PITstop

What is the PITstop course?

PITstop stands for Programme for Injectable Therapy. This two and a half day course trains GPs, Nurse Practitioners and Practice Nurses to support people with type 2 diabetes on more complex medication regimens, including injectable therapies. PITstop is accredited with Greenwich University (15 credits at level 5 [diploma]) and with the RCGP. PITstop meets the NICE education criteria for insulin initiation and NICE quality standard six (NICE, 2011). The programme has been well evaluated for providing clinicians with practical knowledge and resources that directly impact on the service they provide to their patients.

Course outline: Three taught modules plus clinical practice (with mentor support if working towards university accreditation)

- module 1: oral medication revision, supporting people on insulin and GLP-1 receptor agonists and understanding the PITstop GLP-1 care pathway including assessment, initiation, six-month follow-up and audit.

- module 2: understanding the PITstop insulin care pathway, including assessment, initiation, six-month follow-up and audit requirements

- module 3 (two months after modules 1 and 2): reflection on progress, dietary considerations and insulin and practice intensification of medication regimens

Who is PITstop's target audience?

Members of a 'diabetes practice team' (GPs, Nurse Practitioners and Practice Nurses) wanting to provide enhanced services to their own diabetes practice population or to neighbouring practices. It is recommended that two members of a practice team attend the course, including a GP or Nurse Practitioner. This encourages a seamless, team approach to diabetes service provision, encouraging consistent, structured patient care. Practices with a total population of fewer than 6000 patients may struggle to see enough patients with type 2 diabetes to achieve accreditation and maintain their skills. Practices with a large diabetic population may decide to train more than one practice nurse. More than two people from one practice attending the same course can create problems in achieving the required number of insulin and GLP-1 initiations to achieve university accreditation.

What are the entry criteria for PITstop?

- Participants must have attended a foundation level diabetes course or are prepared to complete directed e-learning prior to attending the course and

- have at least one year's experience in supporting people with type 2 diabetes

or

- have worked with a specialist diabetes team within the last three years.

What do I have to do to achieve university accreditation? 

Participants must attend all three modules and within twelve months of completing module 1 must have:

- completed the PITstop competency assessment with support from a local mentor and

- completed a 1500-word reflective report on one of their insulin or GLP-1 initiations

 Participants not achieving the required competencies are advised to complete the clinical assessment which consists of:

 - four insulin initiations and two GLP-1 initiations

 - an annual review with a person on insulin

For more detailed information > 

Who can I ask to be my mentor? >

Can I attend PITstop for my own personal development or to enable me to support other members of my practice team?

Yes. You do not have to complete the university accreditation but it is recommended that you complete the competency assessment as either a self-assessment, or with a local mentor, after the course. For GPs, PITstop is accredited with the RCGP

“I work as a GP in Wolverhampton and have a particular interest in diabetes. During this time, I have attended many courses and updates tailored to those who look after a diabetes register. I have found PITstop Diabetes to be one of the most informative courses to date. Its ability to effectively digest and relay some of the important landmark studies, in combination with a very hands-on practical teaching style (in particular to injectable therapies), sets it quite apart from other educational events. This, coupled with Anne Goodchild’s infectious enthusiasm for delivering better diabetes care in the community, make PITstop a ‘must’ course to attend for all primary care practitioners who work in this field.“ - Dr Amro Maarouf, GP​