Diabetes is a progressive disease that affects approximately 14,000 people in the North Cheshire area alone.

Major landmark studies have shown that treatment targeted around the needs of individuals significantly reduces diabetic complications. We provide services at both Warrington and Halton hospitals and our philosophy is to support patients and health care professionals to manage care safely and effectively in both primary (community) and secondary (hospital) care. By helping you manage your diabetes we aim to prevent you needing to be admitted to hospital and ensure that all patients have support to manage diabetes at home or in the community where possible.

To achieve this aim, our team of diabetes specialist nurses deliver quality education for patients and other health care professionals. We also run clinics for complications caused by diabetes and do provide direct inpatient care if you do need to stay in hospital.

The team carry out a number of specialist clinics to support patients with diabetes:

• Pre-Conception and Pregnancy Clinic - Any woman with pre existing diabetes or who develops diabetes during pregnancy can be referred by their GP to this clinic based in Warrington Hospital antenatal department – the earlier in pregnancy the better. This is a specialist clinic run jointly by both the obstetric team (obstetrician and midwife) and the diabetes team – consultant (Dr Chattington), specialist nurse (Lesley Mills) and dietician. In order to reduce the risk of complications to mum and baby, patients will be seen monthly then weekly. Women, once pregnant will be given advice, support, have detailed scans during the pregnancy and will agree an individual management plan for their pregnancy and mode of delivery.
• Young Person’s (17-25 year old) Clinic - A Warrington hospital based clinic for anyone between the ages of 17 to 25 years with diabetes. Dr Chattington is the key consultant for this age group along with Jane Stamper – diabetes specialist nurse. Outside of the monthly clinic, Jane offers individual support for this age group across Warrington and Halton – be it face to face, by email or even via text messaging. This is a flexible way to support you at all times of the day. Our young persons service has been acknowledged as a service of excellence by the support charity Diabetes UK. This is the gold standard for supporting young people with diabetes. There is also a clinic at Halton Hospital with Dr Saunders.
• Erectile Dysfunction Clinic - A specialist nurse led clinic, where men who have diabetes and sexual dysfunction are referred directly either from their consultant or GP practice. Investigations, treatment options and psychosexual support can be given.
• See and Sort Clinic - A weekly, multi disciplinary team clinic for all new referrals to the hospital. This is run by a consultant diabetologist and supported by a specialist nurse and dietician. Patients are seen as new referrals and then seen again after eight weeks and 16 weeks to monitor and assess their care needs. After that time, you will either be referred back to primary care or given a follow up appointment for a consultant led diabetes clinic. There is also a clinic at Halton Hospital on Monday mornings with Dr Saunders, a Diabetes Specialist Nurse and a dietitian.
• Insulin Pump Assessments and Care Clinic - After appropriate assessment and educational input, these service offers NICE-compliant and local PCT-approved insulin pump training, with a view to NHS-funded long-term pump use in those individuals for whom a benefit is demonstrated. For pump users an ongoing clinic support of 3-4 monthly review is offered in the consultant led clinic and in between times in the Nurse led clinic. This clinic is for patients with Type 1 diabetes.

We also run clinic services for complex diabetes.

We also offer our My Diabetes education programmes for patients to help you manage your diabetes:

Type 1 diabetes

MyDiabetes is a 3 session face to face group course for people with type 1 diabetes who want to learn how to self manage their diabetes.  Where people with Type 1 diabetes are taught to match their insulin dose to their chosen food intake on a meal by meal basis. MyDiabetes provides 7.5 hours of structured group education and is delivered by specially trained diabetes specialist nurses and dieticians, to groups of between 10-14 people over a 3 week period on an outpatient basis. It is an evidence-based, evaluated, professionally delivered, quality assured, peer reviewed and audited education package for Type 1 diabetes.

Type 2 diabetes

MyDiabetes is a 3 session face to face group course for people with type 2 diabetes who want to learn how to self manage their diabetes. They are taught to be more aware of the affects of their food choices will have with this medications and lifestyle. MyDiabetes provides 7.5 hours of structured group education and is delieverd by specially trained diabetes specialist nurses and dietiticians, to groups of between 10-14 people over a 3 week period on an outpatient basis. This supports self care. People can self register for this programme. For further information contact:

Warrington 01925 251417

Email: gaynor.carr@bridgewater.nhs.uk

Warrington Hospital

The diabetes centre is situated on the first floor of the hospital in the Appleton Wing where it meets the Burtonwood Wing. It is open from Monday to Friday 9.00 – 5.00 pm daily. The diabetes specialist nurses run nurse led clinics from the centre and there is a podiatry (foot specialist) led foot clinic three times per week for any patient with diabetes who has been referred with an acute foot problem.

Halton General Hospital

The diabetes nurses office is on the ground floor of Halton General Hospital next to the ECG department. This provides diabetes specialist nurse led clinics and a rapid access clinic – held weekly for any patient to self refer if you need advice and support.

The diabetes team is made up of expert consultants alongside specialist diabetes nurses who are leaders in their field.

Most patients are referred from their GP to the service. The service provides fast access for first appointments through the see and sort clinics. Patients are then offered access to the right clinics for their specific requirements.

Diabetes Centre 
Appleton Wing First Floor 
Warrington Hospital
Warrington 
Cheshire 
WA5 1QG

Telephone1:
01925 662416