Diabetes Prevention Programme


Why it is a priority

Prediabetes, also known as Non-Diabetic Hyperglycaemia, is a condition in which blood glucose (blood sugar) levels are higher than normal but not high enough for a diagnosis of diabetes. Without lifestyle changes, people with prediabetes are very likely to progress to type 2 diabetes. People with prediabetes are also at increased risk for developing cardiovascular disease. Estimates suggest that around 7 million people in the UK have prediabetes and in England alone 1 in every 3 people has this condition.

 

There is strong international evidence that behavioural interventions, which support people to maintain a healthy weight and be more active, can significantly reduce the risk of developing type 2 diabetes.

 

The NHS Diabetes Prevention Programme (DPP) started in April 2016 and is the world’s first large-scale nationwide programme to prevent type 2 diabetes, targeting those individuals with prediabetes. 

 

Over 100,000 people have already benefited from the NHS DPP since its introduction in 2016; in 2017/18 the programme exceeded its Mandate and FYFV targets, and in many areas demand has outstripped supply.

Additionally, the programme has proven highly effective with initial analysis of first participants completing the NHS DPP providing the following results:

  • 52% of participants attended 8 sessions or more (out of 13 sessions)
  • Mean weight change of -3.7kg* (-3.9 to -3.4kg)
  • Percentage mean weight change of -4.2%* (-4.4 to -3.9%)

*excluding participants with normal BMI

 

The NHS Long Term Plan (January 2019) made a commitment to fund a doubling of the NHS Diabetes Prevention Programme over the next five years, including a new digital option to widen patient choice and target inequality.

 

The 2016 Framework for the NHS DPP was re-procured in 2018/19 and five framework providers were appointed. The new framework will offer digital and remote intervention services, including the use of apps, webinars, virtual sessions with health coaches and more. 45% of the country will commence onto this framework in August 2019.

 

Our Work:

The Clinical Network in Y&H has supported local partnerships with the application process for Wave 1, 2 and 3 diabetes prevention programmes across the region.

Yorkshire and the Humber currently has 6 Diabetes Prevention Programme partnerships:

  1. Sheffield (Wave 1)
  2. Leeds (Wave 1)
  3. South Yorkshire and Bassetlaw (Wave 2)
  4. West Yorkshire and Harrogate (Wave 2)
  5. Bradford (Wave 2)
  6. Humber, Coast and Vale (Wave 3)

 

We are now supporting these partnerships through wave 4, which will see them merge into STP/ICS foot prints:

  • Sheffield and South Yorkshire and Bassetlaw will join to become South Yorkshire and Bassetlaw ICS Diabetes Prevention Programme
  • Bradford, Leeds and West Yorkshire and Harrogate will join to become West Yorkshire and Harrogate HCP Diabetes Prevention Programme.

 

The Y&H Diabetes Clinical network hosts a Y&H Diabetes Prevention Programme Leads Network to support collaboration and shared learning across Diabetes Prevention Programmes in Y&H.

 

Links and documents:

NHS England Resources

Know your risk tool

Evidence Review of DPPs

NHS Diabetes Prevention Programme (NHS DPP) Non-diabetic hyperglycaemia: PHE Analysis

DPP ROI Tool

Readiness Toolkit

NHSE: Supporting Health Economies Preparing for Implementation

NDPP Hertfordshire

Y&H Lessons Learned

 

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