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| 01 Father army. Educated abroad. 11 schools. Boarding school to get qualifications for nursing training. | |
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| 02 SRN training, St. George’s, 1964-7. Then one year as staff nurse in diabetes ward - St. George’s required 4 years. Nowadays nursing degrees, but little practical knowledge. | |
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| 03 Our training - 2 months PTS, then wards, supervised by ward sister. Nightingale wards at Tooting. Competency in every procedure tested. Injections worried nurses – barbed needles. | |
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04 Practical experience important.
Saw diabetics mostly in comas. No blood sugar monitoring. Urine testing imprecise. | |
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05 Nurses dreaded injections - units of 20, 40 & 80 – mistakes. Fewer mistakes than now, because workforce constant, nursing valued, matron helped, proud of ward & hospital.
Didn’t see outpatients. Diabetics on wards often died. | |
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06 After St. George’s, married surgeon. Moved to Hastings. Ward for fractured hips. Then job making ward safe for general surgical.
10 year career break. Moved to Sheffield. Worked briefly in operating theatres. Offered job by GP… | |
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| 07 …became practice nurse. Already had diabetes session - research programme discharged hospital clinic patients. Mixed population. Part-time, but didn’t feel it – only nurse. Practice manager. Training practice for GPs. | |
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| 08 Practice nurses & managers new. I set up meetings with other practice nurses. (National Practice Nurses’ Conference, Sheffield, 2007.) Learnt general practice is business. Rebuked for amount spent on dressings etc. – I proved only 1p per patient! | |
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| 09 When research programme discharged hospital clinic patients, many thought they’d been cured. I set up diabetes register. Home visits. Mostly Type 2. Type 1 went to hospital. | |
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10 Practice nurse 1980-5. Gradually more involved in diabetes - John Ward’s unit, Hallamshire Hospital. Met with him & GPs. Around 1983, hospital group education sessions. Early diabetes training programme run by Janet Kinson.
Then got 3-year grant to research Sheffield GPs’ diabetes services – published in BMJ. | |
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11 Turf wars - hospitals v. GPs.
Janet Kinson’s course trained general nurses as specialists. Important in1980s - DSNs, blood glucose monitoring, U100 insulins. | |
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| 12 During research 1985-8, provided educational materials, learnt re different care standards. Learnt more re business – GPs could make money from having practice nurse & diabetes clinic. | |
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| 13 Got job as diabetes nurse specialist co-ordinator – specialist & primary care. Set up diabetes course at college of nursing - later became diploma. Based at Northern General, where Colin Hardisty established diabetes centre – just me, another nurse & volunteers… | |
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| 14 Education sessions. Space for distressed. Other staff came from outpatients to see individuals or address groups. Less a ‘cattle market’ than outpatients. | |
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15 Large outpatients clinics continued, but nurses taking over tasks reduced waiting. In ‘90s, people rejected same-time appointments.
1988-99 - more physicians, specialist nurses & training - & eye screening programme. Co-operation. | |
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| 16 1999 - set up Primary Care Diabetes UK. Then Warwick Diabetes Care – became Director of Education. Formal career ended 2001. | |
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| 17 Diagnosed myself, 1999, when taking blood sugars as part of training course. Next exercise: how to manage newly diagnosed woman! | |
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| 18 Participants had good ideas, but helped most by man who put arm round me. Very upset. | |
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| 19 Poor control for 2 years. Not conventional Type 2 – pancreatitis as child. Needed insulin. GP no longer wanted to treat me. | |
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| 20 Care changed since Quality Outcomes payments. GPs paid for ticking boxes. More likely to prescribe insulin for good control. Testing good, but need personal care & education too. | |
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| 21 Although knew re diabetes, knew nothing re own diabetes. People who’ve helped most - others with diabetes. PROUD – Professionals United by Diabetes. | |
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| 22 Basic training improved. 2 biggest improvements – preventing amputations & blindness. | |
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| 23 Locally, nurses’ diabetes course gone. No money for nurses’ education. National Service Framework for Diabetes, 2000, requires competent workforce. Successful businesses train workforce. Not NHS. | |
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