NHSE Diabetes Prevention Programme (NDPP) Presentation to Doncaster TARGET July 2017

NDPP – Background The NHSE Diabetes Prevention programme is a joint initiative led by NHS England, Public Health England and Diabetes UK A behavioural change service for patients identified at risk of developing Type 2 diabetes Barnsley CCG, Bassetlaw CCG, Doncaster CCG and Rotherham CCG (collectively known as South Yorkshire & Bassetlaw (SY&B)) are in wave two of a three year programme 2 year project for SY&B ICS (Independent Clinical Services) Health & Wellbeing is our appointed Service Provider

NDPP –Aims to reduce the incidence of Type 2 diabetes to reduce the incidence of complications associated with Type 2 diabetes – heart, stroke, kidney, eye and foot problems related to diabetes; and Over the longer term, to reduce health inequalities associated with incidence of Type 2 diabetes

NDPP – Service Offer The SY&B NDPP project has the opportunity to support 1353 people (circa 450 Doncaster patients) on the NHSE funded behavioural intervention programme, consisting of: Nutrition for health How to incorporate physical activity into your lifestyle How to solve problems that can get in the way of healthy changes How to develop the skills and knowledge to maintain these changes after completing the programme Facilitation by a local Health &Wellbeing Coach

NDPP - Eligibility criteria 18 years old and over Registered with a GP Practice in Doncaster HbA1c between 42-47 mmol/mol (6.0%-6.4%) or Fasting Plasma Glucose between 5.5-6.9 mmols/l Not pregnant

NDPP – Service Commitment 1 to 1 initial assessment 6 x weekly group sessions that includes healthy lifestyle advice and physical activity (2 hours each session) 4 x monthly group sessions that include strategies to help you maintain your lifestyle changes 3 x one to one progress review sessions at months 3, 6 and 9

NDPP - The Service model Patient declines invitation Signposted to lifestyle websites ie Diabetes UK NHS Health Check CORE PHASE 6 X weekly X 120 minute Healthy Foundations Plus including Physical Activity sessions MAINTENANCE PHASE 3 X monthly X 120 minute Prevention Plus sessions MAINTENANCE PHASE 1 X monthly X 120 minute Prevention Plus sessions END OF SERVICE Service User is discharged and outcomes communicated to GP practice Invitation letter to participate 1:1 Initial Assessment 3 MONTH 1:1 Progress Review 6 MONTH 1:1 Progress Review 9 MONTH 1:1 Progress Review NDH Register search No response from patient within one month If ineligible

NDPP – Performance targets Year One - April 2017/March 2018 Referrals required SY&B 1410 = Doncaster 469 Interventions* provided SY&B 564 = Doncaster 188 Year Two - April 2018/March 2019 Referrals required SY&B 1973 = Doncaster 656 Interventions* provided SY&B 789 = Doncaster 262 *Interventions available were originally based on a 40% conversion rate however evidence indicates that only 20-25% of referrals are converted

NDPP – The ask Practices to encourage patient participation by: Offer intervention to those identified through Health Checks Retrospective search of NDH register to identify patients with an elevated glucose blood test that meet the eligibility criteria Opportunistic case finding

NDPP – How to refer? Referrals can be made directly to the Service Provider by both Practices and Patients Practices – completion and e-mail of the pre-populated referral form on your clinical system to scwcsu.syb_ndpp@nhs.net via a secure nhs.net account only Patients – patients informed of the required blood test results can self-refer, via telephone 0800 043 9806 or on-line www.preventing-diabetes.co.uk PLEASE NOTE! Referral forms must not be submitted by post due to the risk of patient confidentiality

NDPP – Next Steps Once a referral has been submitted to ICS Health & Wellbeing, they will then take responsibility for all patient contact and arrangements so there is no more for you do from that point onwards. Once a patient completes or leaves the intervention, you will be notified by ICS Health & Wellbeing so that you may continue to monitor them going forward. Performance update reports will be communicated via your local NDPP point of contact (tbc)

NDPP – Resources available Practice information ‘starter pack’ containing promotional materials in English to be distributed during August 2017 All user information and promotional materials, including translated patient leaflets, will be made available on the CCG web pages

NDPP – Useful contacts For further information or support: Primary Care Commissioning Manager 01302 566343 Kayleigh.wastnage@doncasterccg.nhs.uk SY&B Project Manager – Tracy Hindle on 07917 558498 tracy.hindle2@nhs.net Service Provider – ICS Health & Wellbeing on 0800 043 9806 scwcsu.syb_ndpp@nhs.net For further information on ICS Health & Wellbeing and it’s services www.preventing-diabetes.co.uk www.icshealth.co.uk

Any questions?