With the increasing prevalence and incidence of Diabetes service provision needs to be delivered in a way that is efficient, accessible and cost effective while not compromising quality, clinical risk and evidence based outcomes. In 1996 there were 386 occasions of service for Diabetes Education’s Stabilisation Service. In 2008 the Stabilisation Service activity accounted for 46% (2504) of total out patient activity. In 2008 the service was provided from 8am-11am Monday and Fridays but due to increasing demand Wednesday from 8am-11am was added. Referrals for this service were for any patient with diabetes who had unstable blood glucose levels. The service was a Diabetes Nurse led service with a standing order used to adjust already prescribed medications with the responsible medical officer contacted for adjustments outside of the order. In 2010 the stabilisation service increased to 8am-4pm Tuesday and Fridays and in 2011/2012 the Full Time Equivalent (FTE) allocation to this service increased to a second person from 1pm-4pm. In 2012/2013 the NALHN Diabetes Education Service experienced a high number of referrals for complex patients to be stabilised through this service and this activated a review. The outcomes included increasing FTE allocation, updating procedures, re-designing the purpose and scope of the service, developing referral criteria, updating documentation tools, agreed discharge criteria and updating the standing order. In 2013/2014 the activity associated with the stabilisation service is 2487 accounting for 61% of the total out patient activity. In 2015 the service will be refined again to capture fail to attend data as it is currently not collected for this service.