CCGs aim to stage Type 2 di­a­betes preven­tion pi­lot

Scheme will help GPs re­fer at-risk pa­tients to in­ter­ven­tion pro­grammes

Buckinghamshire Advertiser - - HEALTH -

NHS Chiltern and Ayles­bury Vale Clin­i­cal Com­mis­sion­ing Groups are plan­ning to take part in a key pi­lot scheme that will help pre­vent more peo­ple from de­vel­op­ing Type 2 di­a­betes in Buck­ing­hamshire.

A re­cent Public Health Eng­land study es­ti­mates some 49,541 peo­ple – 11% of the county’s pop­u­la­tion – to have high blood sugar lev­els that can lead to Type 2 di­a­betes.

More than 750,000 peo­ple are thought to be at risk in the South East and around 5 mil­lion in Eng­land over­all. The con­di­tion re­sults in 22,000 deaths and costs the NHS £8bn ev­ery year.

Pre­vent­ing peo­ple from de­vel­op­ing di­a­betes, and help­ing those af­fected to ef­fec­tively man­age their con­di­tion, is a pri­or­ity for both CCGs this year.

A new NHS Di­a­betes Preven­tion Pro­gramme (NHS DPP), which com­mis­sioned the re­cent study, launches next year with the aim of sup­port­ing peo­ple at risk of de­vel­op­ing Type 2 di­a­betes to lose weight, be more ac­tive and en­joy a health­ier diet.

Dr Kathy Hoff­man, clin­i­cal lead for di­a­betes at Ayles­bury Vale and Chiltern CCG, said: “Di­a­betes has been iden­ti­fied as a pri­or­ity area by Buck­ing­hamshire County Coun­cil’s Health and Well­be­ing Board and a CCG-led Di­a­betes Trans­for­ma­tion Pro­gramme has been es­tab­lished, which in­cludes preven­tion and early di­ag­no­sis of di­a­betes as one of the three pri­or­ity ar­eas on which it plans to fo­cus in the first year.

“While work is al­ready be­ing done by some gen­eral prac­tices to iden­tify in­di­vid­u­als at risk of di­a­betes, fol­low­ing the launch of the na­tional Di­a­betes Preven­tion Pro­gramme, a team in Bucks, drawn from CCGs and Public Health, is putting for­ward a bid to be­come a key pi­lot site for the scheme.

“We would like to sup­port GP prac­tices in iden­ti­fy­ing in­di­vid­u­als at risk of di­a­betes and in­creas­ing the num­ber of peo­ple re­ferred to ‘lifestyle in­ter­ven­tion pro­grammes’, which can help them de­lay or even pre­vent the on­set of the con­di­tion.

“The ev­i­dence of these pro­grammes’ suc­cess is com­pelling, with, on av­er­age, 26% fewer peo­ple pro­gress­ing to Type 2 di­a­betes if they com­plete a di­a­betes preven­tion pro­gramme.”

Aside from re­duc­ing cases of Type 2 di­a­betes, the NHS DPP also aims to re­duce the life-chang­ing com­pli­ca­tions as­so­ci­ated with the dis­ease, which in­cludes heart at­tacks, strokes, kid­ney fail­ure, blind­ness and am­puta-tions, and in do­ing so sig­nif­i­cantly re­duce the long-term fi­nan­cial costs to the NHS.

A young pa­tient with di­a­betes checks his blood glu­cose level in prepa­ra­tion of an in­sulin in­jec­tion.


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