NHS Diabetes Prevention Programme
NHS Diabetes Prevention Programme
In December 2014, NHS England announced in the Five Year Forward View into Action planning guidance that it would establish a national Type 2 Diabetes Prevention Programme in partnership with Public Health England (PHE) and Diabetes UK.
What is the NHS Diabetes Prevention Programme?
The NHS Diabetes Prevention Programme is a joint commitment from NHS England, PHE and Diabetes UK, to deliver at scale, an evidence-based behavioural programme to support people to reduce their risk of developing Type 2 diabetes.
The initiative, which started in March 2015, aims to significantly reduce the four million people in England otherwise expected to have Type 2 diabetes by 2025.
The NHS Diabetes Prevention Programme will initially target up to 10,000 people at a high risk of developing Type 2 diabetes, with national roll-out thereafter.
In January 2017, the Chief Executive of NHS England announced new measures to be introduced as part of the NHS Diabetes Prevention Programme, including funding more specialist nurses, providing diabetic foot care teams and a major evaluation of how digital technology such as apps and wearable technology could provide support to many more millions of people at risk.
The new measures are:
- £15 million to support further roll out of the NHS Diabetes Prevention Programme;
- up to 50,000 places will be made available in an expansion of the NHS Diabetes Prevention Programme over the next two years across 13 new areas in addition to funding a second year in the 27 sites currently up and running; and
- the NHS Diabetes Prevention Programme is run collaboratively by NHS England, PHE and Diabetes UK, and providers are now in place in 27 parts of England covering around 45 to 50% of the English population.
Evidence from existing diabetes prevention programmes has been reviewed and this will be published, following peer review, in summer 2015. This evidence review has informed the development of a core components framework for the programme intervention. An Expert Reference Group has reviewed and endorsed the intervention core components. A User Involvement Group has also been established, in order to ensure the programme takes into account the views of those at risk of Type 2 diabetes.
In the Five Year Forward View into Action planning guidance local areas that had made the greatest strides in developing preventative diabetes programmes, were asked to register their interest by the end of January 2015 to join as partners to co-design the programme.
In March 2015, seven innovative ‘demonstrator’ sites from around the country were announced to take part in the initial phase of the programme. The demonstrator sites will see more patients, monitor and test their local programmes to help co-design and implement the national programme.
The demonstrator sites are:
- Birmingham South and Central Clinical Commissioning Group (CCG);
- Bradford City CCG;
- Durham County Council;
- Herefordshire CCG/Local Authority (LA);
- Medway CCG/LA;
- Salford CCG/LA; and
- Southwark Council and CCG
Their local schemes include drives on: weight loss, physical activity, cooking and nutrition, peer support plus telephone and on line support from trained professionals.
The demonstrator sites will test innovative ways to pinpoint those people who have a high risk of developing Type 2 diabetes including, for example, via the NHS Health Check. In Bradford, for example, they have a programme to target everyone who is South Asian and aged 25 plus.
First wave sites
In August 2015 NHS England called for expressions of interest from CCG and LA partnerships to become first wave implementers of the national programme.
Collaborative expressions of interest between CCGs and LAs, covering geographies greater than individual CCGs, were encouraged.
On 22nd March 2016, NHS England announced the successful 27 first wave sites for the Healthier You: the NHS Diabetes Prevention Programme.
The roll-out of the programme will adopt a staggered approach; 10 sites will be initiating the programme and this will be scaled up to 27 sites in 2016, covering 26 million people, with the programme taking on 40,000 referrals. Eventually, it will be implemented across the whole country by 2020 with an expected 100,000 places on programmes available each year after.
The first 10 areas will be:
- East Midlands;
- South London
- East London; and
Patients enrolled on the programme will be offered at least 13 education and exercise sessions of one to two hours per session, at least 16 hours face to face or 1-to-1 in total, over a minimum time period of nine months.
Four providers (Reed Momenta, Pulse Healthcare Limited trading as ICS Health and Wellbeing, Health Exchange CIC and Ingeus UK Limited) have been chosen to join the NHS Provider Framework and local health services will work with their chosen provider(s) to deliver a service for their area.
Second wave sites
13 new areas are now live and ready to offer a leading NHS prevention programme to patients identified at risk of developing Type 2 diabetes.
Wave 2 of the Healthier You NHS Diabetes Prevention Programme is part of a wider package of measures to support people with diabetes and those on the cusp of it, to stay fit, well and prevent further deterioration.
Wave 2 areas will cover another 25% of the population, with an estimated 130,000 referrals and up to 50,000 additional places made available thanks to the expansion. Funding has also been agreed for another 12 months in the 27 sites currently up and running.
To view a list of the Wave 2 areas, visit the NHS England website.
Community Pharmacy Involvement
At this early stage, PSNC is unaware of any community pharmacy involvement in the programme.
The document, Mapping of sites to LPCs has been created to map the Diabetes Demonstrator sites and other current NHS initiatives to LPC areas.