Chapter 74
The Role of the Multidisciplinary Team across Primary and Secondary Care
Samuel Seidu,
Kamlesh Khunti,
Samuel Seidu
Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK
Search for more papers by this authorKamlesh Khunti
Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK
Search for more papers by this authorSamuel Seidu,
Kamlesh Khunti,
Samuel Seidu
Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK
Search for more papers by this authorKamlesh Khunti
Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK
Search for more papers by this authorBook Editor(s):Richard I.G. Holt MA, MB BChir, PhD, FRCP, FHEA,
Allan Flyvbjerg MD, DMSc,
Richard I.G. Holt MA, MB BChir, PhD, FRCP, FHEA
Professor in Diabetes & Endocrinology Faculty of Medicine Honorary Consultant Physician
Human Development and Health
University of Southampton, Southampton, UK
Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Search for more papers by this authorAllan Flyvbjerg MD, DMSc
Former CEO at Steno Diabetes Center Copenhagen (SDCC) Professor of Clinical Endocrinology
The Capital Region of Denmark
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Search for more papers by this authorFirst published: 12 January 2024
Summary
The management of the multiple cardiovascular risk factors in diabetes care requires multidisciplinary teams. The multidisciplinary teams should ideally include appropriately trained staff such as orthoptists, podiatrists or podiatric surgeons or both, vascular surgeons, orthopaedic surgeons, diabetologists, microbiologists, radiologists, diabetes specialist nurses, ward link nurses, and consultants in pain management with an interest in diabetic neuropathy. Multidisciplinary primary care teams, led by the generalist, therefore have a fundamental role in the prevention and identification of diabetes, as well as in routine care at a level that fits with their competencies. In primary care, their role could be advising those at risk of diabetes and those with newly diagnosed diabetes on the appropriate dietary requirements. Diabetes programs can include community health workers in the multidisciplinary teams in various roles. Community health workers' knowledge of their language, culture, and geographical communities can be used to coordinate care in partnership with healthcare systems.
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