Briefing one provides an overview of the impact of diabetes and how to address this
Diabetes is the biggest health issue of our time: 3.2 million people in the UK are diagnosed with diabetes and 11.5 million are at high risk of developing Type 2 diabetes. Spending on diabetes accounts for 10 per cent of the annual NHS budget and 80 per cent of that goes on managing complications associated with diabetes, most of which could be prevented.
Diabetes is a serious condition which will have a huge impact on each person diagnosed, and their families. It requires careful management every single day for the rest of their lives. People with both Type 1 and Type 2 diabetes can have better outcomes if they receive the right care and support to manage their condition.
Briefing two sets out what should be in a Joint Strategic Needs Assessment (JSNA) to improve diabetes outcomes
Development of the JSNA and joint health and wellbeing strategy (JHWS) is an opportunity for HWBs to ensure the impact of diabetes on the health and wellbeing of the local community is assessed and addressed. A review of JSNAs in 2013-14 found that HWBs were not fully addressing diabetes in their JSNAs and JHWS.
The JSNA and JHWS can ensure that there are plans to reduce the costs of diabetes by preventing Type 2 diabetes and by improving the identification, care and treatment of people with diabetes, to avoid the costly complications and disability of the future. The briefing includes a checklist and key sources of data.
Briefing three sets out what health and wellbeing boards can do to support and promote local prevention of Type 2 diabetes
Type 2 diabetes is preventable - up to 80 per cent of cases of Type 2 diabetes can be delayed or prevented. HWBs are well places to support programmes to prevent Type 2 diabetes. The best way to do this is to have strategies for whole population prevention - designed to encourage healthier diets and more active lifestyles - and to have strategies designed to identify and target people at high risk of Type 2 diabetes. Guidance is available on how to do this and the NHS Health Check Programme, now commissioned by local authorities, is a key part of this.
Briefing four sets out what health and wellbeing boards can do to promote integrated diabetes care
People with diabetes often find that their care is fragmented and that their needs are not met in a coordinated way. There is strong evidence that demonstrates the potential to improve both the quality of diabetes care and the financial position through integration.
Diabetes UK has also worked with the Good Governance Institute to produce a board assurance prompt to support health and wellbeing boards in ensuring the highest level of diabetes care and prevention in their area.