Diabetes is a long-term condition that requires regular monitoring and management to prevent serious complications. The 9 Care Processes are essential health checks recommended by the NHS to ensure that people with diabetes receive the best possible care. These checks help detect early signs of complications, allowing for timely intervention to prevent future health issues.

What are the 9 Care Processes?

The 9 Care Processes are a set of key health checks that should be carried out annually for people with diabetes. These checks help monitor your diabetes control, assess your risk of complications, and ensure that you receive the right treatment and support.

  1. Blood Pressure Check – High blood pressure increases the risk of heart disease, stroke, and kidney disease. Regular monitoring helps keep it within a healthy range.
  2. Blood Glucose (HbA1c) Test – Measures your average blood sugar levels over the past two to three months to assess diabetes control and reduce the risk of complications.
  3. Cholesterol Check – High cholesterol increases the risk of heart disease and stroke. Monitoring helps manage cardiovascular risk.
  4. Kidney Function Tests (Urine Albumin and Blood Creatinine Test) – Checks for early signs of kidney disease, allowing for early treatment to prevent further damage.
  5. Eye Screening (Diabetic Retinopathy Screening) – Identifies early signs of damage to the blood vessels in the eyes, preventing vision loss if treated promptly.
  6. Foot Examination – Assesses the health of your feet, checking for nerve damage, poor circulation, and risk of ulcers.
  7. Body Mass Index (BMI) Measurement – Helps assess your weight and its impact on diabetes management and overall health.
  8. Smoking Status Check – Identifies smoking habits, which can significantly increase the risk of complications such as heart disease and circulation problems.
  9. Emotional Wellbeing and Diabetes Education – Addresses mental health, lifestyle support, and diabetes education to help manage the condition effectively.

Why are the 9 Care Processes important?

Regular completion of these 9 care processes is crucial because:

  • Prevents complications: Early detection of high blood pressure, kidney disease, and nerve damage can prevent serious health issues such as heart disease, stroke, and amputations.
  • Reduces risk of hospital admissions: Proper management of diabetes reduces the likelihood of emergency hospital visits due to complications.
  • Improves quality of life: Keeping diabetes under control through regular health checks helps maintain energy levels, prevent discomfort, and promote overall well-being.
  • Supports personalised care: Monitoring key health indicators allows your healthcare team to adjust your treatment plan and offer personalised advice.
  • Prevents vision loss: Diabetic eye screening can detect early signs of retinopathy before vision is affected, preventing blindness.

How can you ensure you receive the 9 Care Processes?

  • Attend your annual diabetes review with your GP or diabetes team.
  • Keep track of your test results and ask questions about any changes.
  • Follow your treatment plan, including medications, diet, and lifestyle changes.
  • Book your eye screening appointment every year.

Speak to your healthcare provider if you notice any changes in your health