At Harrogate and Rural District CCG (CCG) we know that preventing diabetes and improving diabetes care is vital to improving overall health and wellbeing across Harrogate and the surrounding district. This is increasingly important given the rising prevalence of diabetes and risk factors like obesity.
We are currently involved in two innovative programmes to deliver improved diabetes prevention and treatment: Healthier You and transformation funding for better education for those with the disease.
Healthier You: Diabetes Prevention Programme
The NHS Diabetes Prevention Programme (NHS DPP) is an initiative led by NHS England, Diabetes UK and Public Health England under the “Healthier You” brand to help people at high risk of developing diabetes. It is part of the NHS Five Year Forward View commitment to strengthen diabetes prevention.
This behavioural intervention programme commenced with a phased national roll out in spring 2016; by 2020 the whole country will be covered. As part of a West Yorkshire and Harrogate Health and Care partnership footprint, we were selected to roll out the programme from April 2017.
The provider of the programme for our area is Reed Momenta operating on behalf of the NHS. More information can be found at www.reedmomenta.co.uk/healthieryou.
To start referrals to the programme across our area, thirteen GP practices have sent letters to patients with high blood sugars who are not diabetic. To date, 647 individual assessments have been booked. We are hoping that all practices will have invited existing patients by summer 2018 when new referrals to the programme will also be available.
The current NHS DPP Framework Agreement was put in place by NHS England in April 2016. This framework expires in March 2019 and there will be a re-procurement from November 2018. Diabetes UK is leading on the public consultation which is open for patients and the public to contribute to until May 2018.
It’s Diabetes Prevention Week from 16 to 22 April. Type 2 diabetes can be prevented by:
Eating Healthily; and
Being more active.
Making small lifestyles changes can make a big impact on future health.
Diabetes Transformation Funding: Structured Education
The NHS Shared Planning Guidance for 2017-2019 identified transformation funding to support improvement in the treatment and care of people with diabetes. Around £44 million of transformation funding was allocated to improve treatment and care for the 2.8 million adults and children diagnosed with type 1 or type 2 diabetes across England.
Together with the Harrogate and District NHS Foundation Trust (HDFT) we were successful in securing some of the transformation funding to increase the uptake of diabetes structured education in the CCG area.
The new diabetes transformation funding work is ensuring that attendance can be easily coded when the provider sends letters back to practices. In addition courses are now more accessible and flexible and are being more widely publicised to increase attendance rates. There is ongoing evaluation to ensure that the impact of the funding is maximised. Evaluation so far shows that in 2017/18 the number of places offered and attended far exceeds those of the previous year.
We have committed to increasing the uptake of structured education in response to the Diabetes UK ‘Taking Control Campaign’. The aim is that by 2022, over half of people with diabetes will attend a structured education course within one year of diagnosis.
We are working in partnership with HDFT which will deliver the courses. Adults who are already living with diabetes will be given the opportunity to also attend a structured education programme.
The HDFT website has more information on structured education courses and availability: https://www.hdft.nhs.uk/services/endocrinology/diabetes-service/structured-education-courses/
What you can do if you are concerned about diabetes
Around three in five cases of type 2 diabetes can be prevented or delayed by maintaining a healthy weight, eating well and being active.
If you are concerned about diabetes you should make an appointment to see your GP in the first instance.
Symptoms of diabetes include:
- feeling very thirsty
- urinating more frequently than usual, particularly at night
- feeling very tired
- weight loss and loss of muscle bulk
- itching around the penis or vagina, or frequent episodes of thrush
- cuts or wounds that heal slowly
- blurred vision
Information and support is also available from:
If you have any questions for the CCG please contact Suzanne Savage (firstname.lastname@example.org).