Traditional diabetes services have relied on primary care referring to secondary care clinics for advice. This fragments care, incurs long delays due to waiting times to be seen results in duplication of work. Each of the 69 GP practices in the Cardiff and Vale area are allocated a named consultant who provides support to the diabetes service in primary care. Each consultant mentors 6-10 practices depending on list size. Consultants visit each practice twice a year for case notes review and discussion of difficult cases. Results include: • 35% reduction in new patient referrals to secondary care. • Reduction in waiting time for an appointment from 6 months to around 6 weeks. • GPs and Practice Nurses expressed a very high level of satisfaction with the service on questionnaire (75% response rate). • A reduction in the use of more expensive analogue insulin and increased use of more cost effective human insulin is emerging. For further information, please contact: Dr Lindsay George, Consultant, Cardiff and Vale University Health Board, email@example.com or Dr Aled Roberts, Redlands Surgery, Penarth firstname.lastname@example.org .