A survey of staffing levels in paediatric diabetes services throughout the UK

D Charalampopoulos, R Amin, J T Warner, R M Viner, F Campbell, J A Edge, T Stephenson

Research output: Contribution to journalArticle (Academic Journal)peer-review


AIMS: To assess staffing levels of healthcare professionals involved in the care of children and young people with diabetes in the UK.

METHODS: A web-based questionnaire was distributed to lead consultant paediatricians from all paediatric diabetes services in the UK between October and December 2014. Data on staffing levels and other aspects of diabetes services were collected and differences between the four nations of the UK and across the 10 English diabetes networks were explored.

RESULTS: Some 175 services (93%) caring for 29 711 children and young people aged ≤ 24 years with diabetes participated in the survey. Northern Ireland and Wales had the lowest ratio of total staff to patient population. Nursing caseloads per one whole-time equivalent (WTE) nurse ranged from 71 patients in England to 110 patients in Northern Ireland with only 52% of the UK services meeting the Royal College of Nursing recommended nurse-to-patient ratio of > 1 : 70. Scotland and Northern Ireland had the highest ratio of consultants and fully trained doctors per 1000 patients (3.5 WTE). Overall, 17% of consultants had a Certificate of Completion of Training in Endocrinology and Diabetes. Some 44% of dietitians were able to adjust insulin dose. Only 43% of services provided 24-h access to advice from the diabetes team and 82% of services had access to a psychologist. Staffing levels adjusted for volume were not directly related to glycaemic performance of services in England and Wales.

CONCLUSIONS: Wide variations in staffing levels existed across the four nations of the UK and important gaps were present in key areas.

Original languageEnglish
Pages (from-to)242-248
Number of pages7
JournalDiabetic Medicine
Issue number2
Publication statusPublished - Feb 2018

Bibliographical note

© 2017 Diabetes UK.


  • Adolescent
  • Adolescent Health Services/statistics & numerical data
  • After-Hours Care/statistics & numerical data
  • Child
  • Child Health Services/statistics & numerical data
  • Consultants/statistics & numerical data
  • Diabetes Mellitus/blood
  • Glycated Hemoglobin A/metabolism
  • Health Care Surveys
  • Health Services/statistics & numerical data
  • Health Services Accessibility/statistics & numerical data
  • Humans
  • Nutritionists/supply & distribution
  • Pediatric Nurse Practitioners/supply & distribution
  • Psychology/statistics & numerical data
  • United Kingdom
  • Workforce
  • Young Adult


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