Register Now16/09/2010Principles in Practice - Proactive Management of Type 2 Diabetes, London
 | Dr Mike Baxter - BSc, BMedSci, BM, FRCP, FRCPBM, PLD, BS |
| Consultant Diabetologist & Endocrinologist | |
| I had a rather unusual start to my career in Diabetes obtaining a degree in biochemistry at Birmingham University in 1973 – 1976 followed by a PHD (1976 – 1979) where I was involved in fundamental research on the regulation of insulin action via covalent modification (specifically the phosphorylation of pyruvate dehydrogenase). By the end of this study, I felt that I wished to proceed to a career in medicine and studied at Nottingham University from 1979 – 1984. I immediately felt that diabetes and endocrinology was the career route that I would follow. After conventional SHO jobs, I started at the Hammersmith where I was the Diabetic and Endocrine Registrar. I then went to Birmingham where I was a Lecturer (Honorary SR) in Medicine in the Department of Diabetes and Endocrinology. During this time I worked with Alex Wright, Malcolm Natrass and Tony Barnett, all prominent figures in the world of UK Diabetes. At this time I also led a small research group looking at the relationship of inositol and magnesium in the development of diabetic complications. I took up my role of Consultant Diabetologist and Endocrinologist at St Peter’s Hospital NHS Trust in 1992 overseeing the development of the diabetic service. This has now been extended to include the Ashford Hospital in the newly aligned Ashford & St Peter’s Hospitals NHS Trust. We have tried to run a diabetic service based on the St Vincent ideology of specialist clinics directed towards specialist diabetic problems. We have also fostered strong links with primary care involving a number of local GP’s as clinical Assistance in the diabetic service. Locally we have articulated a vision of diabetic care which incorporates specialist GP’s delivering a PCT centred intermediate diabetic clinics. These provide at a local level, diabetic expertise, by facilitating primary care access to more specialised opinion and providing a safety net for the discharge of patients from secondary care. I would wish to develop this model further. I feel that a seamless division between primary and secondary care is essential if we are going to manage the ever-increasing problem of diabetes and that models of care which move us away from a single patient doctor interface as the sole means of care delivery need to be developed. At Ashford & St Peter’s Hospitals NHS Trust, we have been committed to a programme of patient education. Recently, we have been in discussion with Kings to develop a local DAFNE satellite service and a local insulin pump service. | |
Dr Michael Feher - MBBS, FRCP | |
| Consultant in Diabetes and Clinical Pharmacology, Chelsea and Westminster Hospital, London | |
| Michael D Feher is currently Consultant Physician in Diabetes and Clinical Pharmacology and clinical lead for the diabetes, lipid and hypertension service based at the Chelsea & Westminster Hospital, a teaching hospital attached to Imperial College, London. He graduated in Sydney, Australia in 1977 where he worked in teaching hospitals and the Royal Flying Doctor Service. In 1980 moved to UK with subsequent training in Cambridge and London. He was Lecturer, then Senior lecturer in Clinical Pharmacology in Charing Cross & Westminster Medical School. He has developed unique specialist diabetes services including new therapies clinics, liaison-pyschiatry-diabetes, HIV-diabetes and dedicated diabetic hypertension and lipid clinics. He is currently diabetes assessor to London Metropolitan/home county Police and London Ambulance services and BNF diabetes advisor. National committees include NICE committees for statins and type 2 diabetes and DVLA panel for diabetes Over the past twenty years Dr Feher has had extensive clinical experience in the fields of diabetes, lipids and hypertension combining clinical pharmacology, pharmacoepidemiology and laboratory based research to clinical care and teaching. He has published extensively in the fields of diabetes, lipids, hypertension, cardiovascular risk factors and clinical pharmacology including several books in diabetes and cardiovascular medicine. | |
 | Gwen Hall - DSN |
| Diabetes Specialist Nurse in Primary Care and Clinical Educator, Haslemere | |
| Gwen Hall has a background as a practice nurse/nurse practitioner. Gwen Hall has been employed as a CHD facilitator and is now a Diabetes Specialist Nurse in primary care/clinical education. She provides an intermediate service between primary and secondary care. Gwen Hall is Vice Chair of the Primary Care Diabetes Society and Associate Editor of Diabetes and Primary Care. Gwen has also recently joined the committee of Primary Care Diabetes Europe. She is the new author of Providing Diabetes Care in General Practice a post held previously by Mary MacKinnon. In 2008 Gwen was invited to give the prestigious Mary MacKinnon lecture at the annual professional conference of Diabetes UK. | |
 | Dr Neil Munro |
| GP, Associate Specialist in Diabetes | |
| Dr Neil Munro has been a general practitioner in the UK for the past 20 years. He is involved in general practice training and has been an examiner for the Royal College of General Practitioners since 1997. Dr Munro is also an Associate Specialist in Diabetes at the Chelsea and Westminster Hospital, London, and an Educational Adviser to a multi-disciplinary MSc Diabetes programme which is run in association with Surrey University. Dr Munro sits on the editorial boards of several diabetes journals and has advised regional diabetes networks on healthcare delivery plans. His publications have focused on medical education in addition to diabetes care in primary and secondary care settings. |
Lilly Diabetes and Pri-Med Educational Programmes reserve the right to change the programme for this meeting at any time without notice.
UKDBT00286 February 2010
