{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:02:14Z","timestamp":1792202534092,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Aims<\/jats:title>\n To design a national competency framework supporting the training of healthcare professionals (HCP) in the care and management of people with diabetes using diabetes technologies.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Following the release of the NICE [TA943] guidance\n 1<\/jats:sup>\n and the NHS England 5\u2010year implementation strategy\n 2<\/jats:sup>\n , a working group was formed to design a four\u2010level training framework for HCPs, identifying specific knowledge and competencies required for different roles in supporting people living with diabetes using continuous glucose monitoring (CGM) or hybrid closed\u2010loop systems.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n We developed a four\u2010level training and competency framework using the \u2018Novice to Expert\u2019 framework and identified skills and competencies for each of those levels. We then sought endorsement from leading national organisations to create this consensus document. This framework complements the delivery recommendations of the 5\u2010year NHS implementation plan for HCL by helping HCPs develop competence and confidence to support HCL users.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n We anticipate that the national adoption of this training and competency framework will allow healthcare providers to assess and improve the care they provide. This in turn will improve access to therapies, care standards and improve clinical outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dme.70253","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T03:56:26Z","timestamp":1775534186000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A consensus statement on a National Competency Framework for training and assessment of knowledge and skills in diabetes technologies, including hybrid closed loop (\n HCL<\/scp>\n ), insulin pump systems, and continuous glucose monitoring (\n CGM<\/scp>\n ) devices"],"prefix":"10.1111","volume":"43","author":[{"given":"E.","family":"Richardson","sequence":"first","affiliation":[{"name":"University of Leicester Leicester UK"},{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Stribling","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Ridgeway","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Kitching\u2010Davis","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Willcocks","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Heggs","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Wakefield","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Gallen","sequence":"additional","affiliation":[{"name":"Diabetes Technology Network London UK"},{"name":"King's College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Jolley","sequence":"additional","affiliation":[{"name":"Diabetes Technology Network London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Bareford","sequence":"additional","affiliation":[{"name":"Diabetes UK London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Diabetes Specialist Nurse Forum Harborough Enterprise Centre Market Harborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Farrow","sequence":"additional","affiliation":[{"name":"Breakthrough T1D London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Fletcher\u2010Salt","sequence":"additional","affiliation":[{"name":"Diabetes Specialist Nurse Forum Harborough Enterprise Centre Market Harborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Hicks","sequence":"additional","affiliation":[{"name":"Trend Diabetes Harborough Enterprise Centre Market Harborough Leicestershire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Diabetes UK London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Jordan","sequence":"additional","affiliation":[{"name":"Breakthrough T1D London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Diabetes Specialist Nurse Forum Harborough Enterprise Centre Market Harborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Metcalf\u2010O\u2019Shea","sequence":"additional","affiliation":[{"name":"Royal College of Nursing London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Turner","sequence":"additional","affiliation":[{"name":"Royal College of Nursing London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Walden","sequence":"additional","affiliation":[{"name":"Diabetes UK London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Walker","sequence":"additional","affiliation":[{"name":"Diabetes UK London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7635-4735","authenticated-orcid":false,"given":"P.","family":"Choudhary","sequence":"additional","affiliation":[{"name":"University of Leicester Leicester UK"},{"name":"University Hospitals Leicester Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"National Institute for Health and Care Excellence.Hybrid closed loop systems for managing blood glucose levels in type 1 diabetes. Technology appraisal guidance TA943.2023. Accessed December 20 2024.https:\/\/www.nice.org.uk\/guidance\/ta943"},{"key":"e_1_2_12_3_1","unstructured":"NHS England.Hybrid closed loop technologies: 5\u2010year implementation strategy.2024Accessed December 20 2024.https:\/\/www.england.nhs.uk\/long\u2010read\/hybrid\u2010closed\u2010loop\u2010technologies\u20105\u2010year\u2010implementation\u2010strategy\/"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3430"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2022.0085"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-0133"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14944"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2017-02498"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgac034"},{"key":"e_1_2_12_10_1","article-title":"Insulin pump utilization in 2017\u20132021 for more than 22,000 children and adults with type 1 diabetes: a multicentre observational study","author":"Gandhi K","year":"2023","journal-title":"Diabetes Technol Ther"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-0635"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15078"},{"key":"e_1_2_12_13_1","article-title":"Getting It Right First Time: Diabetes GIRFT Programme National Specialty Report","author":"Rayman G","year":"2020","journal-title":"NHS England"},{"key":"e_1_2_12_14_1","unstructured":"NHS Digital.National Diabetes Audit: Type 1 diabetes detailed analysis 2021\u201322. Section\u00a02 \u2013 Inequalities HbA1c levels and glucose technology.2023Accessed November 29 2024.https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/national\u2010diabetes\u2010audit\u2010type\u20101\u2010diabetes\/nda\u2010type\u20101\u20102021\u201022\u2010detailed\u2010analysis\/section\u20102"},{"key":"e_1_2_12_15_1","unstructured":"NHS England.New decision support tool marks important step in care for people living with type 1 diabetes.2024Accessed December 20 2024.https:\/\/www.england.nhs.uk\/blog\/new\u2010decision\u2010support\u2010tool\u2010marks\u2010important\u2010step\u2010in\u2010care\u2010for\u2010people\u2010living\u2010with\u2010type\u20101\u2010diabetes\/"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2025.0108"},{"key":"e_1_2_12_17_1","article-title":"Hybrid closed\u2010loop systems in UK type 1 diabetes care: national survey of healthcare professional awareness, confidence, and training needs","author":"Anandhakrishnan A","year":"2025","journal-title":"Diabet Med"},{"key":"e_1_2_12_18_1","unstructured":"Association of British Clinical Diabetologists Diabetes Technology Network UK.Hybrid closed\u2010loop system information leaflet.2023Accessed January 15 2026v."},{"key":"e_1_2_12_19_1","unstructured":"Joint British Diabetes Societies for Inpatient Care Diabetes Technology Network.Using technology to support diabetes care in hospital.2024Accessed February 19 2025.https:\/\/abcd.care\/sites\/default\/files\/resources\/JBDS_20_Using_Technology_to_Support_Diabetes_Care_in_Hospital_1.pdf"},{"key":"e_1_2_12_20_1","unstructured":"Public Health England.Public health skills and knowledge framework.2016Accessed February 8 2025.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/584408\/public_health_skills_and_knowledge_framework.pdf"},{"key":"e_1_2_12_21_1","unstructured":"Public Health England.Public Health Skills and Knowledge Framework: August 2019 update. 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