Following announcements in the 2017–19 Planning Guidance, NHS England will be launching a wider programme of investment to support the treatment and care of people who already have diabetes alongside diabetes prevention. There are three key areas within the programme:
- Diabetes treatment and care programme
- Diabetes Prevention Programme
- Digital programme
The Diabetes Treatment and Care Programme
As part of this CCGs and CCG-led partnerships will have the opportunity to bid for additional national funding of approximately £40m in 2017/18 to promote access to evidence based interventions which will improve:
- uptake of structured education;
- access to specialist inpatient support
- access to a multi-disciplinary foot team for people with diabetic foot disease;
- the achievement of the NICE recommended treatment targets whilst driving down variation between CCGs.
Diabetes UK has been working closely with NHS England to ensure the new improvement funding is used effectively.
Diabetes Prevention Programme
Throughout the past two years, nationally, there was a major emphasis on the Healthier You: the NHS Diabetes Prevention Programme (NDPP). After the announcement of the programme, work began with demonstrator sites.
Earlier this yearthe first wave sites rolled out and continue to make good progress - as of the end of September they will have referred 1743 people onto the programme. The 17 wave two sites worked to mobilise over the summer and commenced referrals in September 2016.
The deadline for submission of applications for STPs to be considered as a year two NDPP site was the 3rd October. Applications were received from 21 STPs who have now been informed of the outcome of this process.
Following mini competitions in December to allow sites to select the provider for their area, NHS England aim to award contracts to providers in mid-March.
NIHR held a panel meeting last month to consider bids for a national evaluation of the programme. The outcome of this meeting should be announced in coming weeks.
The direct recruitment pilots in four local NDPP areas went live at the beginning of October and the pilot phase will run until the end of January 2017. The providers and pilot sites are developing communication campaigns using social media and mobile units that are placed outside venues such as supermarkets. They are also engaging with community outreach organisations to highlight and promote direct recruitment therefore providing a targeted presence in estates, faith settings and community centres.
It is hoped that the three month pilot generates early learning and evaluation around the impact and optimal use of direct recruitment with a specific emphasis on reducing inequalities. The evaluation of the DR pilots will be available in January 2017, which will enable us to make a decision as to whether the approach should be rolled out across the programme.
This strand of the programme is still under development.
NHS England are currently scoping the approach for selection of local areas in which to pilot a digital approach to diabetes prevention. It is possible that sites will be selected from both current and future NHS NDPP sites, as well as areas in which there is no face to face service at all. The aim is to select these areas by January 2017.