State of the art lecture Primary care: the custodian of diabetes care? Azhar Farooqi Abstract General Practitioner and Honorary Professor, Type 2 diabetes is the disease of our times. With some 3 million cases in the UK, primary care University of Leicester, East Leicester Medical Practice, has a vital role in coordinating and delivering evidence-based care which includes the Leicester, UK prevention, detection and management of diabetes. However, primary care has not always been able to deliver such a role; up to the end of the 1980s, despite the drawbacks of busy hospital outpatient clinics, primary care could rarely Correspondence to: offer the systematic care and skills that people with diabetes require. Professor Azhar Farooqi OBE, East Leicester Medical Quality improvement and audit in the 1990s heralded the increased adoption of Practice, 131 Uppingham Rd, Leicester LE5 4BP, UK; email:
[email protected] evidence-based practice in primary care. Many GP practices significantly improved the organisation and quality of care for diabetes as a result. The widespread adoption of IT Received: 30 July 2012 systems and the emergence of a more robust evidence base for care (for example, UKPDS) Accepted: 1 August 2012 accelerated this process. More lately, investment in general practice through the Quality and Outcomes Framework This paper was presented as the 2012 Mary and practice education programmes have helped deliver significant improvements in the Mackinnon lecture at the 2012 Diabetes UK Annual quality of primary care diabetes. Professional Conference held in Glasgow However, there is still much to do, with variation in care and health inequalities persisting.