If you have been given an outpatient appointment at the hospitals and are unable to attend for whatever reason you can use the form below.
It is really important that you let us know of any changes as soon as possible. This means we can offer the original appointment to another patient.
Please complete the form below with your contact details and as much information as possible. You can find most of the information we need on your appointment letter.
If you have any problems using this form, please call the number on your appointment letter and we will do our best to help you. You will receive a response from us so you know it has been received and actioned.
If you wish to change the date and time of your appointment you, you can click the re-book option and state any dates that are not suitable for you, or you can contact us using the number on your appointment letter.
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.
There are many different clinics and activities which take place within the Diabetes department at Warrington Hospital and at other locations within Warrington and Halton Hospitals NHS Foundation Trust sites, as well as at other locations such as; Warrington Wolves, Bath Street Clinic in Warrington and Halton hospital
As a diabetes team our ethos is to focus on the individual and their diabetes. We try and do this as much as possible within the time frame of your appointment. With the exception of certain specialist clinics the time frames are structured as follows:-
New patient appointment – 30 minutes to 2 hours depending if you see all 3 team members
Follow-up appointment – 15 minutes
Nurse led Clinics – variable times
New patient clinics – When you are a newly referred to the diabetes service, usually by your GP or Practice Diabetes nurse, you will be seen in one of these clinics. These clinics take place at both Warrington and Halton outpatient departments. We generally plan for you to have 3 appointments within these clinics ( 1 new, 2 follow-up).These clinics are led by a Diabetes Consultant (+/-Diabetes specialist trainee) a Diabetes Specialist Nurse and a Specialist Diabetes Dietician. On your first visit you will usually see all three team members. If you need ongoing care, we try and transfer you to one of our specialist follow-up clinics; otherwise we aim to discharge you back to the care of your General Practitioner with a management plan in pace for you and your GP.
Diabetes Specialty Clinics – These are all follow-up clinics and take place at both hospital sites. More details are available within the relevant section on specialty clinics. They are led by a Diabetes Consultant. There is usually a Diabetes Specialist Nurse as well. Foot clinics would have a Podiatrist
Nurse Led Clinics- These clinics are Led by the Diabetes Specialist Nurses. Appointment times flex in accordance with the patient need in clinic. They take place at both Warrington and Halton Diabetes centres as well as specified clinics in the community.
Dietician Led Clinics - Our specialist diabetes dieticians work closely with the team. They are highly skilled in providing advice and support on particular nutritional aspects of diabetes care including Carbohydrate Counting, Weight Management and Coeliac disease for example. They run their own clinics where they can provide patient specific advice on dietary matters, as well as providing support to our clinics and educational courses.
When you are offered an appointment you will be seen in one the Outpatient Departments when our New Patient Clinics*are scheduled.
Clinic Schedules
We provide a mix of clinics on both hospital sites. The only clinic provided exclusively at Warrington Hospital is the Medical Obstetrics Clinic, which is run in conjunction with the obstetricians within the Women’s’ Health department of the hospital.
We aim to provide equity of care across the two sites.
The benefit you can gain from coming to Clinic will be greatly improved if you bring your Blood Glucose meter with you and any information you have about recent eye screening or foot screening appointments.”
Warrington Clinics*
Day
Morning ( 0900-1300 hrs)
Afternoon ( 1330-1730 hrs)
Monday
Diabetes Specialty Clinic
Diabetes Foot Clinic
Tuesday
Wednesday
Joint Medical Obstetrics Clinic
Thursday
Friday
New Patient Diabetes Clinic
Halton clinics are shown below
Halton Clinics*
New Patient Diabetes Clinics
This is the way all patients will become involved with the Diabetes Care Team.
In general terms, this clinic aims to give you 3 appointments over a period of 4 months. This allows a rapid assessment of your needs to take place and a treatment plan to address the areas suggested put in place and subsequently reviewed.
In this clinic, in most cases, you will see a Diabetes Consultant, a Diabetes Specialist Nurse and a Specialist Diabetes Dietician. This will definitely occur on your first visit, and may be with one, two or all three members of the team on subsequent visits. Please be aware of this and allow enough time for this in your attendance at clinic.
At the third clinic visit , we will discuss with you if you will benefit from continued input in one of the Diabetes Specialty Clinics, or whether your care can be continued in the community by you, your GP and the practice nurse. We do, of course, take your personal wishes into account when making this decision. Please feel free to discuss this with us at the time.
These clinics are focused on a particular aspect of, or problems with your diabetes care. These clinics run on both hospital sites apart from the Joint Medical Obstetrics Clinic, which only runs at Warrington Hospital.
Insulin Pump Clinics
Clinic schedule
The Insulin Pump Clinics are run by a Diabetes Consultant and our Insulin Pump diabetes Nurse.
Twenty (20) minute appointment times are scheduled in this clinic to allow a full discussion of the issues related to the pump and your diabetes. We encourage you to upload your pump and meter data before your clinic appointment so this information can be reviewed before your appointment and allow a thorough review to occur. If you require information on how to do this please contact our Pump specialist nurse email : carol.leach@nhs.net These clinics have the support of the specialist diabetes dietician where required.
Young Person Diabetes Clinics
The Young Person Diabetes Clinics are run by a Diabetes Consultant and our Young Adult Diabetes nurse.
The Young Person Diabetes Clinic concentrates on a population of patients usually aged between 18-25yrs old*. These clinics take over former paediatric diabetes patients who have recently transitioned to the adult service or patients who are newly diagnosed between the ages stated. Appointments tend to be slightly longer to accommodate concerns of the young adult. Parents of the young adult are welcome to attend the clinic at the wish of the patient. We encourage you to upload your meter data before your clinic appointment so this information can be reviewed before your appointment and allow a thorough review to occur.
If you require information on how to do this please contact our specialist nurse email : (given in clinic) These clinics have the support of the specialist diabetes dietician where required.
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.
Sub specialty interests
Dr Chattington has specific interests in Diabetes of Young Adults and does the transitional care from paediatric diabetes for Warrington. She also runs a dedicated insulin pump service for Warrington patients. She leads on the Pre-conception and pregnancy care for patients with diabetes in conjunction with the Obstetrics team. Her general interests include endocrine or general medical conditions and Type 1 Diabetes. Within Endocrinology she has interests in Thyroid Dysfunction, Pituitary disease and adrenal failure.
Dr Saunders has a particular interest in Type 1 Diabetes and runs the Young Adults/Transition service at Halton hospital. He is also keen on the integration of technology such as Insulin pumps and CGMS and monitoring into routine diabetes care. He has a particular interest in Sports and Exercise in Diabetes, particularly with keen amateur and semi-professional/professional athletes and is looking to run a separate diabetes and exercise clinic in the near future. Within endocrinology he is interested in Thyroid Dysfunction.
Dr Chikthimmah has sub-specialty interests in Diabetic Foot Ulcers & Neuropathy care and leads the diabetes foot team, running clinics at Halton and Warrington. He also has interested in Complex Type 1 & 2 Diabetes as well as erectile dysfunction and men’s health in diabetes. Within endocrinology he has broad interests in Thyroid, Parathyroid, Adrenal and Pituitary disorders as well as Male Hypogonadism.
Dr Yadav leads and is developing the Bone metabolism(osteoporosis) service as well as being interested in lipid metabolism and cardiovascular risk management in Diabetes and other Endocrine conditions. He is also interested in Obesity management. Dr Yadav is also the lead within the team for clinical research in diabetes and is involved in a number of trials.
Dr Shah has broad interest in the management of Diabetes Types 1 and 2. He is also interested in the management of cardiovascular disease, particularly in Type 2 diabetes. Within endocrinology he is interested in Hypogonadism and Thyroid Disorders.
Barbara Lovelady - Diabetes Specialist Nurse
Liz Atkins - Diabetes Specialist Nurse
Ben Thompson
All our diabetes nurses are independent prescribers who are very experienced in the management of all types of diabetes. Within the team, some of the nurses sub-specialise in the management of specific diabetes patients. However they all cover complex diabetes clinics and help manage the inpatients within the hospital who have diabetes related issues.
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
