Leicester A city that doesn t do things by halves. Dr Laura Gray Associate Professor, University of Leicester

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2 Leicester A city that doesn t do things by halves Dr Laura Gray Associate Professor, University of Leicester

3 Agenda Introducing Leicester City Leicester Diabetes Centre LDC research successes Rule of halves Activities so far

4 Leicester a dynamic multi-ethnic city in the heart of England ŠA great place for sport successful and historic football, cricket, basketball, speedway and hockey teams and one of Europe s leading rugby clubs. Š2,000 year heritage from the Romans & Richard III to the space age Respected brands headquarters Š

5 Leicester the stats 348,000 city population 50% identify as WE, compared to 87% national average Largest Indian population of any local authority in England >70 languages/dialects spoken Most common English, Gujarati, Punjabi, Somali, Urdu, Hindi, Arabic, Bengali and Polish 20 th most deprived region in England

6 Leicester ETHNICALLY AND DIVERSE CITY 23% OF LEICESTER CITY RESIDENTS BORN OUTSIDE OF UK TWICE UK AVERAGE 28,500 (8.9%) PEOPLE IN LEICESTER WITH DIABETES OVER 1000 NEW CASES OF T2DM EACH YEAR

7 Our Hospitals LEICESTER GENERAL HOSPITAL LEICESTER ROYAL INFIRMARY GLENFIELD HOSPITAL Research integrates with clinical services

8 Leicester Diabetes Centre (LDC) Clinical delivery A Centre built around a diverse and growing patient population Patient and public involvement Healthcare Professional training and development Physical activity and experimental medicine Clinical research, environment and infrastructure/ laboratory Patient education 2800M² LIFESTYLE DIABETES CENTRE AT LGH

9 Research Impact Globally 460 papers published in high impact journals in the last 7 years In past 2 years 156 papers - average of 1-2 every week Focus on structured education and prevention, physical activity/sedentary behaviour and new therapies 65M grant income over past 7 years 45M of active grant income Published more on South Asian Health than any other research group outside of India Two of the top 10 global experts in T2DM (ADA Expertscape 2015)

10 LDC Prevention Pathway:

11 Home of Leicester Diabetes Risk Score Leicester Diabetes Self-Assessment Risk Score project has seen the development of a diabetes risk assessment tool Available on the Diabetes UK website, Boots and Lloyds chemists and Tesco stores Used by more than 1,500,000 people Recommended for use in the NICE guidelines on preventing Type 2 diabetes

12 NHS Diabetes Prevention Programme Rolling out the learning from Let s Prevent Diabetes into national programme in partnership with Ingeus LDC is a selected provider in the NHS Diabetes Prevention Programme covering over a third of the UK >60,000 Referrals to programme seeing significant weight loss and HbA1c reductions Leicester, Leicestershire and Rutland, Nottinghamshire, Northamptonshire, Medway, Cheshire and Merseyside, Durham, Northumberland, Staffordshire, Shropshire and Cumbria, Leeds, South East

13 Innovators in Patient Support - DESMOND Gold standard Type 2 structured education patient education Over 900,000 DESMOND graduates Delivered to BME communities with interpreters and specialist visual tools 1,100 Trained Educators

14 Agenda Introducing Leicester City Leicester Diabetes Centre LDC research successes Rule of halves Activities so far

15 Our Urban Diabetes Challenge those already with diabetes People known to already have diagnosed diabetes in Leicester:28, % People who have diabetes but are undiagnosed 1 About in % increase % of those aged yrs 1 in 17 of those aged yrs This is just the tip of the iceberg 1 Carter P et al J Public Health 2015

16 Our Urban Diabetes Challenge adults with Prediabetes Large numbers for pre-diabetes are lurking below the surface 1-2 Approximate diabetes population in Leicester: 28,500 This is just the tip of the iceberg 14.2% of adults aged ,000 of adults aged in 7 of adults aged Webb D et al 2011 Diabetologia 2 ONS population estimates Mid Year 2016

17 Our Urban Diabetes Challenge risk factors in our youth 37% of children in school year 6 (aged 10-11) overweight or obese Large numbers for pre-diabetes 1 in % of those aged Pre-start 1009 in Leicester 1 in 12 23% are obese in 4 1PHE Leicester Health Profile 2017

18 Our Amazing Environment

19 Environment Makes a Difference Higher number of cases of diabetes and obesity in Leicester if you live within 500 m 2 of a fast food outlet 1 We know the prevalence of Type 2 diabetes in Leicester neighbourhoods with higher green space are 5% lower than areas with lowest green space 2 1 Bodicoat DH et al Public Health Nutr 2015# 2 Bodicoat DH et al BMJ Open 2014

20 Creating a New Paradigm for Tackling Diabetes 13 Parks 86 pharmacies Largest NHS Trust 63 GP Surgeries 108 schools, over 57,00 pupils 193 places of worship 45 religious groups

21 Agenda Introducing Leicester City Leicester Diabetes Centre LDC research successes Rule of halves Activities so far

22 Deirdre Harrington Academic Lead Sophie O Connell Project Manager Sue Enright Operations Lead Emer Brady Senior Research Associate

23 Launch event April 2018

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25 Range of Activities since April Supporting other events, events initiated by others 2. Facilitating connections 3. Project planning 4. External funding plans 5. Initiated Leicester Changing Diabetes events

26 Risk Identification at Leicester City FC

27 Summer Plans Upskilling Leicester Diabetes Centre staff on deploying the Diabetes Risk Score Publicity BBC Radio Leicester lunchtime slot Promotion of outdoor gym led sessions Diabetes day at Leicestershire Cricket grounds (1000+ spectators) organised by Public Health An inter-faith diabetes forum or summit, scoping Awareness event linking Team Novo Nordisk to Leicester Let s Ride festival

28 Keep in Touch Keep up to date via us Promote the project to your networks gingdiabetes.com

29 Any questions?