The NHS Diabetes Prevention Programme Overview Health and - - PowerPoint PPT Presentation

The NHS Diabetes Prevention Programme Overview

Health and Wellbeing Board 1st November 2016 Julie Holt, Public Health Specialist Oldham Council

Overview

• What is the need for prevention of Type 2

diabetes mellitus?

• National context
• Diabetes and ‘pre-diabetes’ prevalence in Oldham
• What is the NHS Diabetes Prevention

Programme, ‘Healthier You’ ?

• What are the challenges for the programme?
• What else is needed?
• What is the role of the Health & Wellbeing Board?

• 1. National Context

• 2. Diabetes in Oldham
• Approx. 68% of adults in Oldham are overweight or obese
• There are 13,888 patients aged 17 years+ in Oldham diagnosed with diabetes

and on GP diabetes registers (7.1% population)

• Approximately 90% have type 2 diabetes
• 3,000 more people are estimated to have diabetes but are not aware of it
• An estimated 20,900 people have ‘pre-diabetes’ - that is they have a blood

sugar level and other factors which put them at risk of developing diabetes

• 5,800 patients on GP records already identified as eligible for the NHS DPP

• 3. An evidence-based intervention
• A long term intervention of at least 13 sessions, spread across a

minimum of 9 months, for a minimum of 16 hours contact time

• Underpinned by three core goals:
• Weight loss
• Achievement of dietary recommendations
• Achievement of physical activity recommendations
• Helps people to set and achieve goals and make positive

changes to their lifestyles.

• Sessions will be delivered predominantly ‘face-to-face’,in groups

• 4. Objectives of the Programme
• To reduce blood glucose (blood ‘sugar’) parameters

(HbA1c or Fasting Plasma Glucose (FPG)) in Service Users at 12 months and beyond;

• To reduce weight of Service Users at 12 months and

beyond;

• Participants to achieve UK dietary recommendations

related to fibre, fruit and vegetables, oily fish, saturated fat, salt and free sugars; and

• Participants to achieve the England Chief Medical

Officer’s (CMO) physical activity recommendations.

• 5. Challenges to the success of programme
• Primary Care engagement
• Public awareness and patient

engagement

• Ensuring the ‘right’ people attend

programmes – equitable access, from deprived communities, different ethnicities, people with learning

Actions

• Communications (CCG and

Council)

• Awareness events and

communications (Council, CCG & GPs)

• Monitoring (CCG) and

encouragement (all)

disabilities, etc.

• Attendance and completion of

programme

• Achievement of outcomes
• Maintenance of health behaviours
• Monitoring (CCG) and

encouragement (all)

• Monitoring and evaluation

(CCG and national team)

• Individual monitoring (GPs)

and encouragement (all)

Contact details

For more information or to discuss diabetes prevention contact: Julie Holt Public Health Specialist Email julie.holt1@oldham.gov.uk Andrea Tait Public Health Programme Manager andrea.tait@oldham.gov.uk

Thank you for listening