Most primary care trusts need to improve services for people with diabetes and are only meeting minimum requirements, the Healthcare Commission has found.

Of the 152 PCTs in England, 111 (73 per cent) were rated as fair for their diabetes services and 18 (12 per cent) were rated as weak.

The commission's report Managing Diabetes - improving services for people with diabetes, says: 'Although these PCTs are meeting minimum requirements and the reasonable expectations of patients and the public, improvements need to be made.'

Commission chief executive Anna Walker said: 'Services that are helping people to manage their own condition are positively affecting health and quality of life.'