NHS DIABETES PREVENTION

PROGRAMME:

Preventing Type 2 Diabetes in England

Presenters:

• Jonathan Valabhji – National Clinical Director for Obesity and Diabetes - NHS England

• Alison Tedstone - National Lead Diet and Obesity / Chief Nutritionist Health and Wellbeing Directorate, Public Health England

• Helen Dickens – Head of Prevention, Diabetes UK

• Vicki Wallace, Dr Javed Rehman, Nurjahan Ali Arobi and Mohammad Ngala - Bradford Demonstrator Site

Diabetes: the fastest growing health issue

• There are more than 4m

people in England at risk of Type 2 diabetes

• Diabetes accounts for 10% of the NHS budget

• Strong international evidence for effectiveness of behavioural interventions to lower risk

NHS Diabetes Prevention Programme (NHS DPP)

• Commitment of the NHS Five Year Forward View

• Joint programme between Public Health England, Diabetes UK and NHS

England

• The NHS DPP aims to

- identify and support people with non-diabetic hyperglycaemia to lower their risk

of progression to Type 2 diabetes; and/or

- to delay the onset of the disease and its complications by referring people into

evidence-based behavioural interventions to reduce risk

Progress to Date • Evidence review examining effectiveness of diabetes prevention programmes

completed and published

• Core components of the national service developed and reviewed by Expert

Reference Group

• Seven demonstrator sites working towards implementation of the NDPP, with

evaluation to feed into programme design

• Prior Information Notice (PIN) for national procurement issued, provider

information day held and ‘prospectus’ issued to gain feedback on proposed service

• Call for expressions of interest for local areas to become first wave sites issued

NDPP Core Components

• Individuals identified as high risk via blood glucose tests (via GP registers and

Health Checks in the first instance)

• Structured behavioural intervention offered focused on weight loss, increasing

physical activity and improving diet

• Group sessions, face-to-face, held over at least 9 months

• Minimum of 13 sessions over 16 hours, with sessions lasting 1 -2 hours

• Use of behaviour change theory and techniques

• Delivered by health professional or non-health professional

Demonstrator Sites

1. Birmingham South and Central clinical commissioning group (CCG) ;

2. Bradford City CCG;

3. Durham County Council;

4. Herefordshire CCG and Local Authority;

5. Medway CCG and LA;

6. Salford CCG and LA;

7. Southwark and Lambeth Councils and Southwark CCG

Next steps 2015/16

• Identify areas for first wave of national roll-out

• Implement and evaluate demonstrator plans, feeding learning into national programme

• National procurement of provider(s) to deliver behavioural intervention

2016/17

• Deliver between 10,000 and 30,000 interventions across CCGs identified through

expression of interest exercise

• Develop framework for national evaluation

2017/18

• Aim to deliver long-term contracts providing incremental scaling up of services, with a view

to full coverage by 2018/17 (subject to final decisions about the pace of the programme)

• Conduct national evaluation

Users’ views on the NHS Diabetes

Prevention Programme

Report from meeting of the NDPP User Involvement Group July 2015

What do people think of the programme? “People like myself who are borderline diabetic, coming from a family history of diabetes, have just been left in limbo now…so for me this seems like a really good help…I just want continuous support from someone to help me to bring the blood sugar level down, control my eating I think is my main one.” - Ann

“I do think it’s a good idea and the reason why is that anything that helps you, me as an individual with my health must be a good idea.” - Graham

Bradford Beating Diabetes

Bradford City CCG & Bradford

District Care Foundation Trust

Why Bradford Beating Diabetes (BBD)?

• Our prevalence rate was 7.5% (England average 5.8%) with a

predicted prevalence of 11-22% • Area of health that public and patients were most concerned with • It had always been seen to be too difficult, but this isn’t the case

now!

Involvement with NHS DPP • Wanted to improve our current programme – access to national experts & teams

• Evidence base – helped to expand to Bradford Districts CCG (a further 10,000

patients to be invited)

• Clinical buy in

• Permission to try new initiatives

• Influence the work taking place nationally

Programme delivery • Based on NICE Public Health 38 Guidance

• Phase 1 - Persons already known to be at high risk via previous blood test

• Phase 2 – Patients deemed of being at increased risk of developing diabetes (based

on the NICE Guidance)

• Practice element – delivered by a Local Incentive Scheme

• Intensive Lifestyle Change Programme – commissioned from BDCFT (come and see our other presentation!)

Intensive Lifestyle Change Programme

‘This is real’

Get involved:

• We’re keen to involve range of stakeholders, providers and partners in developing and delivering the programme

• For more info:

• visit the #PreventingDiabetes Zone at Expo

• visit https://www.england.nhs.uk/ndpp

• for any questions or to sign up to our regular e-bulletin email

diabetesprevention@phe.gov.uk

Questions and answers

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