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Diabetes

The National Diabetes Prevention Programme (NDPP)

Did you know that there are currently five million people in England who are at risk of developing Type 2 diabetes?  If these trends persist, one in ten will go on to develop Type 2 diabetes, which evidence shows in many cases is preventable.

As well as the human cost, Type 2 diabetes treatment accounts for just under 9% of the annual NHS budget, around £8.8 million per year!

The NHS England Diabetes Prevention Programme (NDPP) is pro-active, behavioural change programme for patients identified at risk of developing Type 2 diabetes.

One referral now could save future time and costs

BENEFITS

To practices - reduction in the risk of their patients developing Type 2 diabetes and the ongoing associated increased time/resource management of patient monitoring ie. 

  • Additional practice and secondary care appointments
  • Blood testing
  • Urine tests
  • Foot tests
  • Blood pressure
  • Glucose monitoring
  • BMI
  • Cholesterol
  • Referrals to screening/support services

To patients - reduced risk of developing Type 2 diabetes and complications associated with, by way of a 9 month intervention programme providing tools, resources and ongoing support required to implement and maintain lifestyle changes, including:

  • Nutrition for health
  • Physical activity
  • Problem solving

PATIENT ELIGIBILITY CRITERIA

  • 18 years old or over
  • Registered with a GP practice in Rotherham
  • HbA1c between 42-47 mmol/mol (6.0%-6.4%) OR Fasting plasma Glucose between 5.5-6.9 mmols/l
  • Not pregnant

PATIENT IDENTIFICATION AND HOW TO REFER

Practices are asked to drive patient referrals by means of identifying patients via:

  • Health checks
  • Opportunistic
  • Retrospective search within your clinical systems.  This will enable you to identify eligible patients with an elevated blood result within the last 12 months.  You will then have the option to send the patient an NDPP Patient Invitation Letter (see next section)

Practices can refer their patients, via the following methods, all of which should be available and auto-populated from your local systems for ease of use.

  • NDPP Referral form (see resources)
  • NDPP Patient invitation Letter (see resources)

Patients are able to self-refer by phoning 0800 092 1191 and speaking to the support team as long as they have the required information for example HbA1c blood result within the range and time line.

Once a referral has been received by the Provider they will take responsibility for all patient contact and arrangements so there is no more for you to do from that point on.  Quarterly updates on the patients process will be provided to a nominated practice nhs.net account and once a patient completes the programme, you will be notified so that you can monitor them going forward as you may previously have done.  

RESOURCES

Brochure for Health Professionals

Patient Information Leaflet

Patient Journey Booklet

Programme Overview in detail for Clinicians

Programme Overview simplified for Clinicians

Referral Form

Template Referral Letter

Any questions, please contact:

For further information on Reed Wellbeing and its services http://reedmomenta.co.uk/healthieryou/gp-information/