Most people would be shocked to know that around 22,000 people with diabetes die early every year. Type 2 diabetes is a leading cause of preventable sight loss in people of working age and is a major contributor to kidney failure, heart attack, and stroke. As well as the human cost, Type 2 diabetes treatment currently accounts for just under nine per cent of the annual NHS budget. This is around £8.8 billion a year.
There are currently 5 million people in England at high risk of developing Type 2 diabetes. If current trends persist, one in three people will be obese by 2034 and one in ten will develop Type 2 diabetes. However, evidence exists which shows that many cases of Type 2 diabetes are preventable.
There is also strong international evidence which demonstrates how behavioural interventions, which support people to maintain a healthy weight and be more active, can significantly reduce the risk of developing the condition.
The Healthier You: NHS Diabetes Prevention Programme (NHS DPP) will identify those at high risk and refer them onto an evidence-based behaviour change programme to help reduce their risk.
The NHS DPP is a joint commitment from NHS England, Public Health England and Diabetes UK.
National roll out
Healthier You: The NHS Diabetes Prevention Programme will start this year with a first wave of 27 areas covering 26 million people, half of the population, and making up to 20,000 places available. This will roll out to the whole country by 2020 with an expected 100,000 referrals available each year after.
Those referred will get tailored, personalised help to reduce their risk of Type 2 diabetes including education on healthy eating and lifestyle, help to lose weight and bespoke physical exercise programmes, all of which together have been proven to reduce the risk of developing the disease.
There are currently 2.6 million people with Type 2 diabetes in England with around 200,000 new diagnoses every year. While Type 1 diabetes cannot be prevented and is not linked to lifestyle, Type 2 diabetes is largely preventable through lifestyle changes.
One in six of all people in hospital have diabetes – while diabetes is often not the reason for admission, they often need a longer stay in hospital, are more likely to be re admitted and their risk of dying is higher.
Seven demonstrator sites have been testing innovative approaches to programme delivery for the last year and this learning has shaped the final programme to get the best results for patients.
The demonstrator sites are:
- Birmingham South and Central CCG
- Bradford City CCG
- Durham County Council
- Herefordshire CCG/LA
- Medway CCG/LA
- Salford CCG/LA
- Southwark Council and CCG
The programme launch coincides with PHE’s new national campaign, One You, which encourages people in midlife to take control of their health and make better lifestyle choices – helping them to prevent ill health and help them live well for longer.
In a phased approach 27 areas will open their doors to patients in the next few months and throughout 2016:
- West London
- East Midlands
- Cheshire and the Wirral
- St Helens
- Greater Lincolnshire
- East and North Hertfordshire
- Norfolk and Norwich
- South East
- Cambridge and Peterborough
- County Durham
Over a minimum of nine months patients will be offered at least 13 education and exercise sessions of one to two hours, at least 16 hours face to face or 1-to-1 in total.
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.
Healthier You: the NHS Diabetes Prevention Programme is run collaboratively by NHS England, Public Health England and Diabetes UK.
The first wave sites were chosen as they already had significant infrastructure in place to support volumes of referrals from the start.
Three quarters of clinical commissioning groups joined forces with local authorities to bid to become part of the first wave and will now work with providers to develop a service over the next few months.
The NHS DPP was launched in March 2015, initially in seven ‘demonstrator’ sites which have been trialling different models of finding people known to be at high risk and helping them change their lifestyles.
Learning has been taken from these sites to inform the programme.