Diabetes education: the big missed opportunity in diabetes care? Phaedra Perry Regional Head South West Katherine Calder Senior Policy Officer
|
|
- Reynold Young
- 5 years ago
- Views:
Transcription
1 Diabetes education: the big missed opportunity in diabetes care? Phaedra Perry Regional Head South West Katherine Calder Senior Policy Officer
2 What is diabetes self-management education? A menu of education options Informal, flexible, ongoing Information & one-to-one advice Structured education (meets NICE criteria QS6)
3 Why is diabetes self-management education and support important? 3 HOURS 8,757 HOURS
4
5 80% of NHS spending on diabetes goes on managing complications, most of which could be prevented. Primary care spends over 2.3 million a day on diabetes drugs; yet adherence to therapies among patients with chronic conditions averages only 50%.
6 What is the evidence base for diabetes education?
7 Locally designed courses
8 Systematic review of group-based education for people with Type 2 diabetes assessed 21 randomised controlled trials. Significant improvements in: glycaemic control (significantly reduced fasting blood glucose levels and HbA1c, the latter by 0.46 percentage points at one year) self-management skills diabetes knowledge self-efficacy/empowerment patient satisfaction body weight at 12 months.
9 X-PERT audit: increases people s diabetes self-management skills and confidence improves HbA1c (by 0.5 percentage points at one year) reduces cardiovascular risk factors. DESMOND randomised controlled trial: supports weight loss and smoking cessation improves people s understanding of diabetes reduces depression at 12 months However, evidence suggests that the programme needs to continue for improvements to be sustained.
10 DAFNE (Type 1 diabetes) has been shown to: significantly improve long-term glycaemic control reducing HbA1c by 1.0 percentage points at 6 months, 0.5 at one year and 0.3 at 7 years reduce the risk of severe hypoglycaemia by 67% and ketoacidosis by 61%, substantially reducing emergency treatment costs restore hypoglycaemia awareness improve quality of life and perceived well-being reduce anxiety and depression SOURCE: Evidence summarised in Diabetes UK (2015). Diabetes education: the big missed opportunity in diabetes care
11 Value for money? DAFNE: Savings are estimated at 48 million per year nationally or 93,133 per 100,000 population Department of Health. DESMOND & X-PERT: both considered cost effective compared with usual care, one study suggests that, if rolled out to everyone with Type 2 diabetes, X-PERT could save 367 million per year as a result of reduced medication costs. Use lay educators (partnered with HCP) to increase educator capacity and improve the cost effectiveness of Type 2 courses.
12 Improving uptake (1) 1. Review diabetes education provision to identify local priorities and barriers to uptake; consult HCPs and people with diabetes. 2. Establish a robust service specification for education providers including data collection and KPIs. 3. Set ambitious but achievable targets benchmarking against other areas can be helpful. 4. Offer a menu of education options, including structured (level 3) courses and less formal, ongoing support e.g. peer support, online learning, one-to-one support (levels 1 and 2).
13 Improving uptake (2) 5. Offer courses in a range of venues in the community and at a range of times identify what works for the local population. 6. Marketing is key: plan effective internal and external communications to HCPs and people with diabetes. 7. Use an electronic referral form and allow patients to self-refer. Consider a dedicated administrator. 8. Promote and train HCPs in collaborative care planning to empower patients and identify selfmanagement needs.
14 What can you do? Local NHS decision makers Put plans in place to make sure everyone with diabetes has the skills and confidence to manage their condition. Check out our resource about the value of diabetes education courses (PDF, 257KB) and our checklist about what to consider when looking at providing diabetes education (PDF, 247KB). Work with healthcare professionals to boost and improve referrals (PDF, 65KB). Review uptake of local programmes, identify barriers and assess the effectiveness of courses. Healthcare professionals Talk to your patients about the value of diabetes education you can order our free posters, flyers or healthcare professional resource on the online shop. If you d like to get involved in the campaign, make the case for diabetes education locally or would like to share your experience, get in touch at policy@diabetes.org.uk.
15 How can Diabetes UK help you?
16 What s the current situation? Uptake is low in many areas (although data problems): Type 1 newly diagnosed Type 2 newly diagnosed Offered (12/13) Attended (12/13) Offered (14/15) 4% 1% 33% 2% 17% 4% 79% 6% Attended (14/15) Provision varies: more than a third of CCGs don t commission some courses. Data collection is patchy: over 50% of CCGs don t know how many people are attending some or all of their courses. SOURCE: National Diabetes Audit 2012/13 and 2014/15 England national figures.
17 Diabetes education: FOI data in the South West Katherine Calder Senior Policy Officer
18 Diabetes UK FOI on structured education About the FOI data: Freedom of Information request sent to all CCGs: 100% response rate (but quality of responses varies hugely!) Provides richer picture of SDE commissioning locally what programmes, for whom, contract type, costs, attendance figures, waiting list etc. BUT the caveats: Not up to date FOI submitted in June 2015 Quality of responses varies widely some CCGs supplied much more data than others; may not be 100% accurate. Tells us about commissioning, but not necessarily provision: providers may have different (more complete?) data. Sometimes challenging to know what courses count as SDE we excluded from analysis those that do not meet NICE criteria, pre-diabetes programmes, taster sessions etc.
19 The national picture Most (95%) CCGs commissioning some form of diabetes education. BUT around a quarter of CCGs not commissioning education for people with Type 1 often is being provided anyway? Data collection is patchy: over 50% of CCGs don t know how many people are attending some or all of their courses. Lack of monitoring to drive improvement? At least 56% of courses are commissioned via a larger block contract. Around 60% of courses are DESMOND, DAFNE or X-PERT the rest are lesser known or locally developed.
20 South West data: highlights Most CCGS are commissioning SDE for both T1 and T2: o 1 CCG not commissioning any SDE (except a T1 pump course and T2 pilot) o 2 CCGs not commissioning T1 education. Variety of different programmes, many locally-designed; around 70% commissioned through larger block contract. Most (9) CCGs supplied some attendance data - a lot of variation in numbers (e.g. max for T2 = 612, min = 102 per year) o One CCG could not supply any attendance data o One could not supply T1 data (but did have T2 figures) Five did not supply waiting list data for all courses. One CCG reported waiting time of months and 18 months+ for T1 courses (calculation based on numbers waiting and previous year s capacity).
21 Key messages FOI data suggests scope for improvement in most CCG areas: Need active commissioning of programmes for all people with T1 and T2. Data collection particularly around waiting times. QISMET accreditation of locally-designed programmes. Scope to move away from block contracts to establish KPIs and data collection.
22 Discussion Is Structured education a priority for your area? What barriers are you facing in your areas in relation to offer or uptake? How can we help you to overcome these? Commitment from individual CCGs to align with SW CV network commitment to increase by 10% year on year to March 2021 the number of newly diagnosed PWD attending a structured education course?
National Diabetes Treatment and Care Programme
National Diabetes Treatment and Care Programme Introduction to and supporting documentation for VALUE BASED TRANSFORMATION FUNDING SITE SELECTION December 2016 1 Introduction and Contents The Planning
More informationShaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG
Shaping Diabetes Services in Southern Derbyshire A vision for Diabetes Services For Southern Derbyshire CCG Vanessa Vale Commissioning Manager September 2013 Contents 1. Introduction 3 2. National Guidance
More informationDATA quality and KPIs. David Hopkins King s College Hospital London
DATA quality and KPIs David Hopkins King s College Hospital London The DAFNE trial changes in HbA1c DAFNE Study Group, BMJ 2002;325:746 The DAFNE trial changes in HbA1c At 42 months A1c 0.4% from baseline
More informationDIABETES STRUCTURED EDUCATION IN WORCESTERSHIRE Information for Healthcare Professionals May 2011
DIABETES STRUCTURED EDUCATION IN WORCESTERSHIRE Information for Healthcare Professionals May 2011 What is Structured Education? Diabetes Structured Education is referred to in the Diabetes NSF standards
More informationVideo as a resource in diabetes education
FEATURE DIABETES EDUCATION PHOTOS: THINKSTOCK/NNUHFT Video as a resource in diabetes education There have been a number of new initiatives in online video to promote self-management for people with diabetes.
More informationDiabetes Annual Report. Betsi Cadwaladr University Health Board. January 2015
BCUHB Diabetes Delivery Action Plan Executive Summary Diabetes Annual Report Betsi Cadwaladr University Health Board January 2015 Prepared January 2015 Julie Lewis Diabetes Specialist Nurse Diabetes Specialty
More informationWhat needs to happen in England
What needs to happen in England We ve heard from over 9,000 people across the UK about what it is like to live with diabetes and their hopes and fears for the future. Over 6,000 of them live in England;
More informationSandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services?
Sandwell & West Birmingham integrated community care diabetes model (DICE) the future of diabetes services? Dr PARIJAT DE DUK Clinical Champion Clinical Lead for Diabetes & Endocrinology, Sandwell & West
More informationHC 963 SesSIon november Department of Health. Young people s sexual health: the National Chlamydia Screening Programme
Report by the Comptroller and Auditor General HC 963 SesSIon 2008 2009 12 november 2009 Department of Health Young people s sexual health: the National Chlamydia Screening Programme 4 Summary Young people
More informationNetworking for success: A burning platform in Berkshire West
SERVICE REDESIGN CASE STUDY 1: NOVEMBER 2014 Networking for success: A burning platform in Berkshire West SUMMARY In 2012, four federated CCGs set up a network to redesign diabetes services in Berkshire
More informationDiabetes in Pregnancy Network: Scoping survey March 2013
Diabetes in Pregnancy Network: Scoping survey March 2013 Diabetes in Pregnancy Network Scoping Survey Aim To inform the development of a National Diabetes in Pregnancy Network Objectives To identify the
More informationNHS Diabetes Programme
NHS Diabetes Programme London Regional Event Vision Through the NHS Diabetes Programme we will aim to slow the future growth in the incidence of diabetes and reduce the rate of complications associated
More informationDraft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines
Draft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines 1 Adult Type 1 Diabetes Guidelines - Implementation Plan 1. Introduction The following section is a national implementation plan,
More informationOutcomes of diabetes care in England and Wales. A summary of findings from the National Diabetes Audit : Complications and Mortality reports
Outcomes of diabetes care in England and Wales A summary of findings from the National Diabetes Audit 2015 16: Complications and Mortality reports About this report This report is for people with diabetes
More informationNHS GG&C Introduction of Freestyle Libre flash glucose monitoring system
NHS GG&C Introduction of Freestyle Libre flash glucose monitoring system The Freestyle Libre flash glucose monitoring system is a sensor based, factory-calibrated system that measures interstitial fluid
More informationSix step guide to improving diabetes footcare. Putting feet. first
Six step guide to improving diabetes footcare Putting feet first In England there are over 140 leg, foot or toe amputations a week. Diabetes related amputations and foot ulcers cost the NHS in England
More informationDiabetes Public Meeting: Improving Diabetes Care in Hounslow
Diabetes Public Meeting: Improving Diabetes Care in Hounslow Report from the Public Meeting held on: Wednesday 18th March 2015 at Days Inn Hotel, 8 10, Lampton Rd, Hounslow Hounslow CCG Diabetes Public
More informationReport by the Comptroller and. SesSIon January Improving Dementia Services in England an Interim Report
Report by the Comptroller and Auditor General HC 82 SesSIon 2009 2010 14 January 2010 Improving Dementia Services in England an Interim Report 4 Summary Improving Dementia Services in England an Interim
More informationInformal and flexible. people with diabetes. Report commissioned by Diabetes UK. Author Lillie Wenzel
Informal and flexible approaches to selfmanagement education for people with diabetes Report commissioned by Diabetes UK Author Lillie Wenzel January 2016 This report was commissioned by Diabetes UK. It
More informationIntegrated Diabetes Care in Oxfordshire -patient's perspective. Avril Surridge
Integrated Diabetes Care in Oxfordshire -patient's perspective Avril Surridge Today How does diabetes care in Oxfordshire look like from a patient s perspective? Good things What could be improved? National
More informationPOLICY BRIEFING. Prime Minister s challenge on dementia 2020 implementation plan
POLICY BRIEFING Prime Minister s challenge on dementia 2020 implementation plan Date: 14th March 2016 Author: Christine Heron LGiU associate Summary The Prime Minister s challenge on dementia contains
More informationApplication Pack. Endometriosis UK Trustees
Application Pack Endometriosis UK Trustees RECRUITING FOR THREE NEW TRUSTEES WITH A BACKGROUND IN: MARKETING AND COMMUNICATIONS CHARITY INCOME GENERATION AND FUNDRAISING HEALTH POLICY Contents 1. Welcome
More informationSouth London Diabetes Education Booking Service. Ella-Rose Bostock, Project Manager, Health Innovation Network
South London Diabetes Education Booking Service Ella-Rose Bostock, Project Manager, Health Innovation Network Background: the growing diabetes challenge Over 3.8 million people in UK have Diabetes A long-term
More informationProgress in improving cancer services and outcomes in England. Report. Department of Health, NHS England and Public Health England
Report by the Comptroller and Auditor General Department of Health, NHS England and Public Health England Progress in improving cancer services and outcomes in England HC 949 SESSION 2014-15 15 JANUARY
More informationKent Joint Commissioning Action Plan For Adults with Autism and or ADHD (2017 / 2021)
Easy Read Kent Joint Commissioning Action Plan For Adults with Autism and or ADHD (2017 / 2021) Action Plan The plan was developed to address the needs identified from the Kent Autism Strategy and Joint
More informationDiabetes Network
1 Diabetes Network - 2019 Network Manager: Alison Featherstone Aims/Objectives Clinical Lead(s) Network Lead 1.0 Support the delivery of the national NHS Diabetes Prevention Programme for Dr Caroline Sprake
More informationNHS NATIONAL DIABETES PREVENTION PROGRAMME. Tom Newbound, NHS DPP Programme Manager
NHS NATIONAL DIABETES PREVENTION PROGRAMME Tom Newbound, NHS DPP Programme Manager Site Focus Progress Birmingham Implement new service with new providers DPPs live 1 st November Bradford Bradford Beating
More informationFROM CARE TO INDEPENDENCE
RESEARCH SUMMARY: FROM CARE TO INDEPENDENCE FINAL FINDINGS MAY 2017 This summary by the National Children s Bureau (NCB) presents key findings of the final phase of From Care to Independence (FC2I), a
More informationCampaigns Overview. Lisa Bainbridge Head of Campaigns 14 October 2017
Campaigns Overview Lisa Bainbridge Head of Campaigns 14 October 2017 Introduction What has been our impact on helping more people to secure a diagnosis of coeliac disease? What can you now expect from
More informationDESIGNED TO TACKLE RENAL DISEASE IN WALES DRAFT 2 nd STRATEGIC FRAMEWORK for
DESIGNED TO TACKLE RENAL DISEASE IN WALES DRAFT 2 nd STRATEGIC FRAMEWORK for 2008-11 1. Aims, Outcomes and Outputs The National Service Framework Designed to Tackle Renal Disease in Wales sets standards
More informationDeveloping Key Messages on Cancer for Commissioners
Developing Key Messages on Cancer for Commissioners NHS Priorities patients at the heart of everything we do focus on improving outcomes for patients not inputs or processes, but results. empower clinicians
More informationCo-Production Agreement for Health and Social Care in Hackney and the City of London
Co-Production Agreement for Health and Social Care in Hackney and the City of London Co-Production is about organisations working together with people to improve services. This is an Agreement about working
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationFreeStyle Libre for glucose monitoring: Interim Position Statement for GPs & Patient FAQ
North Central London Joint Formulary Committee FreeStyle Libre for glucose monitoring: Interim Position Statement for GPs & Patient FAQ GPs should not prescribe FreeStyle Libre sensors on the NHS until
More informationSouth Belfast Integrated Care Partnership. Transforming Delivery of Diabetes Care 2014
South Belfast Integrated Care Partnership Transforming Delivery of Diabetes Care 2014 Background Context: Aims: Reduction in T2DM Earlier recognition of Type 1 diabetes in children Reduction in risk and
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical
More informationPatient Participation Groups
Patient Participation Groups What you need to know about GP Online Services August 2018 Dear Patient Participation Group member First of all, thank you for taking the time to read through this document.
More informationImproving Diabetes Care
Improving Diabetes Care Dr Clare Hambling Long-Term Conditions Lead, WNCCG c.hambling@nhs.net Plan for the afternoon: National Diabetes Projects Structured Education Achieving the 3 NICE Treatment Targets
More informationPutting NICE guidance into practice. Resource impact report: Hearing loss in adults: assessment and management (NG98)
Putting NICE guidance into practice Resource impact report: Hearing loss in adults: assessment and management (NG98) Published: June 2018 Summary This report focuses on the recommendation from NICE s guideline
More informationSection 1: Contact details. Date submitted August 2018 Student population 24,720 Section 2: Why did you decide to participate in Self Care Week?
Section 1: Contact details Name of organisation? Name and title of person writing the case study Date submitted August 2018 Student population 24,720 Section 2: Why did you decide to participate in Self
More informationDAFNE Strategic Plan
DAFNE Strategic Plan 2012-2017 DAFNE PU09.001, Version 1 September 2012 Page 1 of 7 Current Position Since 2000 the DAFNE Collaborative has been committed to providing access to high quality structured
More informationThe Idle Valley Ecominds project and commissioning experience. Dominic Higgins, Nature & Wellbeing Manager, The Wildlife Trusts
The Idle Valley Ecominds project and commissioning experience Dominic Higgins, Nature & Wellbeing Manager, The Wildlife Trusts Gavin Atkins, Head of Community Programmes and Grants, Mind The Wildlife Trusts
More informationThe NHS 10-year plan A chance for people with learning disabilities and autistic people s life and care to matter?
The NHS 10-year plan A chance for people with learning disabilities and autistic people s life and care to matter? Key points We hope this NHS plan can lead to action and real change, so people know they
More informationNHS Bowel Cancer Screening Programme
NHS Bowel Cancer Screening Programme Wolverhampton Bowel Cancer Screening Centre Annual Report April 2015 to March 2016 Introduction Bowel cancer is the fourth most common cancer in the UK (2012) accounting
More informationEvaluation of the Health and Social Care Professionals Programme Interim report. Prostate Cancer UK
Evaluation of the Health and Social Care Professionals Programme Interim report Prostate Cancer UK July 2014 Contents Executive summary... 2 Summary of the research... 2 Main findings... 2 Lessons learned...
More informationGet off on the right foot with your patient participation group
Get off on the right foot with your patient participation group Your practice has decided to take the plunge and set up a patient participation group (PPG). The practice and the participating patients
More informationEvaluation of the Bowel Cancer Awareness Pilot in SW and east of England, 31 st Jan to 18 th March 2011
Evaluation of the Bowel Cancer Awareness Pilot in SW and east of England, 31 st Jan to 18 th March 2011 Dr Gina Radford Consultant in Public Health Anglia Cancer Network Why do a campaign Survival rates
More informationThe National DAFNE Audit
The National DAFNE Audit Data Quality and Centre Performance David Hopkins King s College Hospital, London DAFNE Collaborative 26 th June 2015 Why audit matters Audit has been at the centre of DAFNE since
More informationDiabetes Prevention Programme and National Diabetes Audit Pilot
Diabetes Prevention Programme and National Diabetes Audit Pilot Requirement Specification 1 Copyright 2017, Health and Social Care Information Centre Document filename: Annex A- Diabetes Prevention Programme
More informationHow can I access flash glucose monitoring if I need it? Support pack. This pack will help you to find out more about flash and how you can access it.
How can I access flash glucose monitoring if I need it? Support pack This pack will help you to find out more about flash and how you can access it. Reviewed March 2019 Introduction Following several major
More informationPolicy for Continuous Glucose Monitoring for Type 1 Diabetic Paediatric Patients (<18 years of age)
Policy for Continuous Glucose Monitoring for Type 1 Diabetic Paediatric Patients (
More informationWHERE NEXT FOR CANCER SERVICES IN WALES? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE
WHERE NEXT FOR CANCER SERVICES IN WALES? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE EXECUTIVE SUMMARY Incidence of cancer is rising, with one in two people born after 1960 expected to be diagnosed
More informationNHS Greater Glasgow & Clyde. Managed Clinical Network for Diabetes. Annual Report
NHS Greater Glasgow & Clyde Managed Clinical Network for Diabetes Annual Report 2009 / 2010 1. Introduction This annual report of the NHS Greater Glasgow and Clyde (NHS GGC) Managed Clinical Network (MCN)
More informationDo you find this clinical policy or service specification clear and comprehensive?
Service specification for HIV: British HIV Association response Version 3 25012013 Do you find this clinical policy or service specification clear and comprehensive? No. There are a number of areas that
More informationChanging Healthcare Forever mycopd
Changing Healthcare Forever mycopd Introducing mycopd, from my mhealth. mycopd is the most comprehensive, user friendly and intuitive COPD App available on any device. Built by COPD experts, and externally
More informationFlash Glucose Monitoring (Flash GM) Frequently asked questions (November 2018)
Flash Glucose Monitoring (Flash GM) Frequently asked questions (November 2018) What is Flash Glucose Monitoring (Flash GM)? Flash glucose monitoring is a small sensor that you wear on your skin (usually
More informationInvitation to Tender
Invitation to Tender Contact: Project: Jacob Diggle, Research and Evaluation Officer j.diggle@mind.org.uk Peer Support Programme Date: January 2015 Brief description: Mind has recently secured 3.2 million
More informationROLE SPECIFICATION FOR MACMILLAN GPs
ROLE SPECIFICATION FOR MACMILLAN GPs November 2010 History of Macmillan GPs Macmillan Cancer Support has funded GP positions from the early 1990 s, following the success of our investment in supporting
More informationHealthy London Partnership
Healthy London Partnership There has never been a better time to create a healthier future for London. Imagine a city where everyone takes responsibility for their own health and wellbeing, while helping
More informationMacmillan Cancer Improvement Partnership (MCIP) An introduction
Macmillan Cancer Improvement Partnership (MCIP) An introduction What is MCIP? The Macmillan Cancer Improvement Partnership in Manchester brings together the city s cancer care services and their funders
More informationType 2 diabetes is a metabolic condition. Using Conversation Maps in practice: The UK experience
Using Conversation Maps in practice: The UK experience Sue Cradock, Sharon Allard, Sarah Moutter, Heather Daly, Elizabeth Gilbert, Debbie Hicks, Caroline Butler, Jemma Edwards Article points 1. Conversation
More informationMembers Sweet Meet Diabetes Update 6 May Sarita Naik Consultant in Diabetes and Endocrinology
Members Sweet Meet Diabetes Update 6 May 2014 Sarita Naik Consultant in Diabetes and Endocrinology Some of the myths. Should you be having that cake? People with diabetes can t lead normal lives Eating
More informationCompare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K
Compare your care How asthma care in England matches up to standards PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K Asthma matters Around 4.5 million people in England that s 1 in 11 are being treated
More informationStructured diabetes patient education in Scotland
Dr Joan McDowell PhD, MN, Diploma in Nursing, RN, SCM, DN, Senior Lecturer, College of Medical, Veterinary & Life Sciences, School of Medicine, Nursing & Health Care, Glasgow, UK Professor Sandra MacRury
More informationIncreasing the uptake of MMR in London: executive summary of findings from the social marketing project, November 2009
Increasing the uptake of MMR in London: executive summary of findings from the social marketing project, November 2009 1 Introduction & approach The London Social Marketing Unit (LSMU joined in April 2009)
More informationWHERE NEXT FOR CANCER SERVICES IN NORTHERN IRELAND? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE
WHERE NEXT FOR CANCER SERVICES IN NORTHERN IRELAND? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE EXECUTIVE SUMMARY Incidence of cancer is rising, with one in two people born after 1960 expected
More informationResearch into the uptake of bowel cancer screening in County Durham
Research into the uptake of bowel cancer screening in County Durham Publication: July 2017 Contents Healthwatch County Durham... 3 Executive summary... 4 Background to this work... 5 Why this work was
More informationDiabetes Newsletter. Congratulations
Diabetes Newsletter I N S I D E T H I S I S S U E : I S S U E S I X M O N D A Y 1 6 J U L Y 2 0 1 2 Round-up 1 Congratulations HCP training Bexley diabetes team updates 2 3 & 4 Congratulations to all the
More informationFrom Better to Best: Improving the availability of organs for transplant
From Better to Best: Improving the availability of organs for transplant Elisabeth Buggins CBE Strategy Oversight Group Chair Presentation outline Progress 2004-2014 Strategy and work underway Outcomes
More informationSimply, participation means individual s involvement in decisions that affect them.
Simply, participation means individual s involvement in decisions that affect them. NHS England guidance on participation sets out two types of participation in healthcare: 1) people s involvement in decisions
More informationOF THE ENGLAND IN THE BEST AREA FOUR TIMES MORE PEOPLE GET THE CHECKS THEY NEED THAN IN THE WORST
OF THE ENGLAND 2013 IN THE BEST AREA FOUR TIMES MORE PEOPLE GET THE CHECKS THEY NEED THAN IN THE WORST Foreword 3 Actions needed to tackle diabetes challenge 5 The State of the Nation: Diabetes is still
More informationCosting report: Lipid modification Implementing the NICE guideline on lipid modification (CG181)
Putting NICE guidance into practice Costing report: Lipid modification Implementing the NICE guideline on lipid modification (CG181) Published: July 2014 This costing report accompanies Lipid modification:
More informationOur Plans for Improving Your Health
Our Plans for Improving Your Health Lewisham Clinical Commissioning Group Our Plans for Improving Your Health This summary sets out how Lewisham GPs are planning to use available NHS resources to make
More informationNHS England Impact Analysis of implementing NHS Diabetes Prevention Programme, 2016 to 2021
NHS England Impact Analysis of implementing NHS Diabetes Prevention Programme, 2016 to 2021 1. Purpose The purpose of this document is to describe both the estimated resource implications to NHS England
More informationNHS ENGLAND BOARD PAPER
NHS ENGLAND BOARD PAPER Paper: PB.15.12.2016/04 Title: Taking the cancer strategy forward: programme update Lead Director: Professor Sir Bruce Keogh, National Medical Director Cally Palmer, National Cancer
More informationNHS DIABETES PREVENTION PROGRAMME: Preventing Type 2 Diabetes in England
NHS DIABETES PREVENTION PROGRAMME: Preventing Type 2 Diabetes in England WHO WE ARE Public Health England (PHE) is an executive agency of the Department of Health. We protect and improve the nation's health
More informationAudit support for continuous subcutaneous insulin infusion for the treatment of diabetes mellitus (review of technology appraisal guidance 57)
Audit support for continuous subcutaneous insulin (review of technology appraisal guidance 57) Issue date: 2008 Audit support Continuous subcutaneous insulin infusion for the treatment of diabetes mellitus
More informationCheryl Gowar. Date : June 2017
Speaker Name Statement Cheryl Gowar NONE Date : Are HIV support services being decommissioned? NHINVA, 22 Cheryl Gowar Senior Policy and Campaigns Officer What are HIV support services? HIV support services
More informationWhat is Rheumatoid Arthritis?
What is Rheumatoid Arthritis? Rheumatoid arthritis (RA) is an autoimmune condition in which the immune system attacks the joint tissue causing inflammation, stiffness, pain and extreme fatigue. If left
More informationAlzheimer s Society. Consultation response. Our NHS care objectives: A draft mandate to the NHS Commissioning Board.
Alzheimer s Society Our NHS care objectives: A draft mandate to the NHS Commissioning Board 26 September 2012 Delivering Dignity Securing dignity in care for older people in hospitals and care homes: A
More informationThe Stolen Years Mental Health and Smoking Action Report 22 April Emily James, Policy and Campaigns Officer
The Stolen Years Mental Health and Smoking Action Report 22 April 2016 Emily James, Policy and Campaigns Officer Emily.James@ash.org.uk Where we are now? Overview The Stolen Years: Mental Health and Action
More informationCHOOSING WISELY FOR KINGSTON PROPOSED CHANGES TO LOCAL HEALTHCARE - IVF
GOVERNING BODY LEAD: Fergus Keegan, Director of Quality, Kingston & Richmond CCGs REPORT AUTHOR: Sue Lear, Acting Deputy Director of Commissioning ATTACHMENT: AGENDA ITEM: D2 RECOMMENDATION: The Governing
More informationPlanning for delivery in 15/16 for the Dementia and IAPT Ambitions
Planning for delivery in 15/16 for the Dementia and IAPT Ambitions 24th March 2015 Welcome to the planning WebEx: Dementia and IAPT delivery in 2015/16 Please ensure you are logged into the audio via a
More informationCumbria Diabetes Dr Cathy Hay Clinical Director Cumbria Diabetes Cumbria Partnership NHS Foundation Trust
Cumbria Diabetes 2011 Dr Cathy Hay Clinical Director Cumbria Diabetes Cumbria Partnership NHS Foundation Trust Forecasted Numbers for Diabetes in Cumbria 2005 2025 (Source: PBS Prevalence Model) 45,000
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME Cost impact statement: Hypertension QOF indicator area: Hypertension Date: July 2013
More informationDMEP Study Section 1 1
DMEP Study Section 1 1 1. EXECUTIVE SUMMARY 1.1 Objectives The specific aims of the Diabetes Mellitus Education Program (DMEP) were to examine the role of the community pharmacist in the disease state
More informationNational Peer Review Report: Wales Paediatric Diabetes 2014
National Peer Review Report: Wales Paediatric Diabetes 2014 An overview of the findings from the 2014 National Peer Review of Paediatric Diabetes Services in Wales 1 Contents 1.0 Introduction... 3 1.1
More informationAnnual General Meeting
NHS Harrogate and Rural District CCG Annual General Meeting. 2 August 2018 1 Welcome and introductions Dr Alistair Ingram Clinical Chair NHS Harrogate and Rural District Clinical Commissioning Group 2
More informationNational Diabetes Audit
National Diabetes Audit 2012-2013 Report 1: Care Processes and Treatment Targets Report Summary for Dorset County Hospital (RBD01) Key findings about the outcomes for people with diabetes in Dorset County
More informationProstate Cancer UK is a registered charity in England and Wales ( ) and in Scotland (SC039332). A company limited by guarantee registered
Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). A company limited by guarantee registered number 2653887 (England and Wales). Men with prostate cancer,
More informationNAS NATIONAL AUDIT OF SCHIZOPHRENIA. Second National Audit of Schizophrenia What you need to know
NAS NATIONAL AUDIT OF SCHIZOPHRENIA Second National Audit of Schizophrenia What you need to know Compiled by: Commissioned by: 2 October 2014 Email: NAS@rcpsych.ac.uk The National Audit of Schizophrenia
More informationEmma Zurowski PaSH Programme Lead BHA for Equality. Peter Bampton Sexual Health Lead LGBT Foundation. gmpash.org.uk.
Emma Zurowski PaSH Programme Lead BHA for Equality Peter Bampton Sexual Health Lead LGBT Foundation gmpash.org.uk 1 to 1 Interventions Group Work Interventions Testing Outreach Website Counselling for
More informationPsychosis & Schizophrenia: The Updated NICE Quality Standard. Dr Tony Gill Mental Health Practitioner University of Leeds 7 th June 2015
Psychosis & Schizophrenia: The Updated NICE Quality Standard Dr Tony Gill Mental Health Practitioner University of Leeds 7 th June 2015 NICE.what is it? The National Institute for Health & Care Excellence
More informationLincolnshire JSNA: Chlamydia Screening
What do we know? Summary The total numbers of Chlamydia screens continue to increase across Lincolnshire. This has identified high levels of positive screens in some areas of the county. This knowledge
More informationYear Strategy. Our purpose is to end homelessness
Year Strategy 2013 2018 Our purpose is to end homelessness 5 Year Strategy 2013 2018 Our purpose is to end homelessness Our aims We want to do more for more homeless people in more places across the UK
More information14. HEALTHY EATING INTRODUCTION
14. HEALTHY EATING INTRODUCTION A well-balanced diet is important for good health and involves consuming a wide range of foods, including fruit and vegetables, starchy whole grains, dairy products and
More informationPRACTICE WHAT WE PREACH
PRACTICE WHAT WE PREACH Sioned Quirke Professional Manager Adult Weight Management Service, ABUHB & Lead Specialist Dietitian in obesity management WELSH HEALTH SURVEY WAG 2012 59% of adults were classified
More informationJob information pack COMMUNITY COORDINATOR (Northern Ireland)
Job information pack COMMUNITY COORDINATOR (Northern Ireland) 1 THANK YOU FOR YOUR INTEREST IN PANCREATIC CANCER UK It is a pleasure to know that you are interested in working with us. Please find enclosed
More informationATTENDANCE. Improving Data Recording of. at Diabetes Structured Education
Improving Data Recording of ATTENDANCE at Diabetes Structured Education Guidance for Diabetes Structured Education Providers, GP practices and Commissioners November 2016 A Standardised Approach The National
More information