Local democracy

Agenda item

ACTION ON DIABETES

To be moved by Councillor Naveed Riaz

Seconded by Councillor Russell Brown

 

This Council notes that:

 

The prevalence of diabetes makes it a major public health issue. Based on figures from 2016, it was estimated that around 3.8 million people in the UK are living with diabetes; this represents almost 9% of all people over the age of 16. The cost implications of diabetes are enormous. It costs the NHS around £10 billion per annum to treat diabetes; this is almost 10% of the annual NHS budget.

 

Awareness of these facts needs to be raised more publicly within the area covered by Bradford Council.

 

It needs to be noted that our strategy for diabetes requires two very different strands, relating to the two different types of diabetes, Type 1 Diabetes and Type 2 Diabetes, as these are quite different conditions. The policy strategy developed for responding to Type 2 Diabetes will be focused around increasing public engagement and awareness of the condition. Type 2 Diabetes is the far more common form of diabetes, accounting for around 90% of people with diabetes. The policy strategy developed for Type 1 Diabetes will focus on the services for those living with the condition, seeking to improve treatment and care by providing a new, radical and innovative approach to the management of the condition.

 

This Council resolves to:

 

Take a lead in developing a strategy for Bradford to respond to the diabetes epidemic, seeking to produce a comprehensive collaborative policy which will implement measures to increase awareness of diabetes and improve diabetes services.  

 

Increase awareness of Type 2 Diabetes, developing and piloting innovative public engagement strategies, with an emphasis on targeting hard to reach communities with a high prevalence of the condition. 

 

In collaboration with appropriate partners, conduct a feasibility study into the provision of a service for people with Type 1 Diabetes, incorporating the opportunity to trial Insulin Pump Therapy, as a routine option rather than a treatment of last resort.

Minutes:

A motion was moved by Councillor Riaz.

 

An amendment moved by Councillor Ferriby, as set out in the resolution below, was carried.

 

An amendment was also moved by Councillor Griffiths.

 

Resolved –

 

This Council notes that:

 

The prevalence of diabetes makes it a major public health issue. Based on figures from 2016, it was estimated that around 3.8 million people in the UK are living with diabetes; this represents almost 9% of all people over the age of 16. The cost implications of diabetes are enormous. It costs the NHS around £10 billion per annum to treat diabetes; this is almost 10% of the annual NHS budget.

 

Awareness of these facts needs to be raised more publicly within the area covered by Bradford Council.

 

It needs to be noted that our action for diabetes has two very different strands, relating to the two different types of diabetes, type 1 and type 2, as these are quite different conditions. The response to type 2 diabetes is focused around increasing public engagement and awareness of the condition. Type 2 diabetes is the far more common form of diabetes, accounting for around 90% of people with diabetes. The response for type 1 diabetes focuses on the services for those living with the condition, seeking to improve treatment and care by providing a new, radical and innovative approach to the management of the condition.

 

The National Diabetes Prevention Programme (NDPP) identifies those at high risk of developing diabetes, and through engagement with GP practices, at risk people are referred onto a behaviour change programme.  All the district’s three CCGs are part of this programme and adhere to it.

 

The lifestyle factors that cause Type 2 diabetes are the same as those that drive the other major causes of ill health in the district; these include poor diet and a sedentary lifestyle, both of which contribute to obesity.  With this in mind Bradford Council is currently developing its overarching prevention strategy – Living Well. The Living Well Programme is designed to be a partnership between the local authority, NHS, VCS and academic partners. The programme serves to address some of the risk factors for developing type 2 diabetes, including engaging in healthy eating, physical activity and maintaining a healthy weight.

 

Regarding type 1 diabetes and the use of Insulin Pumps, the National Institute for Health and Care Excellence (NICE) produces guidance on the management of diabetes, including the use of insulin pump therapy. This guidance is based upon robust evidence of best practice as determined by a committee of experts. To commission services or treatments that are not consistent with NICE guidance risks harm and may mean that resources are not used as effectively as they could be.  The CCGs in Bradford follow NICE guidance on insulin pump therapy. As per the guidance, therapy is provided by a consultant led team in specialist settings.

 

This Council resolves to:

 

Involve all Councillors interested in the development of the Living Well campaign to make sure that all sections of the community are aware of the health conditions that are caused by unhealthy lifestyles.  Cllr Ferriby to organise a cross party workshop.

 

Through the new Living Well campaign, increase awareness of Type 2 Diabetes, developing and piloting innovative public engagement strategies, with an emphasis on targeting hard to reach communities with a high prevalence of the condition. 

 

Support any resident needing access to an Insulin Pump should their Clinician advise that they would benefit from this.  And call on Government to make sure that appropriate funding is available to provide Insulin Pumps according to need in the UK so that no resident is refused for reasons of cost.

 

ACTION:        Strategic Director Health and Wellbeing