Frequently asked questions /
In the main, they are derived from 4 UK-based diabetes competency frameworks namely:
You will be asked to choose an appropriate knowledge level (core, intermediate, diabetes specialist, diabetes expert or diabetes consultant) when you register. This level should be chosen according to your role and level of contact with people living with diabetes.
For example, if you are a practice nurse who delivers diabetes care in a general practice, the appropriate level for your role may be diabetes specialist (which correlates to level 3 in the national diabetes frameworks). The national diabetes competencies within a topic in the framework are accumulative, so someone for example at a diabetes specialist level will need to demonstrate competencies at core, intermediate and diabetes specialist levels.
CDEP is currently offering core and intermediate levels, which are in line with levels 1 and 2 of the national nursing and dietetic diabetes competency frameworks. We will be developing more advanced levels of the topics in due course.
CDEP has successfully gained endorsement or accreditation from (in alphabetical order):
It is CDEP's intention to seek ongoing re-endorsement and re-accreditation from all current organisations and to continue to seek new endorsement and / or accreditation opportunities from relevant bodies as appropriate.
Accreditation/endorsement applies only to the educational content of the programme and does not apply to any product and cannot confirm the competence of any practitioner.
CDEP is FREE to all NHS staff in Cambridgeshire and Peterborough CCG, the East Anglia Health Science Network and the South West Cardiovascular Clinical Network due to funding provided by local stakeholders. A small fee is charged for NHS staff outside these localities.
The nominal registration charge is £25 per person and allows full access to the site for a 2 year period. Income generated from registration fees is used to support the CDEP e-learning platform's administration, IT infrastructure maintenance and ongoing e-learning development.
NHS organisations are able to purchase registrations in bulk and are eligible for receiving a discount if more than 25 registrations are purchased. Non-NHS staff and international registration pricing on request.
Online payment via PayPal is supported by the site. Alternative payment methods are available on request. Please contact Jasmin King (firstname.lastname@example.org) for more information.
Many CCGs in England are now offering CDEP as one of their diabetes education tools for staff.
Targeted healthcare staff working within these CCGs are eligible for FREE access to CDEP at the point of registration.
CCGs (in alphabetical order):
All staff working within the 7 Welsh Health Boards are eligible as of early 2019.
If you work for the NHS within one of the above areas and wish to find out if you are eligible for free access to CDEP, please contact us.
CDEP offers significant bulk purchase discounts for NHS organisations who wish to purchase CDEP for their staff diabetes education and training.
Included in the Terms of Purchase:
Please contact Candice Ward, Lead CDEP educator if you wish to discuss your organisation's diabetes education requirements and have a live demonstration of CDEP both from the front-end user experience and the back-end administrative monitoring / reporting perspective.
Registration can be completed online on www.cdep.org.uk.
If you have been given a special registration key code to give you free access to CDEP, please make sure you have it when you register otherwise you will be automatically passed through to PayPal for payment.
If you have any problems or require support, please contact CDEP.
We recommend that you do not use an out-of-date internet browser such as Internet Explorer (versions 6, 7, 8, 9 or 10).
CDEP will work on these versions, but as Microsoft no longer supports these versions the user experience may be very poor.
For the best user experience, please download an upgraded version of Internet Explorer to your device or choose another internet browser such as
CDEP's registration levels mirror the 5 different levels of competencies detailed in the national Diabetes Competency Framework documents.
Please note: the Diabetes UK: An integrated career and competency framework for pharmacists in diabetes only has 4 levels and is matched against our intermediate to diabetes consultant levels.
The CDEP levels are:
1) Core - Minimum level for any staff member working with people living with diabetes. Receptionist, Healthcare Assistant, Porter, Orthotists, Optometrists, Podiatrist, Plaster Technician, Retinal Screeners, Phlebotomists, Dietetic Assistant, Podiatry Assistant, Pharmacy Assistant, Social Worker, Teacher, Play Therapist, Psychologist, Ambulance Technician, Prison Officer, etc.
2) Intermediate - Roles that have regular contact with people living with diabetes, but are not diabetes specialists. Ward Nurse, Midwife, Practice Nurse, Residential Home Nurse, Prison Nurse, Mental Health Nurse, District Nurses, Minor Injury Nurses, School Nurse, Paramedics, A&E Staff, GP, House Officer, Registrars, Consultants, Surgeons, Anaesthetics, Dietitian, Physiotherapist, OT, SALT, Podiatrist delivering diabetes foot care, Matrons, Discharge Lounge Staff, Day Case Surgery Nurse, Pharmacist, Psychiatrist, etc.
3) Diabetes Specialist - Roles that directly support people managing their diabetes. Practice Nurses with a special interest in diabetes, GPs with a special interest in diabetes, Diabetes Dietitian / Nurse / Midwife, Pharmacist with a special interest in diabetes, Podiatrist working in diabetes protection or MDT foot clinics, etc.
4) Diabetes Expert - Roles that intensively support people managing their diabetes in complex situations. Diabetes Specialist Nurse / Dietitian / Pharmacist / Registrar, etc.
5) Diabetes Consultant - Roles that are responsible for managing a specialist caseload as well as leading service design, workforce planning, business case development, etc. Consultant Diabetes Nurse / Dietitian / Diabetologist / Pharmacist, etc.
You will be asked to pick from one of 5 registration levels when you create your CDEP account.
This level will determine what topics and competencies within those topics you are offered by CDEP.
If you discover you have picked the wrong diabetes level for your role at registration or wish to change your level at a later stage, you can amend your level in the 'my account' section. 'My account' can be accessed via the link in the top right-hand corner of the page once you have logged in.
Core and intermediate levels are assessed by completion of a range of multiple choice quizzes; each competency is mapped to a series of questions;
Higher levels of competency / skills (diabetes specialist, diabetes expert and diabetes consultant levels) will involve demonstration of a skill through case studies and other methods.
All levels are accumulative as per the Diabetes Competency Framework, so roles requiring a higher level of diabetes competencies will still need to complete the lower levels prior to embarking on these more advanced levels.
CDEP automatically offers you all the relevant and available levels and topics suitable to your diabetes skills level you selected during the registration process.
You are able to change your CDEP registration level at any time in 'my account' section of the website.
80% pass mark, for all competencies tested in the multiple choice question format, is required as staff need to demonstrate pure knowledge in these assessments.
Each multiple choice question series (quiz) can be taken up to 3 time before the competency is locked.
Each time the quiz is taken a new series of questions are asked.
Once the competency is locked, a relevant resource needs to be accessed via the resource library in order to unlock the competency again before further attempts can be made.
You can start with any topic, in the order you choose; for example you may have want to start with a subject that you feel more confident with or you may be managing a patient at the moment and feel you would like to learn more about a specific issue to better support them.
You do not have to complete all topics, if you do not wish to. Each topic is free standing.
After a topic is successfully completed, you will be issued with a topic certificate with the relevant CPD time for that topic. Each topic certificate is valid for 2 years from the date of issue.
A topic reflection document is also generated.
CDEP foundation topics are topics which are relevant to all healthcare practitioner roles no matter which area they work in.
We would highly recommend that all these topics are completed to ensure that a staff member is able to demonstrate robust diabetes competencies in all these fundamental areas of diabetes care.
There are 10 foundation topics:
Beyond the 9 CDEP foundation topics, we also offer more specialist or care sector specific topics that may be more relevant to staff working in different sectors of diabetes care or providing more specialist services.
There are currently 7 such topics available:
You will be able to generate a certificate from the website once you have successfully completed all the competencies within that topic.
You will also be asked to complete an evaluation of the learning experience relating to that specific topic that CDEP uses to monitor the overall impact of CDEP and how best to improve the experience offered.
Average time taken to complete a topic is then documented as topic-specific diabetes continuous professional development (CPD) time on the relevant certificate.
Certificates are valid for 2 years from the date of completion due to the ongoing development of new treatments and continual evolution of diabetes care.
Certificates can be printed and/or emailed when you are logged into the CDEP website and are stored for future reference under the 'My Learning' tab.
The CDEP diabetes level, chosen at registration or amended by updating your account details, triggers the platform to offer you all the available topics and competencies within topics that meet that level.
The diabetes competency levels are accumulative, as per the national diabetes competency frameworks, so for example, diabetes specialists have to demonstrate core and intermediate levels as well as they own to gain a certificate at diabetes specialist.
The topic certificate states to which level you have successfully demonstrated topic-specific competencies and not the registration level you have selected, which is why your CDEP registration level may differ from your diabetes level on some topic certificates.
Some CDEP topics do not contain all 5 diabetes competencies levels as they are either more specialist, so may not have core and intermediate level or are aimed at general awareness raising, so may only have a core and intermediate level.
CDEP is also an ever-evolving platform and we are continually generating new functionality and new topic levels. As these new features are added you will be able to generate new certificates to demonstrate competency at the higher levels should you wish to.
The Nutrition & Physical Activity Module topic is set at the Intermediate level (or level 2 according to the national competency frameworks) for registered healthcare professionals as per national guidance.
The answer to the above question boils down to the individual’s diabetes skills and knowledge as well as the structure in which that individual finds themselves working especially with regards to supervision and clinical governance (CG) which is a requirement of an unregistered practitioner's clinical practice.
There are many HCAs that work at a high level and have the necessary diabetes experience, skills and knowledge within a clinical supervision and CG structure to support this level of working that it would be completely appropriate for them to be deemed a ‘competent person’ to deliver this advice and support following the required training.
However, there are other HCAs will not have yet obtained these skills and/or are not working within an appropriate setting to provide the supervison required, and will therefore should not be deemed competent to fulfil this role.
The usual CDEP level for HCAs is the core knowlegde level which would not give them automatic access to the QoF topic, however they would have access to the other foundation diabetes topics at this core level. If it is felt that the individual HCA in question possesses the diabetes skills and that the necessary CG structures are in place to support them, CDEP could change them to the intermediate level at your request, which would allow them access to this specific topic as well as all the other topics at this higher level of competency.
The certificates of competency obtained from CDEP e-learning undertaken would have the caveat that it is only valid within a workplace providing adequate support and supervision. It would be the responsibility of the workplace to define and monitor this.
Our resource library is now very extensive and continues to grow daily. We have therefore tried to make it easier for you by grading the resources according to the CDEP registration level you would have registered yourself against when you created your account.
CDEP registrations levels are:
1 = Core (minimum level for working with people living with diabetes)
2 = Intermediate (roles that have regular contact with people living with diabetes)
3 = Diabetes specialist (roles that directly support people managing their diabetes)
4 = Diabetes expert (roles that intensively support complex patients with diabetes)
5 = Diabetes consultant (roles that are responsible for managing a specialist caseload as well as leading service design, workforce planning, business case development, etc)
Therefore core resources are great for a brief explanation of the subject or a nice patient resource that you could direct people living with diabetes to. As the levels increase, so does the detail and depth of the resource. This does not mean that a diabetes specialist resource may not be of interest to someone at intermediate level or visa versa. However it does mean that we would expect that level of understanding as a MINIMUM for the corresponding CDEP registration level.
At the end of each competency, you will be shown the correct answers to the questions.
A green tick will be shown for each correct answer.
Below each question, CDEP will indicate if you answered the question correctly or not.
Relevant resources linked to the competency are show at the bottom of the page should you wish to review them.
Yes; if on your third attempt, you are still unable to answer the questions, the competency will be locked and you will be directed to the resources associated with that competency.
Having viewed one or more of the resources, the competency will be unlocked and you may again re-take the quiz.
The short answer is: it varies!
This is because each topic contains a different number of competencies, individuals differ in their knowledge in a particular subject, in their pace of learning, familiarity with their IT device and the CDEP website as well as their reading speed.
We continually monitor the average length of time taken to complete the individual quizzes within each competency and therefore the topic as a whole. Average time taken to complete a topic is then documented as topic-specific diabetes continuous professional development (CPD) time on the relevant certificate. If all 13 currently offered topics are completed a total of 21.5 hours of diabetes CPD time can be claimed.
Our largest topic to date is the QoF Nutrition and Physical Activity topic with 47 competencies to complete. One of the practice nurses, who is one of our tester of the e-learning topics prior to their public launch and therefore is very familiar with the site, was able to successfully complete this topic in 2 hours. A local GP commented 'it was v long that's for sure but thorough no doubt. Certainly took me more than the 2hrs your colleague whizzed thru it! That said it is comprehensive and resources excellent, and I think all GPs and nurses will benefit considerably by ploughing thru it.'
You can log onto CDEP from any internet-enabled smartphone, tablet or desktop computer that has access to the internet.
CDEP has a mobile responsive website which offers a fantastic user experience from any device.
The detailed data is only viewed by the CDEP core team for troubleshooting and general evaluation purposes. All published data will be aggregated and can not be traced back to the individual.
If an organisation has purchased bulk registrations to allow their staff free access at the point of registration, CDEP provides the organisation with access to a secure online reporting portal through which they can monitor CDEP uptake and activity. The relevant named indiividual within the organisation is granted access to view their staffing cohort. Staff are not identifed by name to protect their confidentiality.
The data provided via the online reporting portal includes basic information such as
Aggregated data is also shown to help focus local diabetes education and training strategies as well as evalute the impact of CDEP such as
All published reports from CDEP will only contain anonymised data and aggregated to a level in which specific individuals, organisations and/or GP practices cannot be identified.
Each individual account is protected by a username (email address – which can only be used once to create a single account) and password (minimum 6 characters with letters and numbers). No account sharing is allowed. Passwords are created by the account holder and can be changed as/when required directly on the site. Passwords are encrypted when saved on the server so they can not be seen by CDEP staff or our hosting company.
All accounts have a unique ID code allocated to them to track their activity so that data integrity is maintained and monitored. All data is securely stored on a reputable server in line with data protection act. The CDEP website is hosted by 1&1 and the details of the security they provide can be found if you click on this link https://www.1and1.co.uk/web-hosting#security. The website itself also runs on secure encryption via https.
The confidentiality of our users is the utmost importance to us. CDEP’s aim is that people feel free to take up the learning opportunities, attempt new topics, potentially make mistakes and in so doing learn from them without the fear of their data being disclosed. To this end, we only ever disclose a small amount of data to bulk purchasing organisations regarding their specific cohort of accounts to allow these organisations to monitor uptake and utilisation as part of their evaluation of the return to purchase. No identifiable data will ever be shared with any other party.
We do publish CDEP outcome data, but all data is anonymised and averaged across the user population and therefore can not be traced back to an individual. Access to the administrative side of the CDEP website is restricted via username and password protection (as per the public-facing side of the site) and only authorised CDEP core staff have been granted the right to access, alter, disclose or delete any data on the website.