How are we doing when it comes to tackling diabetes
Diabetes is a national problem and is rising substantially.
Prevention, early diagnosis and excellence in diabetes care and management have been our priority in Bradford for many years.
Our newly developing diabetes model will encompass the whole pathway from prevention of Type 2 diabetes in people at high risk right through to excellent care and management of people who are diagnosed with both Type 1 and Type 2 diabetes.
We are working collaboratively with partners who deliver diabetes care to ensure that the pathway is streamlined for the patient and that care is delivered locally to patients and in a timely manner.
One star - worse than the English average
Attendance at structure education is low with just 2 out of every 100 people diagnosed in the last 12 months attending.
The National Institute for Clinical Effectiveness (NICE) recommends people with both type 1 and type 2 diabetes should be offered a structured education program within 12 months of their diagnosis.
Structured education has been shown to help people improve their knowledge and skills and enable them to self-manage Diabetes effectively. Unfortunately both local and national uptake of structured education courses is quite low.
In Bradford we offer a range of quality assured education courses including face to face and a new digital programme. These cover all aspects of what diabetes is, how to manage your diabetes well and eat a healthy diet, and improve your lifestyle - all of which will have a positive outcome on the reduction of associated complications.
By providing a choice of programmes to people with diabetes we will tailor these to suit the needs of that person to ensure they are able to benefit from the detail the courses provide.
One star - worse than the English average
Good control of blood pressure, cholesterol and HbA1c (sugar) is important, however only 7 out of 20 people with diabetes have good control of their treatment levels. We need to support people to improve this.
Control of Blood Pressure, Glucose as determined by HBA1c (sugar )and cholesterol levels play an important role in the reduction of risk and complications of diabetes e.g. eye disease, kidney failure, stroke, heart disease, foot ulcers and amputation.
Our CCG is working to improve the level of achievement of these three NICE-recommended treatment levels in people with diabetes, in support of appropriate management of diabetes and to reduce the risk of patients developing complications.
The Bradford Beating Diabetes programme is delivered in conjunction with NHS England, Public Health England and Diabetes UK. It aims to identify people who are at high risk of developing Type 2 diabetes and offer support in making lifestyle changes. As a a result of being identified by the programme, it is expected that people will reduce their risk, preventing or postponing the onset of Type 2 diabetes.
There are two phases to Bradford Beating Diabetes programme:
Our CCG has completed phase one of the Bradford Beating Diabetes programme and started phase two.
To identify people who might be at risk of developing Type 2 diabetes, we are proactively case finding in GP practices. From doing proactive case finding, we know that there are over 54,000 people in Bradford who are at risk of developing Type 2 diabetes. So far, we have seen over 21,000 people who have been given advice on how to reduce their risk.
However, only a small percentage of people wanted to be referred to our diabetes prevention programme groups. We know that this needs to improve, which is why we are working on offering more choice in our interventions so that people can choose how they want to make changes to prevent the risk of developing Type 2 diabetes.
Overall, our evaluation shows that our prevention programme is having great results. Our data shows statistically significant changes to BMI, waist circumference, increased activity levels and improved general understanding of how to reduce the risk of developing Type 2 diabetes.
Across our CCG and Bradford Districts CCG, 442 patients have been added to the diabetic register since 1st October 2015. in total, over 1,500 new patients have been added to the register. Without proactive targeting of high risk individuals through the Bradford Beating Diabetes programme, it is likely that these people would have remained undiagnosed.
These figures demonstrate that the Bradford Beating Diabetes programme raises awareness and also identifies people with diabetes at an early stage, reducing the risk of complications.