Abstract
Quite early in my training in public health medicine, I was lucky enough to be asked to co-ordinate a major re-organisation of diabetes services in Cambridgeshire. Many primary care teams in the county were keen to develop their expertise and to be more involved in the routine review of their patients with diabetes. (This preceded, by a good decade and a half, any financial incentive to do so.) These teams were encouraged and supported in this by the hospital consultant and the hospital-based specialist nurses. People with diabetes in the locality were supportive of this provided their hospital clinic visits were not being reduced at the expense of the quality of their overall care.
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