Abstract
Systematic and structured changes have been taking place in diabetes care over the last 6 years. The national service framework for diabetes was introduced in 2001 and set out key standards to improve overall quality of care, leaving a large part of the implementation to be decided locally (DoH [Department of Health], 2001; DoH, 2003a). At present there is still a lack of longitudinal evidence to suggest what effect reforms within the NHS have had on data recording and quality of care. This study examines changing standards of diabetes care in general practice between 2001 and 2007.