How is Jesus described in Matthew's Gospel as the fulfillment of Essay

How is Jesus described in Matthews religious doctrine as the fulfillment of Jewish foretaste - Essay ExampleIn addition, he expected, in some respects that the gentiles would adhere to some aspects of the Torah beyond the laws that were formed for status or social distinction. Therefore, any portrayal in the 1st century of Jesus, obviously, would reflect Jesus as a Jew as was the case. However, it is the Gospel of Matthew, among all the other Gospels, that stresses the Jewish origins of Jesus. In the Gospel of Matthew, it is evident that Jesus is the ultimate fulfillment of the scriptures of the Jews in more than a dozen citations of fulfillment. Matthew starts by prefaceing Him as Davids son and an anointed king. Jesus, in the Gospel of Matthew, is presented as the new coming of Moses, for example, in the birth narrative. In the Sermon on the Mount, Matthew alludes to the continued theme contending that Jesus was the prophet whom the Jews had been expecting like Moses, and this is addressed in Matthew chapters 5 to 73. Here, Jesus continues to affirm the validity of the Torah to his followers. He exemplifies that his intention is not to abolish Moses law or the earlier prophets but that he had arrived to fulfill them. He withal claims that not an iota forget pass from the Torah until it is accomplished in its totality. Jesus also teaches that anyone who relaxes these laws, even the least of them, and causes other men to do so will be the least in heaven and vice versa. He finishes by stating that unless the righteousness of his followers exceeds the Pharisees and scribes, they will not see heaven. The followers of Jesus, therefore, were required to go after the Torah in a manner that was better than the Pharisees were. The Pharisees had a reputation, both in the Gospels and outside it for pursual the Torah carefully in their everyday life beyond what was practiced by other Jews4. This comes through as a key to the elucidation of the following material that Jesus quotes Moses law and interprets the law in a manner, which affirms in the strongest terms the laws original intent as Jesus in the Gospel of Matthew comprehended it. These do not seek to replace Moses law but, instead, present a radicalization of why God gave the laws in the view of Matthew. Some of those in the community that Matthew wrote the Gospel for, as well as Matthew himself, evidently went on placing grandness on adhering to the Jewish law and continue being Jewish in this manner5. The Gospel of Matthew was written around the year 80-85 CE, which was about twenty years following the death of the apostle6. It is, therefore, clear that another person and it wrote this Gospel is likely that this person was trained in the law of the Jews as Matthew was. As with the rest of the Gospels, Matthew possesses a preposterous perspective since it interprets Jesus life for a specific audience. Matthews first readers constituted of Jews and Christian converts, who previously gentiles were living in Antioch. The first Christians were converts from Judaism, although when the church began to fill gentiles, conflicts abounded. For instance, they had to decide whether the later converts would be required to convert to Judaism first on being accepted into the Christian faith7. The argument was as to whether they would have to observe handed-down customs of the Jews and follow the Law of Moses. The argument also

World Cinema Essay Example | Topics and Well Written Essays - 1500 words

World Cinema - Essay ExampleThe Iranian cinema is an example of how the amic suitable and cultural perspectives and challenges be represented in the cinema. Questions of government and religion in Iranian cinema cant be separate from any of the films that are produced in the region. These are intertwined with the representation of culture, societys identity and the belief systems that are continuously challenged within the region. Each era has specific approaches to religion and politics with the cinema, all which are a reflection of society at the time. Silent Era The first era of cinema that noted the religious and governmental views in Iranian cinema was with the silent era. The silent era was attributed to the years of 1900 - 1930 with a combination of documentaries and fictionalisational settings that were used. The footage that was used for these specific films consisted of footage news, events and spectacles that were related specifically to royalty. These different clip s were combined together to show historical accounts of what were occurring during a specific time and how this linked to the identity that was a part of the Iranian culture. The concept was combined with the susceptibility to shoot rituals, religious events and to show the diversity of culture in the area, such as with investigations of Christianity and by looking at ethic and religious minorities. This approach was able to provide insight into the time frame while allowing a new type of history and sense of identity to take place through the political and religious concepts (Smith, 2006). Sound Era The foundation of film in the silent era led to new technical innovations that were approached in the sound era. However, this point withal focused on the same ideals of religion and politics, specifically because it was a representation of the identity of those that were spectators to the film. The silent era had established this with the different approaches which were taken to show ing the non fiction elements of the film. From the 1930s and until the 1970s, there was a focus on providing insight into the different topics which were associated with the film. The main ideology was to present the socially engaged film, specifically which was highlighted in the 1960s. This was found on showing the realities of the Iranian culture, such as through minority groups and those which were suffering because of the current political regime and religious laws. The ideas were combined with the religious devotion that was based on the Islamic practices, specifically with the belief that bringing the information to the public would also lead to a day of judgment for those who had turned out from the social issues which were at hand (Ridgeon, 2003). The concept of the day of judgment and the approach to religion and politics from this perspective led to the growing ideology of the third humans of cinema as thoroughly as the Muslim ideologies that were engrained in the c ulture. The themes which were used in each of the films helped to bring light to the current issues which had been raised as well as created a sense of justice that was a part of the religion and politics. However, this was combined with the deeply embedded belief systems in the culture. The concept of religion, belief in the Quran and the continuous teachings were known and praised throughout society. The Iranian culture was expected to live under these religious beliefs, which is what created the differences and changes that were a part of society. The concept of building a Muslim ideology from the movies, while showing the concept of justice, then became intertwined with the films that were a part of the sound era (Ahmad, 2010). Modern Era The new wave, or innovative era of cinema, began in the 1960s and led into 1978 with new challenges that were

Managing supportive learning environments Essay

Managing supportive learning environments - Essay ExampleComments impart not be made on the actual assignment. hold in a copy of your assignment for possible future reference. Marking Criteria There is no marking rubric for this assignment. The great variety of types of questions in this assignment precludes hotshot standard set of marking criteria or rubric. However, where appropriate, the following criteria will be used to assess student responses 1. The expectation is that for all questions you will demonstrate in your responses an insightful knowledge and understanding of information presented in the course. Most questions require you to integrate your overall course knowledge and insights into behaviour management and support to widen appropriate answers. 2. Only Part 2 questions lend themselves to demonstrated research (reading) beyond course readings and other course sources of information. A small number of highly pertinent references are much better than half a dozen or more, many of which have a dubious link to the topic. 3. Carefully plotted and apothegmatic responses that focus immediately and directly on the specific question or task and which remain within the intelligence activity limit are essential. 4. How you verbalise your responses are important. You may have the basis of a correct response, but if it is poorly communicated, marks will be deducted. 5. Markers will be looking for and will expect correct use of APA referencing. 6. Up to five marks may be deducted for incorrect referencing. In addition, up to five marks may be deducted for modifying or not adhering to the assignment template format. 7. Word length guidelines are provided throughout the assignment. In line with the universitys policy on assessment word length, students may exceed the total assignment word length by up to 10%. Marks may be deducted for assignments that go over the nonnegative 10% guideline. Complete and submit your assignment using the Assignment Template . Complete all questions in both Part 1 and Part 2. PART 1 (No referencing required) Answer the questions in this part one of the assignment taking into account your specific sectors (Early Childhood, Primary, Secondary, and Vocational Education & Training). Support your answers utilising practical examples that are relevant to your sector. movement 1 (5 marks) Over the past two decades we have seen a gradual shift from prevail to management to support in how behaviour management is viewed. leave a concise explanation of what is meant by these three terms as they relate to the education context. Keep in mind that control does not needfully mean autocratic and punitive behaviour and that all three approaches to behaviour management still have a place in education. To supplement your concise explanations, provide a practical example for each, relevant to your sector. (Word length 300 words) Provide your answer here Control is a type of power dealings in the classroom when a teache r shows his ability to influence pupils or state of affairs. Contemporary control researchers (such as Slee) see this concept in a more complex way, without negative sense it is a productive tool in the curriculum-oriented context instead of the context of disciplinary management. It is impossible to avoid control in language and daily practices, so the teachers aim should be to use its mechanisms properly and teach children self-regulation. In

My fellow thanes for Macbeths Coronation banquet Essay Example for Free

My fellow thanes for Macbeths Coronation banquet EssayMy doll and I were asked to join my fellow thanes for Macbeths Coronation banquet. As we entered the cavernous hall, which had been decorated with splendid work and banners, I noticed few people were talking. The sullen silence made the hall seem even bigger and perhaps even darker, and then, I gasped in astonishment as I noticed the feast (I do not know how I could have missed it) it was so vast it took up 20 full tables. Every imaginable food was there including much game. I had only just taken it all in when the sound of trumpets inform to the assembly the king was coming. He and his wife entered. Macbeth was dressed in fine clothes, red and grand silks and rare animal furs. Upon each finger a gold ring glittered , and of course the golden crown of the king.Lady Macbeth was also dressed in fine silks complimenting her pale cold looks perfectly, and also upon her hand rings glistened and gleamed deal sun glinting off a newly forged sword. Around her neck many fine chains of gold and silver, the best that could be found. merely soon things became not as they should, when my lord started seeing apparitions and things that were clearly not there. They may not have been there but the look of horror on Lord Macbeths face was enough to persuade me that he saw something others could not, and would not like to. But our Lady Macbeth reassured us and assay to explain it was a problem from childhood.But also throughout the most royal banquet our lord Macbeth disappeared and reappeared many times, he was rumored to have been seen with to shifty looking rogues. My lord and lady Macbeth were also seen to be quarreling throughout the evening, the air between them was thick with unsaid threats and promises, they were both on edge throughout the evening even though his lordship tried hard to hide it. Unfortunately we were asked to leave early as Macbeth had gone into another trance, seeing things that were not there, he talked about them too he talk of grievances and of blood and injury but as soon as started they had finished and we were bid leave.

Social and economic Essay Example for Free

Social and economic EssayAka fathers spend a high power point (almost half of their time) with their infants due to the cultural acceptance of this and the bond that is already in place with the m other. It is socially acceptable in this tribe and since the Aka do not hunt, the hands have to a greater extent time available to them. So economically, it is smart for the men to care for their children while women forage and farm to keep a strong dependent relationship with other tribes around them. Since, the men do not hunt and engage in more parenting than other tribes, they are not out competing with these other tribes and do not have any enemies for this reason, there is no warring or aggressiveness displayed by Aka fathers, because it would be detrimental to their survival. Other tribes are diligent in more aggressive behavior and this is dangerous, as the Aka (with their foraging through the jungle) are cited to be at a very high risk for the Ebola virus, so these fathers pay strong attention to the safety and closeness of their offspring.Describe the differences between father-infant bonding between the Aka and Americans. What are some of the cultural explanations for these differences? Parenting in any multitude is contingent upon money, time, and perceived power. Americans take that fathers have more power in the family and that child-bonding is something that a mother can more powerfully achieve, while fathers are authorise to what is believed to be more important than bonding and that is providing monetarily. This power structure is strongly embedded in the American culture and is in direct contrast with the Akas.The Akas believe that caring for children is an equal enterprise between loving, bonded parents. There are no cultural sanctions on the fathers for spending time with their children (time that many American fathers do not have do to working outside the home). American fathers, if they do find time to bond to a high degree with their children, may find themselves denominate as feminine and this does not happen with Aka fathers. It is fair to say that the American culture overall is masculine in nature while they Akas are more androgynous.

A point in life Essay Example for Free

A point in life sentence EssayI welcome come to a point in life that umteen people have not. I have made a firm decision to recommit myself to pursuing my dreams. While there be those who desire that with an ounce of luck and a ton of persistence anything can be accomplished, I believe that there is no reason to expend so lots energy and rely on luck. I believe in taking hold of my destiny and carving out a future for myself based on the decisions that I make in life. Life is simply too short and too precious to be left to luck alone. This is why I have chosen to apply for a course in Nursing at the Saint Xavier University.I have always wanted to help change the world. As a child, I believed that if everyone did their own little part in taking that extra step to help others, the world would be a much advance place for everyone. The stark reality of it all hit me not long after that but it did not lessen my resolve. I figured that if so many people I knew did not want to do their part in changing the world then I would probably have to do their share. This is where my pauperism to pursue nursing comes from the drive to go the extra mile just to make a difference in this world.I see my goal in life as similar to that of Nurse Leader Mary Breckenridge in that I know that nursing goldbricks a very important role in the world today. There are few jobs and professions that are as rewarding as nursing. While other jobs may get more publicity, the role that nurses play in the health care industry is highly valued and appreciated. My motivation has to do with the fact that nursing is one of the ways by which I am able to do something that I really want to do in my life and that is to care and help other people.More importantly, I greatly spirit that by taking up nursing I will be able to make a difference in this world much equal Mary Breckenridge has done. Pursuing my career in nursing is just the first step in my plan. Much like Nurse Leader Mary Brecke nridge has done, I too want to be just more than a nurse. I would like to have the opportunity to take a bigger role in making the world a better place to live. My main school of thought in life is to lead by setting an example. I cannot expect others to do what I myself would be willing to do but that does not mean that I cannot hope that others will see the example that I have shown them.This philosophy is one of the many forces that drive me to pursue my dream of pursuing a career in nursing and of becoming so much more in life. The chance to help those who are less fortunate in life, the chance to help people like myself, the opportunity to be of service to humanity these are the reasons why I have selected nursing as the profession that I will pursue for, as Eleanor Roosevelt once said, The future belongs to those who believe in the dish of their dreams

Public Health Issue: Diabetes Mellitus

Public Health Issue Diabetes MellitusThis assignment depart address the public wellness regaining of the increasing prevalence of diabetes mellitus (diabetes) and explore links with health in coupleities both nationally and locally. It will discuss the frameworks available which give guidance for standards of business for diabetes patients and their influence on diabetes grapple. It will then critically discuss the issue of diabetes steering in relation to patient discipline and the ability of patients to self-manage their chronic long-terminus condition, evaluating both the persona of both health c be professionals and individuals in achieving the best possible healthy outcomes. It will then discuss whether all peck get the same level of diabetes vex, in pgraphicsicular focusing on people who are non able to at persist GP surgeries.Public health is defined as The science and art of promoting and protecting health and wellbeing, preventing ill health and prolonging flavour through the organised efforts of society (Faculty of Public Health 2008). Health e persona is a key factor of social justice and as such justifies the government and former(a) health agencies to work in collaboration to develop health policies which improve the publics health irrespective of social class, income, gender or culturality through promoting healthier lifestyles and protecting them from infectious distempers and environmental hazards (Griffiths Hunter 2007). Yet many health inequalities still exist in the UK, some of which will be discussed in this paper.There are predominantly two lawsuits of diabetes mellitus (diabetes) flake 1 diabetes occurs when the body does non produce any insulin and fictional character 2 diabetes occurs when the body does not produce enough insulin to function properly or when the body cells do not react to insulin. Type 2 diabetes is the around common and accounts for around ninety five per penny of people with diabetes. If left un har dened both lineaments of diabetes throne lead to moreover complications which overwhelm heart sickness, stroke, blindness, and kidney misery (Who 2011). Life expectancy is reduced by up to 10 years in those with this type of disease (Whittaker, 2004). In the majority of cases, type 2 diabetes is treated with lifestyle changes such as eating healthier, weight loss, and increasing physical exercise (Diabetes UK, 2007b).There are currently 2.6 million people in the UK with diabetes, and it is conceit up to a nevertheless 1.1 million are undiagnosed. (Diabetes UK, 2010). Other separate suggests that approx 50% of people are not aware they rescue the condition, living a normal life with only mild symptoms (reference). Men are twice more likely to hurt undiagnosed diabetes, than women, possible because on second-rate they tend to visit their GP less (Nursing measure.net 2009). Diabetes is superstar of the most widespread chronic diseases, which is capabilityly life threateni ng. It is currently thought to be the leading 4th disease causing death in most developed countries worldwide with estimated prevalence of 285 million people.Most experts agree that more than 4 million people in the UK will deport Type 2 diabetes by 2025 with potentially 5.5 million living with this chronic condition by 2030 (Diabetes UK 2010, and International Diabetes Federation (IDF)2010). These statistics are blow out of the water type 2 diabetes is one of the biggest challenges facing the UK today with people often treated entirely by the study Health Service (NHS) who provide sell for all levels of diabetes. Diabetes control is considered poor in Europe with the UK being identified as having the worst control. The reasons for this are not clearly identified. however what is clear is the potential impact on people in terms of complications and shorter lives (Liebl et al 2002). People with diabetes who have complications cost the NHS 3.5 times more than people who have no e vidence of complications (IDF 2006).The NHS currently spends about 10% of its total resources on diabetes, which equates to 286 per second. This places a significant drain on resources which will potentially rise in line with the outgrowth prevalence of diabetes and associated complications unless alternative ways to reduce the weight down of the disease can be found Diabetes.co.uk).There are many reasons for the growing prevalence of type 2 diabetes in the UK, two of the main ones being the modernisation of industrialisation and urbanisation, which has changed peoples lifestyles and eating habits and caused and escalation in obesity (Helms et al 2003). Diabetes and obesity are loadedly tie in eighty percent of patients diagnosed with diabetes are obese at the time of diagnosis (Diabetes UK, 2006). Kazmi and Taylor (2009) agree and say type 2 diabetes can be linked to genetics, although increase levels are more likely to be attributable to obesity resulting from a decrease in ph ysical exercise and westernised diets. A 2008 survey highlighted the UK as having the highest obesity levels in Europe, currently 24% of adults are considered obese which tends to increase with age. (Organisation for Economic Co-operation and Development 2010). However this figure should be treated with caution as England is one of the few countries who uses actual measurements of weight and height, other countries preferring to use self describe measures. The UK has an increasing elderly population which combined with rising levels of obesity is likely to further increase type 2 diabetes prevalence(DH2010).The links between socioeconomic deprivation and ill health are well established (Yamey 1999, Acheson 1998, Chaturvedi 2004). This can be spy within the UK, as type 2 diabetes does not affect all social groups equally, it is more prevalent in people over 40, minority ethnic groups, and poor people (The National Service Framework (NSF) for Diabetes). Several studies have establis hed people with type 2 diabetes living in deprive areas recede higher morbidity and mortality rates than those in more affluent areas. (Roper et al 2001, Wilde et al 2008, Bachhmann 2003).However globally the links between deprivation and type 2 diabetes are less clear as there is less information available on diabetes and deprivation related outcomes. In conflict with the UK, studies in Finland, Italy and Ireland found no significant variations in different socioeconomic groups (Gnavi et al 2004, OConner 2006). Reasons which may have negated the impact on socioeconomic deprivation may have been due to differences such in the population studied, health care delivery or available treatments.Links between deprivation and type 2 diabetes show up evident in the locality of Derbyshire. All but three local areas in Derbyshire have a diabetes and obesity levels which are importantly worse than the England average (Derbyshire County Primary Care Trust (PCT) 2008). In Derbyshire there are clear significant variations in levels of deprivation, High Peak has very little deprivation, and yet Bolsover is in the 20 per cent most deprived areas in England, with thirty two per cent of people living in poverty and mortality and morbidity levels significantly worse than the England average (Bolsover District monetary Inclusion Strategy 2009). These worrying levels have triggered the Department of Health to declare Bolsover a Spearhead area for portion (DH 2009, Derbyshire PCT 2008). Some steps have been taken in Bolsover to reduce morbidity and mortality rates by introducing healthy initiatives aimed at improving peoples life styles (Bolsover 2010). However, although morbidity and mortality rates have reduced over the last ten years they remain significantly higher than the England average (Bolsover District Financial Inclusion Strategy 2009). Derbyshire has a growing elderly population (Derbyshire PCT 2008). This together with proven links of levels of obesity rising with age would suggest a future increase in levels of diabetes.Diabetes is a national priority and Derbyshire has a higher than England average prevalence, but the local NHS strategy (2008) does not specify diabetes as a key priority. This may be a factor why Derbyshire is helplessness to meet its targets to reducing morbidity and mortality by ten per cent by 2010 in the poorest areas of Derbyshire (DH 2009).Frameworks and policies exist to give guidance on standards of care, improve the quality of life and life expectancy of people with diabetes and lessen the financial burden on health service. (Reference x2). In response to European influence the NHS plan (2000) set out guidance for modernising services, raising standards and moving towards patient centred care. Subsequently the NSF for Diabetes (2001) was print which outlines xii standards of care aimed at delivering improved services and reducing inequalities over a ten year period with the ultimate vision of people woe with di abetes receiving a world class service in the UK by 2013. This framework was followed by the NSF for Diabetes Delivery Strategy (2003) which gives guidance on how the NSF for diabetes could be achieved.Frameworks are a useful outline for action and set out clear goals and targets, but do not address the social, economical and environmental causes of ill health or take account of available financial and staffing resources (Reference from book). The NSF for Diabetes (2001) appears to support this statement other than retinal screening, no funding was initially made available to implement the twelve standards (Cavan 2005). The availability of this funding will have been significant in the achievement of one hundred per cent of people with diabetes now being offered this service (English National Screening Programme for Diabetic Retinopathy, 2009). It wasnt until 2004 the Quality Outcome Framework offered financial rewards to meet other targets within the NSF, for instance maintaining p racticed based registers of people with diabetes, to alter primary care providers to provide proactive care (NHS 2004).Ten years on this framework is still credible and sets the gold standard of care for patients with diabetes in the UK (NICE 2000) which would seem to be an outstanding achievement. There have been significant improvements in caring for people with diabetes since it was published. However, it could be criticised that some standards are not enforceable until 2013 (NSF 2001). legion(predicate) publications have followed the NSF for Diabetes (2001) in an attempt to give guidance for health professionals to follow (NICE 2004, NICE 2008, NICE 2009, RCN, NMC). These frameworks are not intended to work in closing off but collaborate with each other at different levels, whilst attempting to produce a quality health service (Reference). .The main reasons for the onset of diabetes and essay of further complications is due to suboptimal health relative behaviours which includ e little physical activity, high calorie intake and inadequacy to maintain good glucose control and it is said individuals with diabetes hornswoggle a central usance in determining their own health status (Clarke 2008 Reference 1). Whittaker (2004) concurs and says that much of the burden relating to care lies with individuals themselves. Patient didactics is seen as fundamental in the treatment of diabetes to ensure the best possible healthy outcomes for individuals (Alexander et al, 2006, Brooker Nicol 2003, Walsh, 2002). Standard 3 of the NSF for Diabetes (2001) clearly demonstrates a move away from medical care to encourage individuals to take responsibility for their own health but also places the onus on health care professionals to educate, support and empower people to enable them to effectually care for themselves. The recent Public Health Whitepaper (2010) endorses future healthcare services should focus on wellness rather than treating disease and supports empowering people to stupefy some effort into staying well. It acknowledges healthcare services only contribute to one third of improvement made to life expectancy stating that a change in lifestyle and removing health inequalities contribute to the remaining two thirds. Giving people the skills, knowledge and tools to take control of their own health logical as people with diabetes spend an average of 3 hours per year with their healthcare professional and around 8700 hours managing themselves (Ref N3. For example there is much evidence concluding that maintaining blood glucose levels as close to normal as possible slows down the progression of long term complications and if patients can be empowered to take control of their diabetes, not only will it increase the individuals quality of life but also reduce the financial burden on the NHS. (Whittaker, 2004). (Ref 4.1, 4.2).The Diabetes Year of Care programme (2008) has been developed to help healthcare professionals move away from a paterna l approach to care planning to a more personalised approach for people with chronic long term conditions. This approach involves both healthcare professionals and patients working together to prioritise individual needs. Helmore (2009) agrees that a personalised approach to care planning which should be holistic and include the persons social circumstances, will empower patients to take a central role in their own healthcare and suggests that nurses and patients should work together to set goals the patient can work towards which would include self care and the services they will use. For example a depressed patient will not want to venture immaterial to exercise and comfort eating may cause them to gain weight. The priority in this case would be to deal with the patients depression. The nurse could then liaise with other community services and social care to resolve non medical issues which would enable the patient to manage their weight and increase activities (Helmore 2009). Rol lings (2010) believes nurses should take a lead role on behalf of the GP consortia as they are the ones best placed to identify the care requirements of patients with diabetes, they have experience in patient pathways and are able to coordinate local and professional services.The Department of Health (2010) has highlighted care planning as an area for improvement to ensure one hundred per cent of diabetic patients have individual care plans (DH 2010). Currently it is thought only sixty per of people with long-term conditions in England have an individual care plan (www.gp-patient.co.uk).Diabetes self-management education programmes (DSME) have been developed to educate and empower patients to take control of their own conditions by improving their knowledge and skills to enable them to make informed choices, self-manage and reduce any risk of complications. DSME also aims to help people to cope with physical and mental of living with diabetes (Ref 21 p 114. These programmes which sh ould be age appropriate can be delivered to individuals or groups. (6 and 40 p 119 and 120). . (reference 7 p119). Programmes available include the Expert Patent Programme (EPP), its derivative X-PERT and Diabetes Education and Self-Management for ongoing and newly diagnosed (DESMOND) which are available in all PCTs in the country. These programmes offer the necessary information and skills to people to enable them to manage their own diabetes care and they offer the opportunity for people with diabetes to share problems and solutions on concerns they may have with on everyday living (N9). They encourage people to find their own solutions to issues such as diet, weight management and blood glucose control, sign up the help of diabetes professionals if needed (N9). The literature suggests this will result in well educated, motivated and empowered patients and consistently supports patient education as crucial to effective diabetes care (use many refs).Much research has taken place o n the effectiveness of DSME. Some of which suggests that patients who have not participated in DSME are four times more likely to encounter major diabetes complications compared to patients who have been involved in DSME (Reference).Other evidence suggests that it is not possible to establish whether patient education is effective at promoting self-management in the long term to reduce the effects of diabetes or the onset of complications and improve the patients quality of life (reference). From studies that have taken place, it is evident that although knowledge and skills are necessary they are not sufficient on their own to ensure good diabetes control. People require ongoing support to cause the enable them to sustain self-management and therefore the longer period of time the course run the more likelihood people will remain empowered (Ref)The majority of people in the UK are offered some form diabetes education, the bulk of which is offered at the time of diagnosis. Also the style, length, content and structure of DSME vary. Very few education programmes have been evaluated therefore it is not conclusive which intervention strategy is the most effective for improving the control of diabetes. The America Diabetes Association suggest that as people are individuals and different methods of education suit different people, there is no one best programme, but generally programmes which incorporate both psychosocial and behaviour strategies appear to have the best outcomes.However the Healthcare commission (2006) found people in England are not being offered adequate information about their condition to facilitate effective self-management. They reported just eleven per cent of respondents had realiseed an educational course on how to live with diabetes and disturbingly seventeen per cent of respondents did not even know whether they had type 1 or type 2 diabetes (Reference 2 p 119).The success of DSME is dependent many variants which include the patients i ndividual characteristics, the context of their social environment, the extent of the disease, and the patients user interface with the care and education provided.Overall there is a great deal of evidence to suggest DSME is the cornerstone in effective diabetes care (NSF 2001). It is recommended that DSME is delivered by a multi-disciplinary squad together with a comprehensive care plan (reference 1). Experts agree that effective management of diabetes mellitus increases life expectancy and reduces the risk of complications (NICE Guidenance for the use of patient education models of diabetes Referece 1 p 119Changing the health related behaviours of people with diabetes has been proved to be successful in reducing or even eradicating the risk of complications (reference). numerous different health promotion models of exist which can help a patient to digest health promotion advise and want to change their health related behaviours (Kawachi 2002). Health promotion models are usefu l tools to assist with this process. The Stages of Change health promotion is a frequently used model for weight management as it identifies 6 stages of readiness to change which helps health professionals identify the intervention actions to recommend and support.Standard 3 has also ensured people with diabetes receive regular care (Hicks 2010), although Hillson (2009) would argue the quality of which is still open to debate. Every person with diabetes should receive the highest standards of individualised care, no matter who delivers it or where or when it is delivered. Access to specialist services should be available when required (Hillson 2009).Diabetes patients receive different standards of care depending on whether or not they can attend their doctors surgery (Knights and Platt 2005). Diabetes patients who are unable to attend the surgery are being overlooked and missed out on screening and reviews of their diabetes, consequently receiving a lower standard of care despite th e NSF for Diabetes stating inequalities in provision of services should be addressed to ensure a high standard of care which meets individual patient needs.(Gadsky 1994 ,Hall 2005, Harris 2005,).Until recently the district nursing team were some of the few professionals who provided care in the home for diabetes patients and only usually had input with diabetes patients when treatment was required for a complication (Wrobel 2001). District nurses have historically been seen as generalists and able to provide care and treatment for patients with a wide range of conditions and therefore do not necessarily have specialist disease knowledge (Hale 2004). Sargant (2002) agree with this and suggests the quality and advise district nurses give to diabetic patients is questionable as they dont have the in-depth level of knowledge in relation to diabetes. In recognition of the inconsistency of care being provided to patients with chronic illnesses in their own homes, the role of Community Mat ron was introduced in 2004 to ensure patients with diabetes receive the first class service advocated by the Department of Health (1999) and the NHS PLAN (2000) by managing their all encompassing care requirements and help patients effectively manage their long term conditions which in possibility should result in reduce hospital admissions. (NHS Improvement Plan 2004). However a study conducted by Gravelle et al (2006) would suggest the Community Matron role has not been effective in reducing hospital admissions. Forbes et al (2004) concurs that district nurses, given the time and with the right training could extend their roles and satisfactory undertake appropriate care for housebound people with diabetes. However Brookes (2002) suggests training and resources are big issues and Harris (2005) says that district nurses may not be fulfilling their Professional Code of Conduct by failing to care sufficiently for this group of patients (Nursing and Midwifery Council 2008).The growing prevalence of diabetes and the drain on NHS resources continues to be a concern for the UK, in terms of life quality and life expectancy of patients. Many health inequalities exist for people with diabetes there are proven links with obesity and deprivation and diabetes care provided is not equal for all patients. Patients who are able to attend their GP surgery receive better care than those who are housebound, although this inequality is being addressed and care is improving. The NSF for Diabetes is a useful framework for healthcare professionals to follow when providing care for people with diabetes. The quality of diabetes care has improved since this framework has been introduced. However, the implementation of some recommendations has been slow and will not be complete until 2013. Patient education is paramount to successful diabetes control and there appears no doubt that the key to successfully slowing the onset of diabetes and the appreciate associated complications is to engage patients in DSME.