How are we doing?

The National Institute for Health and Care Excellence (NICE) produce guidelines on the care and support that should be offered to people who use health and care services. These guidelines include recommended targets for the treatment of people diagnosed with diabetes. Our data is measured against these guidelines. 

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Meeting NICE recommended treatment targets

For adults, these treatment targets include HBA1c, cholesterol and high blood pressure. 

  • nationally, 39.8% of people who have been diagnosed with diabetes are meeting NICE recommended treatment targets.
  • in our CCG, 35.2% of people who have been diagnosed meet NICE recommended treatment targets,
  • this is in the lowest quartile. 

You can find information for the public on NICE treatment guidelines for adults with diabetes here

People diagnosed with diabetes under a year attending a structured education course

If you have been diagnosed with diabetes, you should be offered a place on a course to help you understand more about the condition and how to manage it, within a year of your diagnosis.

  • in West Yorkshire, the number of people attending a structured education course is 5%,
  • in our CCG, 0.4% of people who are newly diagnosed with diabetes attend a structured education course within a year,
  • this is in the lowest quartile.

Diabetes nine care processes

NICE recommends that each year all people who have been diagnosed with diabetes should receive nine key tests. These are known the diabetes nine care processes. These nine important markers help to assess whether diabetes is well controlled and are designed to prevent long-term complications.

The nine key tests include:

  1. blood glucose level measurement (HbA1c)
  2. blood pressure measurement 
  3. cholesterol level measurement
  4. retinal screening
  5. foot and leg check
  6. kidney function testing (urine)
  7. kidney function testing (blood)
  8. weight check
  9. smoking status check

Our CCG performance on the diabetes nine care process are below:

Our performance is currently as follows :

 

  • 9,552 people recorded on the diabetes register
  • 6,755 (71%) completed the 9 care process for diabetes
  • 9, 335 (98%) had blood glucose level measurements

What we are doing to improve management of diabetes - new model of care

The emerging new model of care for diabetes will see the providers of diabetes care across primary, secondary care and the community come together to develop a provider alliance. The scope of the work includes those at high risk of developing Type 2 diabetes, (primary prevention), therefore the work that was previously known as Bradford Beating Diabetes will continue under this umbrella. This work will encompass those who have already been diagnosed with diabetes.

The aim is to reduce the numbers of people who develop Type 2 diabetes and ensure that those who do develop the condition or already have diabetes receive appropriate care and education when and where they need it. By delivering against this aim, we expect to see a reduction in the serious complications associated with diabetes.