Diabetes Health intelligence Jon Walker Advanced public health analyst Surrey County Council 020 8541 7827.

Slides:

Advertisements

Similar presentations

Alberta’s Diabetes Landscape Jeffrey A. Johnson

Advertisements

1 Prediabetes Screening and Monitoring. 2 Prediabetes Epidemiologic evidence suggests that the complications of T2DM begin early in the progression from.

Health, Well-being and Care Version 1.2 of the Lewisham Joint Strategic Needs Assessment Dr Danny Ruta Joint Director of Public Health April 2010.

Project Partners: 計劃夥伴： Funded by: 捐助機構： Gap of Health Care for Midlife Women: Controlling Risk Factors of Stroke as Example Chau Pui Hing CADENZA Project,

National Diabetes Audit (NDA) PARTNERSHIP WORKING WITH PATIENTS AND SERVICE USERS Laura Fargher Diabetes UK.

© NOO 2011 noo National Obesity Observatory Examining available data for the adult population.

Produced by The Alfred Workforce Development Team on behalf of DHS Public Health - Diabetes Prevention and Management Initiative June 2005 Diabetes Prevention.

© NOO 2012 noo National Obesity Observatory Examining available data for the adult population.

U.S. Dept of Health and Human Services. National High Blood Pressure Education Program. Seventh Report of Joint National Committee on Prevention, Detection,

SUPERSIZED NATION By Jennifer Ericksen August 24, 2007.

Diabetes: The Numbers Michigan Diabetes Partners in Action and Michigan Department of Community Health Diabetes: The Numbers Adapted from the National.

Slough Diabetes Improvement Programme Right Care approach 11 th & 18 th March 2015 Dr. Nithya Nanda, Diabetes GP Lead Slough CCG 1 SLOUGH Clinical Commissioning.

ADVICE. Advice Strongly advise adherence to diet and medication Smoking cessation, exercise, weight reduction Ensure diabetes education and advise Diabetes.

COMMON LIFESTYLE DISEASES

Type 2 Diabetes Type 2 is the most common form of diabetes, affecting 85-90% of all people with diabetes. While it usually affects older adults, more and.

Healthy People 2010 Focus Area 12: Heart Disease and Stroke

What is Diabetes? Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively.

The Burden of Diabetes 1. Prevalence of Diabetes and Prediabetes in the United States 2 1. CDC. National diabetes fact sheet, 2008.

Patterns and trends in child obesity A presentation of the latest data on child obesity.

Source: Site Name and Year IHS Diabetes Audit Diabetes Health Status Report ______Site Name_________ Health Outcomes and Care Given to Patients with Diabetes.

Deep Dive Case Study Healthy Heart Check (NHS Health Check)

Non-diabetes 64.7% Diabetes 35.3% Diagnosed diabetes 5.6% Pre-diabetes 26.0% Undiagnosed diabetes 2.8% Age-adjusted diabetes prevalence among Alaska adults,

Physical health assessment and monitoring in long-term mental health care Dr Alan Farmer Consultant Psychiatrist Worcestershire Mental Health Partnership.

Heart Health in Rotherham Looking at the most recent National trends in obesity Dr John Radford Director of Public Health.

Increase the Proportion of Metabolic Syndrome Screening In Adults with Severe Mental Illness receiving "atypical” second generation antipsychotics.

Kotseva K, et al. Eur J Cardiovasc Prev Rehabil 2009 Mar 12 [Epub]

NHPA’s. What are they? National Health Priority Areas (NHPAs) are diseases and conditions chosen for focused attention at a national level because of.

Organizational criteria for Metabolic Syndrome National Cholesterol Education Program Adult Treatment Panel III World Health OrganizationAmerican Association.

GDM-DEFINITION Gestational Diabetes Mellitus (GDM) is defined as ‘carbohydrate intolerance with recognition or onset during pregnancy’, irrespective of.

Diabetes National Diabetes Control Programme

Knowledge & Intelligence Team South East updates 5 th March 2015 – 16 th June 2015.

© NOO 2012 noo National Obesity Observatory Examining available data for the adult population.

Patterns and trends in child obesity A presentation of the latest data on child obesity.

DIABETES HOW IT AFFECTS YOU. What it is Diabetes is a common condition in which the amount of glucose (sugar) in the blood is too high because the body.

Pre-diabetes: Risk Factors & Diagnosis Saoirse Ní Chuirrín DNS Caitriona Lordan Dietitian September 2015.

Diabetes. Diabetes mellitus, or simply diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the body does.

Double Jeopardy. International Diabetes Federation Diabetes State of raised blood glucose (hyperglycaemia) associated with premature mortality Pancreas.

Diabetes Aspects of the Local Enhanced Service Dr Mark Barrett Dr Jeremy Sandford Dr Aythen Elkindi.

Knowledge & Intelligence Team South East updates 17 th June 2015 – 15 th September 2015.

School Nursing Review Stakeholder Event: Shirley Brierley Consultant in Public Health, Jeanette Crabbe Senior Public Health Manager, & Public Health Team.

Diabetes Health intelligence Jon Walker Advanced public health analyst Surrey County Council

Cardiovascular Disease Middlesbrough Update for Middlesbrough Scrutiny Committee 4 th November 2014 Dr Tanja Braun.

Diabetes Mellitus Introduction to Diabetes Epidemiology.

Childhood Obesity in Sheffield: 2007/08 School Year Presented by A. King Senior PH Analyst NHS Sheffield.

Guildford and Waverley CCG: How healthy is our population? Prepared by Surrey Public Health.

National Diabetes Audit (South Reading CCG) and Report 1: Care Processes and Treatment Targets Version 1.0 Published: 28 January 2016.

An American Epidemic. Age-adjusted Percentage of U.S. Adults Who Were Obese or Who Had Diagnosed Diabetes Obesity (BMI ≥30 kg/m 2 ) Diabetes

Diabetes. Objectives: Diabetes Mellitus (DM) Discuss the prevalence of diabetes in the U.S. Contrast the main types of diabetes. Describe the classic.

Diabetes Clinical Advisory Group Strategic Clinical Cardiovascular network, for heart, stroke, renal and diabetes “Bringing people together to advise on.

North West Surrey CCG Health Profile Health Profile Summary Population – current, projected & specific groups Wider determinants Health behaviours.

PUTTING PREVENTION FIRST Vascular Checks/ NHS Health Checks.

Pre Diabetes Paul Westcar GP/Diabetes Lead Newbury and District CCG.

NHS Health Check programme An opportunity to engage 15 million people to live well for longer Louise Cleaver National Programme Support Manager.

South Tyneside Joint Strategic Needs Assessment Refresh East Shields Community Area Forum Alice Wiseman Children’s Commissioning Lead – South Tyneside.

Circulation. 2014;129: Association Between Plasma Triglycerides and High-Density Lipoprotein Cholesterol and Microvascular Kidney Disease and Retinopathy.

Surrey Downs CCG Health Profile Health Profile Summary Population – current, projected & specific groups Wider determinants Health behaviours Disease.

Need For Action. Blood glucose levels are higher than normal but not yet diabetes ** 1 in 3 American adults (79 million) have prediabetes Occurs before.

Cardiovascular Risk: A global perspective

National Diabetes Audit,

Prevention: Potential & Practicalities

Prevention Diabetes.

NDA – THE LATEST DATA Prof Roger Gadsby MBE FRCGP Honorary Associate Clinical Professor , WMS GP Clinical Lead National Diabetes Audit.

National Diabetes Insulin Pump Audit,

Screening and Monitoring

Prevention Diabetes Dr Abir Youssef 29/11/2018.

Evaluating the cost-effectiveness of interventions with an impact on ageing P. Breeze, P. Thokala, L. Lafortune, C. Brayne, A. Brennan 07/12/2018.

Level of risk factor control in the overall sample and by gender

2017/18 National Diabetes Audit Cambridgeshire and Peterborough CCG local summary Public Health Intelligence, Cambridgeshire and Peterborough : April 2019.

North Alliance Data pack August 2019.

Presentation transcript:

Diabetes Health intelligence Jon Walker Advanced public health analyst Surrey County Council

Outline Prevalence Prevalence gap Risk factors Complications Care processes

Prevalence diabetes estimated and diagnosed

Current diabetes prevalence

Estimated percentage diagnosed

Prevalence gap

Risk factors Age Deprivation Ethnic background Weight/BMI Waist circumference Diet Family history High blood pressure or history of cardiovascular disease Polycystic ovary syndrome or who have a history of gestational diabetes Mental health conditions or learning disabilities Fasting plasma glucose of 5.5–6.9 mmol/l or an HbA 1c level of 42–47 mmol/mol [6.0–6.4%]

Guildford and Waverley CCG population

Deprivation

Ethnicity

Trend in excess weight among adults 11 Patterns and trends in adult obesity Adult (aged 16+) overweight including obese: BMI ≥ 25kg/m 2 Source: PHE NOO

Trend in obesity prevalence among adults 12 Patterns and trends in adult obesity Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Source: PHE NOO

Percentage of adults classified as overweight or obese (2012)

National Child Measurement Programme

Percentage children aged having excess weight

Diabetes projections

Diabetes: the fastest growing health issue There are more than 5m people in England at risk of Type 2 diabetes Diabetes accounts for 10% of the NHS budget Strong international evidence for effectiveness of lifestyle interventions to lower risk

Non-diabetic hyperglycaemia NCVIN estimates for Surrey CC suggest a prevalence of 11.3% or 106,000 adults (16+) with non-diabetic hyperglycaemia (HbA1c 6.0% - 6.4%) Around 19,000 in Guildford and Waverley CCG 5-10% of people per year with prediabetes will progress to diabetes, with the same proportion converting back to normoglycaemia (Tabak et al)

Additional risk of complications

Diabetic retinopathy complications

Nights in hospital for diabetic foot disease per 1,000 diabetics

Nine NICE annual care processes HbA1c Blood pressure Cholesterol Serum creatinine Urine albumin Foot surveillance BMI Smoking Eye screening (NHS retinopathy screening)

Percentage patients receiving the eight care processes ( )

Percentage patients receiving care processes

HbA1c ( )

Diabetes education programmes

Further information JSNA CVD chapter (can we get it uploaded in time?) Diabetes community health profile (2013): GP practice profile: NCVIN CVD profile – diabetes (2015): Footcare activity profile: CVD intelligence pack (2015): NICE guidance: – – – – NDA CCG profiles –Report 1 Care processes and treatment targets: –Report 2 Complications and Mortality: