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Primary care engagement is key to the effective implementation of the NHS Diabetes Prevention Programme (NHS DPP). This is because primary care clinicians will be needed in order to identify individuals at high risk of developing Type 2 diabetes (described as Non-Diabetic Hyperglycaemia or NDH) and refer them into the programme. Their support to individuals will be important to encourage take up. It is crucial that primary care is in turn supported to refer into the programme and that the impact of any additional workload on practices is minimised.