Table 1 NHS National Service Framework for Diabetes standards relevant to doctors in training and relevant audit questions.

Standard 2: Identification of People with diabetes:

"The NHS will develop, implement and monitor strategies to identify people who do not know they have diabetes."

How confident are doctors in identifying people with diabetes?

Standard 3: Empowering people with diabetes:

"This will be reflected in an agreed and shared care plan in an appropriate format and language."

How confident are doctors in modifying diabetes pharmacotherapy?

How often do they initiate change?

Standard 4: Clinical care of adults with diabetes:

"All adults with diabetes will receive high-quality care throughout their lifetime, including support to optimise the control of their blood glucose, blood pressure and other risk factors for developing the complications of diabetes."

How often do doctors look for diabetes complications?

How confident are doctors in modifying diabetes pharmacotherapy?

Standard 7: Management of diabetic emergencies:

"The NHS will develop, implement and monitor agreed protocols for rapid and effective treatment of diabetic emergencies by appropriately trained health care professionals".

How confident are doctors in managing diabetic emergencies?

What are the training needs of doctors in this area?

Standard 8: Care of people with diabetes during admission to hospital:

"All children, young people and adults with diabetes admitted to hospital, for whatever reason, will receive effective care of their diabetes."

How confident and trained are doctors in dealing with diabetes in in-patients?

Standard 10: Detection and management of complications: "All young people and adults with diabetes will receive regular surveillance for the long-term complications of diabetes."

How confident and trained are doctors in dealing with diabetic complications?