Services
Diabetes
About Us

The Diabetes team prides itself on delivering timely, high quality, evidence-based, patient-focused care.

Over the last decade, the team have strived (and succeeded) to establish a high quality service with engagement and involvement of its users. The Diabetes Centre has an active research programme and has received recognition for its high quality diabetes service.

Telephone help

Patients attending the St Helens Hospital Diabetes Centre are welcome to phone for advice and support. This service is usually available Monday to Friday from 9 am to 5pm.

If it is non-urgent, please phone the Diabetes Centre answerphone on 01744 646 200 (option 2). Typically, a Diabetes Nurse Specialist will return your call within one working day (usually the same day).

For urgent queries, or to change your Diabetes Clinic appointment you can ring the Diabetes Reception on 01744 646 200 (option 1).

For emergency advice, please see 'Diabetes Emergencies' below. 

IMPORTANT NOTES

1. If you are unavailable when we phone, we will try up to two more times to contact you. Thereafter, we will leave it to you to phone again if you still wish to speak to someone.

2. If we do not contact you within 1 working day and you still wish to speak to someone, please call again.

Diabetes Emergencies

Healthcare emergencies affecting people with diabetes may be obviously unrelated to diabetes, obviously diabetes-related or possibly diabetes-related. If your problem is obviously unrelated to diabetes, you should contact other relevant services, such as your GP, NHS 111, a Walk-in Centre or the Accident and Emergency Department (AED).

If you suspect your healthcare emergency problem is or may be diabetes-related, then depending on the urgency of the problem, the following are some of the options available to you: 

  • Phone NHS 111 (24 hour service for advice)
  • Phone your GP for a routine appointment, an urgent appointment or home visit
  • Attend an urgent GP out of hours service
  • Attend a Walk-in Centre
  • Attend the Accident and Emergency Department (AED, Casualty)
  • Dialling 999 for Emergency Services (for life threatening emergencies)

If you currently attend Specialist Diabetes Clinic at St Helens Hospital and you feel the emergency may be dealt with by talking to a local diabetes expert, then between 9-5pm, Mon-Fri, you can phone and speak to a diabetes nurse specialist 01744 646 200 (option 5).

If you currently attend a Specialist Diabetes Clinic at St Helens Hospital and you feel the emergency may be dealt with by bringing forward a pre-arranged outpatient appointment, then between 9-5pm, Mon-Fri, you can speak to the consultant's or nurse's secretary (see Consultant Advice).

 Inpatients

  • The specialist diabetes team typically provides daily (Mon –Fri 8am -8pm/Sat- Sun 8am-4pm/Bank Holidays typically 8am-4pm) input to the care of in-patients with diabetes
  • Wards are encouraged to support patients in managing their own diabetes if they wish and are able to do so
  • If there are problems with an individual patient's diabetes then wards are encouraged to contact and refer to the specialist diabetes team on the inpatient mobile service.
  • Written consultant to consultant referrals  should be emailed or faxed to the relevant secretary (see Consultant Advice for relevant contact numbers)

Wards are specifically encouraged to seek Specialist Diabetes Team help with the following problems:

  • Diabetic Ketoacidosis
  • Diabetic Hyperglycaemic Hyperosmolar states
  • Severe Hypoglycaemia
  • Repeated episodes of hypoglycaemia
  • Newly diagnosed Type 1 Diabetes
  • Newly diagnosed Type 2 Diabetes
  • Need for conversion to insulin
  • Diabetic foot ulcers

Diabetic Clinics

A variety of specialist diabetes clinics are provided by our team:

  • New Patient Clinic
  • Education Clinic (DEAL)
  • Glucose Control Clinic
  • Drop in clinic
  • Foot Ulcer Clinic
  • Diabetic Kidney (Nephropathy) Clinic
  • Young Adults' Clinic
  • Insulin Clinic
  • Dietetic Clinic
  • Joint Antenatal Clinic
  • Home Visits
  • Antenatal Support Clinic
  • Insulin Pump Clinic
  • GLP-1 Clinic

 


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Senior Team Members

 

Dr Sumudu Bujawansa  - Clinical Director and Consultant Physician, diabetes and endocrinology, acute medicine
Dr Niall Furlong - Consultant Physician,Diabetes and endocrinology
Prof Kevin Hardy -Consultant Diabetologist and Medical Director
Dr Sid McNulty -Consultant Physician, diabetes and endocrinology
Dr Prakash Narayanan -Consultant Physician, diabetes and endocrinology
Dr Heather Sullivan- Senior Clinical Fellow
Jan Cardwell -Diabetes Nurse Consultant
Suzanne Keigan -Senior Diabetes Nurse Specialist
Philomena Wilkinson -Senior Diabetes Nurse Specialist
Sue Michaels - Senior Diabetes Nurse Specialist
Natalie Hayes -Senior Diabetes Nurse Specialist
​Hollie Fullerton -Senior Diabetes Nurse Specialist
John Machan -Diabetes Nurse Specialist
Rebecca Smith -Diabetes Nurse Specialist
Amy Strong -Diabetes Nurse Specialist
John Cairns -Diabetes Nurse Specialist
​Rachael Milne -Diabetes Nurse Specialist
Claire Lee -Diabetes Nurse Specialist
Jane Jackson -Diabetes Nurse
Helen Pendlebury -Advanced Podiatrist
Emma Rawsthorne - Senior Endocrinology Nurse
Nicola Jackson -Dietician
Judith Edgerton - Healthcare Assistant
Lesley Mitchell -Integrated Care Lead
Natalie Archer -Co-ordinator
Barbara Case -Receptionist
Laura Makin -Receptionist


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Location

​Diabetes Centre,  Ground Floor, Orange Zone, St Helens Hospital


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Contact Us

Consultant Advice: the Diabetes consultants can be contacted through their secretaries, who typically know whether they are available to take a call and will connect you.

Professor Kevin Hardy
01744-646497

Dr Sumudu Bujawansa
01744 646497

Dr Prakash Narayanan 
 01744-646500

Dr Sid McNulty
01744-646497

Dr Niall Furlong
01744-646500

Dr Heather Sullivan

01744 646502

Jan Cardwell (Nurse Consultant)
01744-646200 (option 2)

Specialist Nurse/Diabetes Dietician Advice
 01744 646200

Diabetes Reception (Including appointment changes) – 01744 646200 (option 1)

Podiatry -0151 290 2000

New Appointments – 0151 430 1234


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Diabetes Cloud/Community

Natalie Hayes, Senior Diabetes Specialist Nurse

As part of the diabetes cloud, a dedicated line has been set up to offer specialist support for Primary & Community Care - serving the people of St Helens via the following contact number/email address:


This service affords patients the opportunity to be put in touch with someone with whom they can discuss their health issues, sometimes a doctor, sometimes a nurse or psychologist, or sometimes a fellow patient.  For professionals, this is a service to discuss patients with the aim of reducing hospital attendance and outpatient referrals. 

The line will be operational between the hours of 09:00 – 17:00, Mon - Fri.

 

The Cloud Team:

Lesley Mitchell                  Diabetes Integrated Care Lead

Natalie Hayes                   Senior Diabetes Specialist Nurse

Jan Cardwell                     Diabetes Consultant Nurse

Hollie Fullerton                  Senior Diabetes Specialist Nurse

Professor Kevin Hardy      Consultant Diabetologist

Dr Niall Furlong                 Consultant Diabetologist

Nicola Crooks                    Diabetes Dietician

 

Please find a list of patient & healthcare professionals frequently asked questions here.

 

MSD Connect is an online portal for UK Healthcare Professionals and patients and is a place that you can access the latest information about products, support for patients with online resources.  You can also use the portal to sign up for online and live event.  Click the link below to find out more about MSD in the UK and their services:

http://www.msdconnect.co.uk/



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Diabetes Emergency Line

As part of the diabetes cloud, a dedicated line has been set up to offer specialist support for Primary & Community Care - serving the people of St Helens via the following contact number/email address:

01744 646200 - option 5

lesley.mitchell2@sthk.nhs.uk

This service affords patients the opportunity to be put in touch with someone with whom they can discuss their health issues, sometimes a doctor, sometimes a nurse or psychologist, or sometimes a fellow patient.  For professionals, this is a service to discuss patients with the aim of reducing hospital attendance and outpatient referrals. 

The line will be operational between the hours of 08:00 – 22:00, Mon - Fri and 08:00 – 16.00,
Weekends and Bank Holidays 365 days a year.



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Diabetes Inpatient Care

The Specialist Diabetes Team provides daily input to the care of inpatients with diabetes. To refer patients please email: DiabetesInpatientNurseReferral@sthk.nhs.uk   

For consultant referrals please email: InpatientReferrals.Endo-Diabetes@sthk.nhs.uk

Inpatient Team

Sue Michaels            Specialist/Inpatient Lead

Jan Cardwell             Diabetes Nurse Specialist

Rebecca Smith          Diabetes Nurse Specialist

Claire Lee                  Diabetes Nurse Specialist

Rachael Milne           Diabetes Nurse Specialist  

  • N.B. Wards are encouraged to let patients manage their own diabetes if they wish to do so
  • Wards are encouraged to seek Specialist Diabetes Team help if there are problems with an individual patients diabetes
  • Wards are specifically encouraged to seek Specialist Diabetes Team help with the following problems: 

    Diabetic Ketoacidosis
    Diabetic Hyperglycaemic Hyperosmolar states
    Severe Hypoglycaemia
    Repeated episodes of hypoglycaemia
    Newly diagnosed Type 1 Diabetes
    Newly diagnosed Type 2 Diabetes
    Need for conversion to insulin


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Psychology

Clinical Psychology provision for people with diabetes

Who can be referred?

People may be referred to the Clinical Psychologist linked to the diabetes team, here at St Helens Hospital, for assessment and support when they are experiencing substantial difficulties living with/managing diabetes. These difficulties may be accompanied by depression, anxiety, eating/weight issues, poor blood glucose control. These difficulties may also occur at various points e.g. at initial diagnosis, after a period of months/years of living with diabetes and where diabetes may relate to wider life transitions.

Referrals are accepted from health professionals for adults (aged 18 or over) who have diabetes (type 1 or 2) and are under the care of the specialist diabetes team – who are based in St Helens Hospital.

If people report issues that are not directly related to their diabetes e.g. bereavement/ relationship problems/ social issues, it may be more appropriate for them to be seen by other local services. Also if a person has long-standing significant mental health problems or substance misuse problems; it may be more appropriate for them to access specialist community services. (Please see link below to referral diagram with relevant contact numbers).

If there is any uncertainty, the Clinical Psychology Department can be contacted by staff for advice. If necessary, the person can potentially be offered a screening appointment, in order to establish what may be the most appropriate course of action.

How to refer?

There is a diabetes referral form (please see link below), which professionals can complete and return to Clinical Psychology. However, it has been agreed that health professionals can refer people by sending a written letter e.g. summary from the persons recent appointment at the diabetes clinic – as long as this highlights certain necessary information, namely: a description of the particular concerns, relevant medical and psychosocial information, whether the person has consented to a referral, whether the person is currently receiving any other support and any relevant information related to contacting the person who has been referred.

What happens if a referral is accepted?

If a referral is accepted, the person will be offered an assessment appointment. Following assessment, the psychologist will write back to the referrer and copy the GP and patient into correspondence - unless they specify that they do not wish to receive this.

Documents
Guidance to aid referral to Clinical Psychology
Referral diagram
Referral form
 

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Diabetes Pumps and CGM

Dr Niall Furlong                       Clinical Physician Diabetes and Endocrinology

Philomena Wilkinson               Senior Diabetes Specialist Nurse

Suzanne Keegan                     Senior Diabetes Specialist Nurse


The Specialist Diabetes Team provides outpatient and inpatient care including:

·         Insulin Pump Starts

·         Insulin Pump Reviews

·         Inpatient reviews when required

·         PACE (Pump Advanced Carbohydrate Education)



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Diabetes in Pregnancy

Sid McNulty                         Consultant Physician Diabetes & Endocrinology

Sumudu Bujawansa            Consultant Physician Diabetes, Endocrinology & Acute Medicine

Philomena Wilkinson          Senior Diabetes Specialist Nurse

Sue Michaels                      Senior Diabetes Specialist Nurse

The Specialist Diabetes Team provides outpatient and inpatient care including:

·         Pre-planning Pregnancy Clinic

·         Joint Antenatal Clinic

·         Gestational Educational Clinic

·         Gestational Telephone Clinic

·         Inpatient review when required



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Diabetes Glucose Management

​Prakash Narayanan                         Consultant Physician Diabetes and Endocrinology

​Heather Sullivan                              Senior Clinical Fellow

Jan Cardwell                                    Diabetes Consultant Nurse

Philomena Wilkinson                        Senior Diabetes Specialist Nurse

Hollie Fullerton                                 Senior Diabetes Nurse Specialist

John Machan                                   Diabetes Specialist Nurse

 

The Specialist Diabetes Team provides outpatient and inpatient care including:

·         Glucose Control Clinic

·         GLP1 Clinic

·         Insulin Clinic

·         Glucose Telephone Support Clinic




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Diabetes Structured Education

​Lesley Mitchell
Diabetes Integrated Care Lead

Basic Education for Newly Diagnosed Type 1 Diabetes Patients (BEND1)

BEND 1 was developed in 2006 by the Specialist Diabetes Team at St Helens Hospital.  It meets national standards for diabetes education and was developed with the help of local people with diabetes.  Extensive evaluation has shown that the programme effectively teaches people about diabetes, and helps them feel less anxious, more in control and better able to deal with their diabetes.  BEND 1 improves diabetes self-management and most patients report that they really enjoy it.

BEND 1 is a 3-4 hour education session that runs once a week for four consecutive weeks on a Thursday afternoon from 1:30pm.  Each four-week programme is run for a small group of people with type 1 diabetes.  The sessions are run by a Diabetes Nurse Specialist or a Diabetes Dietician. During the programme you will learn important skills about managing your diabetes. 

Venue:   

Diabetes Unit,

St Helens Hospital,

Marshall's Cross Road,

St Helens. 

Merseyside. 

WA9 3DA

BEND1 patient leaflet 

Basic Education and Nutrition for Type 2 Diabetes Patients (BEND2)

BEND 2 was developed by the Specialist Diabetes Team at St Helens Hospital.  It meets national standards for diabetes education and was developed with local people with diabetes.  It has been running since 2006. 

BEND 2 is a 3-4 hour session, once a week, for 2 weeks.  Both sessions will be in a group with approximately 10 other people with type 2 diabetes.  The sessions are run by a Diabetes Nurse Specialist in  conjunction with a Dietician. You will learn everything you need to know about how to manage your diabetes.  Everyone says that the courses are fun and they help you deal with your diabetes.  

Venues:

Diabetes Unit

St Helens Hospital

Marshall's Cross Road

St Helens

Merseyside

WA9 3DA

 

Lowe House Health Centre

Resource Centre

103 Crab Street,

St. Helens

WA10 2DJ

BEND2 patient leaflet 

 

Insulin Carbohydrate Education (ICE)

The ICE (Insulin Carbohydrate Education) course has been running since 2005. It's a course for people with type 1 diabetes, treated with basal bolus insulin, aimed at educating you about a flexible approach to managing your diabetes. 

The course runs for 4 consecutive weeks and lasts between 3-4 hours on a Friday from 1:30pm.

Venue:   

Diabetes Unit,

St Helens Hospital,

Marshall's Cross Road,

St Helens. 

Merseyside. 

WA9 3DA

 

Pump Advanced Carbohydrate Education (PACE)

People on Insulin pumps need structured education.  PACE was developed by the specialist diabetes team at St Helens Hospital.  It meets national standards for diabetes education and was developed with local people with diabetes.  It has been running since 2007 with the aim to provide refresher insulin pump education


Venue:   

Diabetes Unit,

St Helens Hospital,

Marshall's Cross Road,

St Helens. 

Merseyside. 

WA9 3DA



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Endocrine
The Specialist Endocrine Team provides outpatient and inpatient care for a number of endocrine conditions.  For inpatient consultant referrals please email:


For Trust staff wishing to refer inpatients for either endocrinology inpatient/outpatient review - please see below:

•For an inpatient consultant review whilst already an inpatient within the Trust – please email InpatientReferrals.Endo-Diabetes@sthk.nhs.uk

•For an outpatient review following discharge – please email appointments@sthk.nhs.uk

For Trust staff wishing to refer inpatients for either endocrinology inpatient/outpatient review - please see below:

For an inpatient review whilst already an inpatient within the Trust – please email  InpatientReferrals.Endo-Diabetes@sthk.nhs.uk  
Please include the following information:  
•Patient name
•Hospital number
•Ward
•Source of referral 
•Name of referrer 
•Referral date
•Reason for referral 

For an outpatient review following discharge – please email
 appointments@sthk.nhs.uk 
Please include the following information:  

•Patient name
•Hospital number
•Ward
•Source of referral 
•Name of referrer 
•Referral date 



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Research

The Diabetes Centre has an ongoing, active commitment to research, development and innovation with a long history of undertaking clinical trials.

The centre is currently running ORION-4 in conjunction with the University of Oxford, a major double-blind randomised control trial. ORION-4 aims to find out if a new cholesterol lowering injection called inclisiran safely reduces the risk of heart attacks and strokes in people who have already had one of these conditions, or who have had an operation or procedure to unblock their arteries. This will be a long term study lasting for approximately 5 years.

If you are interested in enrolling one of your patients on the study, see the following inclusion and exclusion criteria below. If the inclusion criteria is met and you wish to proceed or have an expression of interest, please contact Diabetes Research Nurse John Machan onjohn.machan@sthk.nhs.uk or contact extension 6265.

Participants must meet at least one of the Inclusion Criteria and none of the Exclusion Criteria.

Inclusion Criteria

Participants must be aged at least 55 years at the time of their Screening visit, and they must have at least one of the following (based on self-reported medical history):

  • Prior myocardiaI infarction (MI); or
  • Prior ischemic stroke; or
  • Peripheral artery disease as evident by prior lower extremity artery revascularization or aortic aneurysm repair. 


Exclusion Criteria

Participants must have none of the following (based on self-reported medical history):

  • Acute coronary syndrome or stroke less than 4 weeks before the Screening visit or during the Run-in period;
  • Coronary revascularization procedure planned within the next 6 months; 
  • Known chronic liver disease;
  • Current or planned renal dialysis or transplantation;
  • Previous exposure to inclisiran or participation in a randomized trial of inclisiran;
  • Previous, current or planned treatment with a monoclonal antibody targeting PCSK9, or with a drug known to be contra-indicated with inclisiran (none currently known);
  • Known to be poorly compliant with clinic visits or prescribed medication;
  • Medical history that might limit the individual's ability to take trial treatments for the duration of the study (e.g. severe respiratory disease; cancer or evidence of spread within approximately the last 5 years, other than non-melanoma skin cancer; or history of alcohol or substance misuse) or may put the individual at significant risk in the opinion of the investigator (or their authorised deputy) if he/she were to participate in the trial;
  • Current participation in a clinical trial with an unlicensed drug or device; or
  • Staff personnel directly involved with the study and any family member of the investigational study staff.
  • In addition, at the Randomization visit, individuals will be excluded if they are no longer willing to continue or their doctor does not wish them to be randomized.
  • Patients who are ineligible based on a temporary exclusion criterion (e.g. recent acute MI) may be invited to attend a re-screening appointment after a suitable delay



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Diabetes Foot Care

Diabetes Foot Care Team

​Dr Niall Furlong                  Consultant Physician Diabetes and Endocrinology

​Heather Sullivan                 Senior Clinical Fellow

Helen Pendlebury               Advanced Podiatrist         

John Cairns                        Diabetes Specialist Nurse



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Latest Update

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Patients are eligible for free NHS treatment at St Helens and Knowsley Teaching hospitals NHS Trust if they are: Ordinarily resident in the UK or: Overseas visitors, but entitled to free NHS services under the National Health Service (Charges to Overseas Visitors) Regulations

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