About the Service

We aim to deliver high quality specialist diabetes care in the community, the service focuses on patients with Type 1 and Type 2 Diabetes in primary and community settings using the optimal use of resources and innovative models of care which aim to empower and promote patient self-management.

How the Service is Provided

  • Consultant Led Multi-Disciplinary Clinics
  • Virtual Clinics
  • Annual Practice visits led by Consultant
  • Locality Link Diabetes Specialist Nurses
  • Community specialist Diabetes Dietitian
  • Joint consultations by DSNs and Dietitian
  • Diabetes Education for our Type 1 population [DAFNE] and Type 2 population [DESMOND] and Carbohydrate Awareness Course
  • Starting Insulin together [Group Sessions]
  • Learning Disability Diabetes Group Course

Meet the Team



St Albans and Harpenden


Contact Us

What will happen at your appointment

The aim is to empower and promote self-management of the client’s long term condition whilst referring and liaising with other health care professionals to improve outcomes.

Making a Referral

Please visit our Referrals page

Helpful Information for Patients

Please visit our Resources for Patients

Helpful Information for Professionals

Please visit our Resources for Professionals

Learning Disability Group Education: ‘Caring for my diabetes’ Course

This is a 5 week, 2 hour a week course designed to assist those patients with Learning Disability and Diabetes. It is appropriate for those who are newly diagnosed or have an established diagnosis. The course is run with the HCC Adult Disability Nurse Team in each of the 4 localities. Patients can attend with their carer(s), key worker or relative. The course is very visual and breaks down the changes to lifestyle on a weekly basis with some accountability. Referral into this course is through the SPOC form (available via DXS). Please select with the Patient Education and Learning Disability boxes. We are aiming to run at least one course in each area, each year and increase in frequency upon demand.

DESMOND for Non-English Speakers

This service involves the use of interpreters, and​ is something we are trialling at present time. Patients can be referred in and will receive structured education. Please make it clear on the SPOC referral form (via DXS) if English is not their first language. If group education is not the best option then this can be provided on an individual basis, with use of the interpreter service.

Carbohydrate Awareness Course

This popular course is run in the community and now within GP practices. This course is appropriate for patients who have received a diagnosis of Type 2 Diabetes over a year ago. These patients may have attended the DESMOND structured education programme in the past and looking to refresh their knowledge and awareness.  The course focuses on teaching people how to manage their carbohydrate intake and lifestyle to improve their glycaemic control. The session is very practical and works with small groups to enable them to reduce their carbohydrate intake and weight as necessary.

Group Insulin Start Groups

These courses are run over 2 weeks by the DSN and Diabetes Dietitian and enable people to transfer onto insulin with support. The course aims to increase knowledge and practice with insulin treatment aiming to minimise weight gain and improve dietary control at this crucial time. In the second week the patient has support with their control and to gain experience to manage their own diabetes with insulin.