Community Diabetes Service
The Community Diabetes Service was established in 2010 to provide a Tier 3 diabetes service to patients of practices across the Royal Borough of Kingston. We deliver specialist care for patients with Type I and Type II diabetes over and above that which is normally delivered in General Practice. We work closely with our colleagues at Kingston Hospital, and Mark Spring, Consultant Endocrinologist provides direct clinical supervision for the service.
Services we offer include:
- Review and improvement of Type 1 and Type 2 diabetic control
- Full patient assessment
- Review of blood results, including blood glucose monitoring
- Review of diabetes medication and adjustment where required
- Patient education including lifestyle issues
- Insulin initiation
- GLP1 initiation
- Change of insulin regime
- Full Dietetic service (provided remotely via Video Consultation with a Specialist Diabetes Dietitian)
- Annual Diabetic review in line with the Diabetes LCS and NICE guidelines
- Medical review and treatment – blood pressure, lipids, CV risk factors
- Complications review and treatment
We operate monthly clinics from three locations across the borough;
- The Groves Medical Centre in the North of the Borough provides GPwSI and Nurse led reviews on the first Thursday of each month
- Merritt Medical Centre in the South of the Borough provides GPwSI and Nurse led reviews on the third Thursday of each month
The service is staffed by two GPs with a Specialist Interest in Diabetes; Dr Catherine Ramsey and Dr Mary Lourdusamy; a Specialist Nurse, Jan Marriott and a Dietitian, Georgina Goss. The clinical team are supported by Christine Griffin, our clinic administrator. Overall Service Management is provided by Alix Polley,
Referrals to the service are made by the patients registered GP and patients can be referred to see any or all of the clinical team depending on the type of diabetic input that is needed. The full referral criteria for the service can be accessed by clicking here.
When patients are seen in the service, the doctor that sees them has full access to their medical record, as held by their GP. This is on the basis that the patient gives their consent to access. This will allow the doctor to see any past history or current medications that may be affecting the condition being reviewed and also supports the seamless transfer of information between the Community Clinics and the patients own registered GP.