Issue - meetings

Diabetes prevention

Meeting: 19/11/2018 - Health Overview and Scrutiny Committee (Item 27)

27 Diabetes prevention pdf icon PDF 74 KB

To receive an update on diabetes prevention. (25 mins)

Additional documents:

Minutes:

Julie Hotchkiss, Interim Consultant in Public Health and Jenny Wilson, Diabetes Prevention Programme Coordinator, West Berkshire Council, provided an update on diabetes prevention.

 

During the discussion of this item the following points were made:

 

·         Julie Hotchkiss explained the difference between Type 1 and Type 2 diabetes.  In England there were currently 3.8million people with Type 2 diabetes with a round 200,000 new diagnoses each year.

·         Obesity was fuelling a rise in Type Diabetes.  Members were advised that if trends persisted 1 in 3 people would be obese by 2034 and 1 in 10 would develop Type 2 diabetes.

·         Members were informed that an individual’s ethnicity could have an impact on their Type 2 diabetes risk.  For example, the South Asian population living in the UK were up to six times more likely to develop Type 2 diabetes than that of the white population.

·         Members were informed of the Public Health England programme, Healthier You, an NHS Diabetes Prevention Programme.  Weight loss, healthier eating and exercise could help to reverse the diabetic trend.  On average participants lost half a stone.

·         Julie Hotchkiss highlighted some of the reasons why many people were becoming fatter.

·         Jenny Wilson explained that the Healthier You Programme was a joint ambition of the NHS Five Year Programme and Public Health’s Evidence into Action.  It identified those at high risk of Type 2 diabetes and referred them to a behaviour change programme.  100,000 places would be made available across the country by 2020.  In 2016 Berkshire had been identified as a ‘Wave 1’ site.

·         The long term aims of the programme were: to reduce the incidence of Type 2 diabetes; to reduce the incidence of complications associated with diabetes (heart, stroke, kidney, eye and foot problems); and over the longer term, to reduce health inequalities associated with incidence of diabetes.

·         Step 1 of the programme was to identify eligible patients.  Patients had to be over 18, registered with a GP in Berkshire and have a HbA1c between 42-47 mmol/mol (6.0%-6.4%) or Fasting Plasma Glucose between 5.5-6.9 mmols/l within the last 12 months.  Patients could not be pregnant, housebound or have had a previous diabetes diagnosis.

·         Step 2 was to invite patients to join the programme.  GP practices were paid £1.50 per invitation letter sent.

·         Patients were required to make a commitment to a 9 month 4 stage programme.

·         Jenny Wilson outlined the different stages of the programme. 

·         Members noted information regarding the number of referrals by practice.  All GP practices in Wokingham had engaged except Loddon Vale.  Jenny Wilson explained that there had been less referrals in May and June as the provider had changed in May and this had been a period of transition. 

·         Jenny Wilson highlighted progress made to date both nationally and locally.  There had been 4092 referrals across Berkshire and 1900 Initial Assessments had taken place.  Of this there had been 1750 referrals in Berkshire West with 956 Initial Assessments.  422 referrals had been made in Wokingham and 218 Initial Assessments  ...  view the full minutes text for item 27