Welcome to the May 2025 update from the RDS team
Three small-scale releases took place during April and May, including the following fixes and improvements:
Two short outages took place on the mornings of 12th and 22nd May. Tactuum is still investigating the root cause and will report on this shortly.
New designs have been produced which make the health board name and calculator title clear to the user on these calculator pages, with a warning message and link to ensure users access the right calculator for their board. These designs have been implemented in a test environment and are now under review.
We now plan to release at end of July 2025 the following major enhancements: redesigned Right Decision Service homepage, new search and browse interface, upgraded archiving and version control, and capability to edit content adopted from the Shared Content Library. We will provide slides and demos in advance of the release to introduce users and editors to the new functionality.
Introductory webinars for RDS editors will take place on:
Running usage statistics reports using Google analytics
To book a place on any of these webinars, please contact Olivia.graham@nhs.scot providing your name, role, organisation, title and date of the webinar you wish to attend.
The following toolkits were launched during March 2025:
Work is progressing on a number of decision support systems that are part of the wider Right Decision Service platform, beyond the web and mobile apps:
Public library services in Inverclyde, East Renfrewshire, Glasgow Life, Angus, Falkirk and Stirling have come forward to work with the RDS team, the Scottish Library and Information Council and local Realistic Medicine leads, to develop their role in engaging citizens in Realistic Medicine. This includes promoting the Being a partner in my care app: Realistic Medicine Together. This provides tools and resources to support conversations about what matters to the person, shared decision-making and self-management.
If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.
For acute medical staff in CDU and ED when assessing well children with intermittent/borderline hyperglycaemia where criteria is not met for Diabetes.
To guide how to manage children who have been referred for possible Diabetes but a repeat random capillary blood glucose (cap BG) in ED/CDU is in the borderline or normal range
In most cases the diagnosis of Diabetes is straightforward.
Child 0-16 years with symptoms of Diabetes and random venous blood glucose ≥ 11.1 mmol/l or fasting venous blood glucose ≥ 7 mmol/l (WHO criteria 2006/2011)
Treat as Diabetes - See “Walking Wounded” and “DKA” Guidelines
However, children may present with intermittent/borderline hyperglycaemia and glycosuria in the early stages of Type 1, as a presentation of Type 2 (increasing in incidence – especially in overweight adolescent population) or in monogenic diabetes. Hyperglycaemia may resolve after even a short period of fasting which often happens during referral to hospital.
In some cases, the child has simply not washed their hands (alcohol gel does not count).
Diabetes medical team - 0141 452 4961
Diabetes Hot nurse - 0141 452 4646
Out of Hours- General Paediatric team
These children are well, expected to have a normal appetite and are usually happy to be offered CHO rich options. Below are some suggestions for a CHO rich meal. The majority of these foods are available in CDU but patients may prefer alternatives that are brought by the parents.
Breakfast: Age appropriate portions of
Lunch/Tea: Age appropriate portions of
