NHS priorities

Whether it’s to prepare for the next Pharmacy Quality Scheme deadline, or to increase your confidence in helping people with a learning disability, this section provides topic-specific pages that link to current NHS priorities. This section will support you in keeping your knowledge and skills up to date in order to provide high-quality pharmacy services and be service-ready.

Public health

The public health agenda is embedded in pharmacy, yet topics such as emergency contraception or stop smoking support are as prevalent as ever. As well as our public health workshops, use this section to access a wide range of resources to assure and maintain your competence, all underpinned by the Declaration of Competence system.

CPPE Optimise programmes

Diabetic Ketoacidosis (DKA): Focus on prevention and management

Aim

This programme is designed to support pharmacy professionals in building confidence and competence in the management and prevention of Diabetic Ketoacidosis (DKA) within hospital settings.

Please note: Potential DKA-related complications such as hypoglycaemia, hypophosphataemia and other metabolic disturbances are not covered in this session.

Background learning

The Diabetic Ketoacidosis (DKA): Focus on Prevention and Management Optimise programme assumes some prior knowledge of the topic. To refresh your understanding, you can optionally complete Unit 4, Complications Associated with Diabetes, from our Fundamentals of diabetes e-course. Each of the six units takes around two to three hours

Small group learning

This workshop involves 20 minutes of preparation for each participant and a 40-minute group session. During the small group learning session, activities will allow learners to test their knowledge, debate controversial topics, make justified clinical decisions and practice communicating with patients and/or other healthcare professionals.

Learner resources

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Facilitator's resources

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Next steps

After the workshop, consider your next steps:

View acknowledgments, references and brand names

Expert and programme contributors
Ben Hindley, advanced clinical pharmacist (diabetes and endocrinology) at Liverpool University Hospitals NHS Foundation Trust and teacher practitioner at Liverpool John Moores University
Mark Peasley, lead clinical pharmacist, education and training, Liverpool University Hospitals NHS Foundation Trust

CPPE programme developer
Sadie Pinkney, Chief Pharmaceutical Officer’s Clinical Fellow, CPPE

Content contributors
Ashifa Trivedi, senior pharmacist - paediatrics, Evelina London Children's Hospital, and Northwest London PATCH Pharmacist
Emma Jones, paediatric pharmacist, Alder Hey Children’s Hospital
Katie Wilson-Kennedy, pharmacy technician and lived experience representative
Minna Eii, advanced pharmacist practitioner in acute medicine at South Tyneside and Sunderland NHS Foundation Trust, and sustainability representative
Osman Ali, Chief Pharmaceutical Officer’s Clinical Fellow, Royal Pharmaceutical Society
Peter Davies, lived experience representative
Rachel Murray, senior learning development pharmacist, CPPE
Sejal Parikh, education supervisor, CPPE
Ellen Smith, education and training lead pharmacist, Alder Hey Chidlren’s Hospital

Reviewers
Minna Eii, advanced pharmacist practitioner in acute medicine at South Tyneside and Sunderland NHS Foundation Trust
Matthew Heppel, advanced diabetes and endocrinology pharmacist at Hull University Teaching Hospitals

CPPE reviewers
Liz Allsup, lead pharmacist, learning development
Clare Smith, lead pharmacist, learning development

Piloted by
Osman Ali, high-cost drugs pharmacist, Northern Lincolnshire and Goole NHS Foundation Trust
Sundus Irshad, lead workforce development, education and training pharmacist, Worcestershire Acute Hospitals NHS Trust

CPPE editor
Lee Swettenham, Deputy editor and research editor

References

  1. JBDS-IP. The management of diabetic ketoacidosis in adults. Updated March 2023. https://abcd.care/resource/current/jbds-02-management-diabetic-ketoacidosis-adults
  2. Medicines and Healthcare products Regulatory Agency (MHRA). Drug Safety Update: SGLT2 inhibitors: risk of diabetic ketoacidosis. June 2020. https://www.gov.uk/drug-safety-update/sglt2-inhibitors-updated-advice-on-the-risk-of-diabetic-ketoacidosis
  3. Diabetes UK. Diabetes burnout. Updated April 2024. https://www.diabetes.org.uk/living-with-diabetes/emotional-wellbeing/diabetes-burnout
  4. Diabetes UK. Managing diabetes when you're ill (sick day rules). Updated 2024. https://www.diabetes.org.uk/living-with-diabetes/life-with-diabetes/illness
  5. Brown A. 42 Factors That Affect Blood Glucose?! A surprising update. Published 10 October 2019; updated 10 November 2021. https://diatribe.org/diabetes-management/42-factors-affect-blood-glucose-surprising-update

Disclaimer
We have developed this learning programme to support your practice in this topic area. We recommend that you use it in combination with other established reference sources. If you are using it significantly after the date of initial publication, then you should refer to current published evidence. CPPE does not accept responsibility for any errors or omissions.

External websites
CPPE is not responsible for the content of any non-CPPE websites mentioned in this programme or for the accuracy of any information to be found there.

All web links were accessed on 5 August 2025.

Brand names and trademarks
CPPE acknowledges the following brand names and registered trademarks mentioned throughout this programme: Semglee®, Trurapi®.