Nine acute hospitals in the Yorkshire and the Humber region, UK, were recruited to participate in a qualitative research study. Children and young people with type 1 diabetes, aged 6–25, and their parents (approximately 250 participants), took part in talking groups to find out about their experiences of diabetes care provision. Findings show that there are key areas for improvement in the future diabetes care provision for children and young people, including communication and support, schools,

structured education and transition. These have important implications for practice and service redesign. This study is thought to be the first of its kind to consult with children, young people and parents to find BYL719 purchase out about their experiences

of type 1 diabetes care provision. The research findings add to the current evidence base by highlighting the disparities in care, the urgent need for change in the way services are delivered and the involvement of service users in this process. Copyright PLX4032 purchase © 2014 John Wiley & Sons. Young people in England have one of the highest incidences of type 1 diabetes mellitus (T1DM) in Europe. At present, over 26 000 young people have the condition,1 which represents the fourth largest population in Europe and the fifth largest population in the world.2,3 More worrying is the fact that young people in England have one of the worst records for glycaemic control in Western Europe. Over 85% of young people with T1DM were recently identified as not achieving NICE recommended HbA1c levels of <58mmol/mol (7.5%) and this figure has remained unchanged for the past seven years.4 Recent evidence has shown that, in addition to poor glycaemic control, there are alarming differences in diabetic ketoacidosis admissions throughout the country and the quality of care and education that children and young people with T1DM receive is hugely variable. Compared with our European and global counterparts this care is below the highest European and global standards.5

Furthermore, inconsistencies in quality of care are highlighted as a possible contributory factor towards poor outcomes. Poor quality diabetes care results in an increased risk of short- and long-term clinical complications, as well as compromised social and psychological DOCK10 wellbeing, leading to increased health care costs.6 Therefore, it makes sense to ascertain current standards of care and identify gaps in service provision, before making recommendations in terms of how diabetes care needs to improve for the benefit of children’s and young people’s health outcomes. However, in order to gain a clearer and more accurate picture of current care, it is important that service provision is examined from the point of view of all those involved with the service. This includes not only health care professionals but, most importantly, children and young people with T1DM and their parents.