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NATIONAL DIABETES PREVENTION PROGRAMME East Lancs perspective Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG

NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

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Page 1: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

NATIONAL DIABETES

PREVENTION

PROGRAMME – East

Lancs perspectiveDr. Rahul Thakur

Clinical Lead Diabetes East Lancs CCG

Page 2: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Why is it worth doing?

Current prevalence of type 2 Diabetes in the UK = 2.5

million

Projected prevalence of type 2 diabetes in 2030 = >4

million

Currently NHS spends just under £10 billion for type

2 diabetes (10% of NHS budget), out of which £8.8

billion is spent on preventable complications.

Page 3: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

East Lancs Statistics

East Lancs comprises of 5 boroughs of

1. Pendle

2. Burnley

3. Hyndburn

4. Ribble Valley (excluding Longridge)

5. Rossendale

Patient registered population: 375,667

No of Practices: 56

No of patients on NDH register: 11,779

Page 4: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Beginnings

07/09/2016: 1st Steering group meeting

Monthly meetings thereafter led by Mr. Pete Smith

from FYCCG.

3 yr programme- £8.35m

1st year implementation funds- £80K

Provider- Reed Momenta

General elections on 08/06/2017

Page 5: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Programme

9 months

18 sessions face to face

Minimum 16 hours of contact time

Behavioural change programme- goal setting and

advice on diet and physical activity

Blood tests & weight measurements at various points

Page 6: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Next steps

Templates installed- coding, letters and referral forms

Comms and engagement teams

FAQs sent to all GPs via CCG bulletin

Social media used

Press release

Workforce training and recruitment

Page 7: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Further challenges

Coding NDH- C317

Templates

Referrals commencing

Ribble Valley Project

Referral numbers

Page 8: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

REFERRALS

0

20

40

60

80

100

120

140

160

180

Blackburn

With

Darwen

Blackpool Chorley

And South

Ribble

East

Lancashire

Fylde &

Wyre

Greater

Preston

Lancashire

North

West

Lancashire

July

August

September

October

November

Page 9: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

MONTHLY ACTIVITY

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Blackburn

With

Darwen

Blackpool Chorley

And South

Ribble

East

Lancashire

Fylde &

Wyre

Greater

Preston

Lancashire

North

West

Lancashire

November

October

September

August

July

Page 10: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

NEXT STEPS

Admin team recruited

Practice visits

Mentoring activity

Comms & Engagement

Opportunistic feedback to practices

Practice managers and Nurses forums

Page 11: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Suggested steps: A

viewpointNHSE incentive through QOF- under consultation

Invest in Research

Targeting the riskiest group- Men in 30s and 40s

Using places of worship

Positive feedbacks via press

Social media

Page 12: NATIONAL DIABETES PREVENTION PROGRAMME – East Lancs … · 2017-12-15 · Dr. Rahul Thakur Clinical Lead Diabetes East Lancs CCG. Why is it worth doing? Current prevalence of type

Thank you