1 / 23

Diabetes Prevention Programme in Lambeth - Healthier You

Join the free, nine-month community-based behaviour change programme in Lambeth to prevent Type 2 diabetes. Delivered by trained local staff, the programme offers supportive group sessions and individual assessments. Get involved and start your journey towards a healthier you today!

hoffman
Download Presentation

Diabetes Prevention Programme in Lambeth - Healthier You

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diabetes Prevention Dr Neel Basudev Lambeth CCG Diabetes Lead Clinical Director Health Innovaton Network

  2. Healthier Who?

  3. Free, nine month community-based behaviour change programme to help people prevent the onset of Type 2 diabetes • Lambeth is one of the first wave sites and has “gone live”. Partnership across South London lead by HIN and Southwark CCG • 18 supportive, group-based sessions for up to 20 people delivered by trained, local staff. Provider is Reed Momenta • Programme designed by experts and underpinned by a decade of research into community-based diabetes prevention Overview

  4. Flow chart

  5. Three stage approach • Engagement • Individual Assessment • Behavioural Intervention Patient Journey

  6. Aged 18 years or older • Be registered to a Lambeth GP practice • Not have been diagnosed with Type 2 diabetes • Not be pregnant at the time of referral • Have a HbA1c of 42-47 mmol/ml (6.0-6.4%) or an FPG of 5.5-6.9 mmol/l tested in the last 12 months Referral Criteria

  7. A CASE OF CONFUSION You will gain nothing by doing both FPG and HbA1c other than confusion….

  8. Different tests 575 (6.6%) FPG 1685 (19.4%) HbA1c 1610 (18.5%) 1110 (12.8%) 1035 (11.9%) Phenotypically, these are different populations.

  9. Sensitivity • Reproducibility • Ease of use • Cost • Limitations This is going to get ugly

  10. Includes: • Blood glucose test (if referral reading is >3 months) • Height, weight and BMI calculation • Warwick-Edinburgh Mental Wellbeing Score (WEMWBS) • Delivered from: • LloydsPharmacy • Third-partner affiliate pharmacies e.g. Cooperative • Community locations What’s involvedInitial assessment

  11. Getting Started • Session one: 1.5 hours • Sessions two-six: weekly, one hour • Sessions seven-eight: fortnightly, one hour • Example Topics • Introducing prediabetes • Eatwell guide and a healthy balanced diet • Cardiovascular activity What’s involvedgetting started

  12. Embedding Change • Session 9-12: fortnightly, one hour • Example Topics • Enlisting social support • Healthier eating outside the home What’s involvedEmbedding change

  13. Moving Forwards • Session 13-18: monthly, one hour in length • Blood tests are repeated at session 13 (6 months) and 18 (9 months) • Example Topics • Relapse prevention • Unhelpful thinking patterns What’s involvedMoving forwards

  14. Healthier YouSession overview

  15. This is a learning process for everyone eg FPG vs HbA1c debate in Bromley • Sutton & Southwark mail campaign, Bromley opportunistic, Lewisham & Wandsworth practice led • Feedback and data being collected in real time to inform the programme development • NIHR bids and NDA pilots • Referrals trickling in • 20 referrals from 13 practices • STEPS waiting list exists and is growing • 722 referrals for Q1 2016 • 13% attended Progress so far The success of this programme depends on us…

  16. Diabetes and high risk of diabetes template

  17. Nda data QOF & NDA Indicator Definitions: DM003 – The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the apreceding 12 months) is 140/80 mmHg or less. DM004 – The percentage of patients with diabetes, on the register, whose last measured total cholesterol (measured within athe preceding 12 months) is 5 mmol/l or less. DM007 – The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 59 mmol/mol or less in the apreceding 12 months. NDA – T2 Eight Care Processes – The percentage of people with Type 2 or other diabetes receiving the Eight Care Processes. NDA – T2 Attended SE – The percentage of newly diagnosed people with Type 2 or other diabetes recorded as ‘attended' a astructured education program.

  18. Nda data

  19. Improvement and assessment framework

  20. Two virtual clinics. At least one clinic will be held with a consultant diabetologist or GP with a Special Interest (GPSI) in Diabetes. The other clinic will be held with a community diabetes specialist nurse (DSN). • Identify patients to be discussed at the virtual clinic. Searches are available on EMIS enterprise within the Medicines optimisation folder • Complete the indicated information in the outcomes summary spread sheet Delivery scheme

  21. Thanks for listening Questions…..

More Related