way going forward.



To read the full Pre Budget Submission, click here.

Become a member today, click here.