NHS Bradford City CCG and NHS Bradford Districts CCG will submit Document “AC” which gives an overview of the development of the diabetes services in Bradford. This includes an update on the development of the new model of care, primary prevention services and national diabetes transformation funds.

Recommended –

(1)       That the Clinical Commissioning Groups’ commitment and actions taken to improve diabetes services and increase the focus on prevention of diabetes be noted.

(2)       That the initiatives being developed that will impact the diabetes service offer to residents be noted.

(Kath Helliwell – 01274 237735)

NHS Bradford City CCG and NHS Bradford Districts CCG submitted Document “AC” which gave an overview of the development of the diabetes services in Bradford. This included an update on the development of the new model of care, primary prevention services and national diabetes transformation funds.

The Head of Commissioning for the CCGs provided an overview of the report.  She explained that the District’s three CCGs had jointly submitted a £1.5m bid to NHS England and that NHS Bradford City CCG and NHS Bradford Districts CCG had bid for funding in the areas of structured education and the three NICE treatment targets.  These were considered the areas that needed improving as national data suggested that only 3% of people in Bradford attended an education programme within 12 months of their diagnosis.  The bid had been successful in receiving funding for a two year programme and confirmation of the year two funding was awaited.  The programme had commenced in November 2017 with a trajectory of 200 referrals a month.  There had been issues with the number of patients being referred into the programme, as they had been much lower than expected, however, referrals had since increased and there had been 187 referrals to the programme in January 2018.  Online options to undertake the programme were being considered.

In response to Members’ questions it was reported that, in 2016-17, 2,900 people had declined an appointment for a blood test to ascertain whether they were at risk of Type 2 Diabetes and 26,500 had attended an appointment, of which 2,600 had taken up the intervention programme referred to them, all others had declined.  The intervention programme which had been run by Bradford District Care Foundation Trust had received 528 referrals and had an approximate 40% completion rate of all sessions.

Due to the difficulties in getting people to commit to a classroom based programme, work was on-going to review the delivery method of the prevention programme with Bradford Care Alliance.

It was reported that the trajectory increase of referrals to the programme had originally been set at 10% over the year but had since been decreased to 5% which was considered more realistic given the difficulties being experienced in getting patients to attend appointments.  One-to-one, early morning, evening and women only sessions had been offered to patients in order to encourage attendance, however attendance remained a significant problem and this was a national issue.

The importance of how the message about reducing the risk of diabetes at the first point of contact with a healthcare professional was recognised as key to encouraging people to undertake the programme and training had been provided to frontline staff to help ‘sell’ the programme to those who were at high risk of developing Type 2 diabetes.

Members were informed that Leeds Beckett University had undertaken an evaluation of the preventative work undertaken on diabetes.  51 people had been interviewed and had filled out evaluation forms a year after their time on the programme.  The results showed that participants were more informed about diabetes, had a better understanding about the links between diabetes and food and had noticed an improvement in their health.  Of those assessed, blood sugar had reduced overall and participants gave positive feedback about the programme.

Members were pleased to see an increase in the take up of the programme. 

The Health and Wellbeing Portfolio Holder stated she was pleased to see a bigger focus on preventing diabetes and spoke of the establishment of Health Champions in communities across the District as outlined in the Healthy Bradford Charter, who could play a part in encouraging people to take up the programme.  She also stated that more work needed to be done around making health literature easier to understand.

A discussion took place about the need to work with providers to deliver care in a targeted environment e.g. to people with mental health issues. 

In response to a Member’s question, it was stated that feedback had been given to NHS England to urge them to undertake a national campaign to raise awareness and understanding of how food is linked to diabetes as it was recognised that this was a confusing area for people to understand.

Resolved –

(1)       That the Clinical Commissioning Groups’ commitment and actions taken to improve diabetes services and increase the focus on prevention of diabetes be noted and welcomed.

(2)       That the initiatives being developed that will impact the diabetes service offer to residents be noted and welcomed.

NO ACTION