Driving Change & Tackling Inequalities in Manchester

GM Diabetes Network Clinical Lead, Naresh Kanumilli (pictured) and SCN diabetes programme lead Ewan Jones presented the GM Diabetes Strategy and led workshop discussions at an collaboration event in convened by Boehringer Ingelheim. The purpose of the event was to consider how to tackle health inequalities experienced in diabetes care. It included participants from localities around GM and participants concluded there is a need for the GM the system to focus on some key goals, including: Deliver accessible structured diabetes education for all people. Support the development of expert patient groups in community practice to provide support and education. Improve patient engagement and the patient journey using administrative care coordinator roles. Develop a one-stop-shop approach for patients to receive diabetes care processes. Review long-term conditions in integrated fashion for patients via combined clinics. Take a co-ordinated approach to diabetes prevention from pre-conception to adolescence including education provided at school. For more information on the outputs from the event and to get involved GM initiatives to tackle these and other issues, contact ewanjopnes@nhs.net.

New transition funding for children and young adults with diabetes in Stockport

Following on from the work of the Children Young Persons national ‘Improving equity of access to treatment technology’ working group, funding has been made available to each NHS region for targeted interventions to improve equity of access to diabetes treatment technology.

A key area of focus is improving care for those transitioning from paediatric to adult care and addressing the poorer outcomes for children and young adults with diabetes at transition age. Funding for pilots over the next three years has been agreed and 15 sites have been selected:

• Airedale NHS FT and Bradford Teaching Hospitals NHS FT
• Barts Health
• Dorset ICS
• Ipswich and East Suffolk
• Kings Health Partners
• Liverpool University Hospital and Alder Hey children’s Hospital
• Newcastle upon Tyne Hospitals
• Norfolk & Norwich University Hospital
• Oxford University Hospitals
• Sherwood Forest, Kings Mill and Newark Hospital
• Southampton General Hospital/ Royal South Hants/Southern Health
• Southport and Ormskirk Hospital
• Stockport NHS FT
• Torbay and South Devon
• University Hospital of Derby and Burton

The results from these pilots will provide valuable insights and help bridge the evidence-gap that exists with regards to clinically effective transition and young adult care models.  Further information on the Stockport Pilot is available from Sarka.grayson@nhs.net.

Low Calorie Diet Programme

On World Diabetes Day, Derek from Stockport kindly shared his experience of taking part in the NHS Low Calorie Diet programme (LCD). Click here to read Derek's story. Your patients can access this programme too:

• LCD is available to people in GM who are overweight and living with type 2 diabetes. It provides treatment for people to improve their diabetes control, reduce diabetes-related medication and in some cases, put their type 2 diabetes into remission. The average weight loss to date is 13.4kg and findings show that people manage to keep it off.
• For more information about LCD and support available to practices through Xyla’s engagement team who can identify, contact and recruit people into the LCD. Please contact Anna.Agar@xylahealth.com for more details.

Healthier You NHS Diabetes Prevention Programme

In the New Year the Diabetes network will be leading a social media marketing campaign for the Healthier You programme to encourage people to engage with the service. A number of posts that can be used on social media will be shared with local communication teams in GM. The campaign will focus on reminding people of the risks of developing type 2 diabetes and how to find out their risk using the Diabetes UK Know Your Risk tool. To access the Know Your Risk tool visit http://riskscore.diabetes.org.uk.

NICE update

NICE have published the review questions for ‘NICE guideline on Diabetes (type 1 and type 2) in children and young people: diagnosis and management - medicines for type 2 diabetes (update)’.

 The review questions are available on the project documents web page. This information is published for transparency, and to enable stakeholders to prepare for consultation on the draft guideline.

• The consultation on the draft guideline and its supporting evidence is due to start on 25-Jan-2023 and it will run for 4 weeks, closing on 22-Feb-2023.

If you have any queries about this guideline, please contact diabetescyp@nice.org.uk  

New digital standards planned for sharing diabetes data

The Professional Record Standards Body (PRSB) was commissioned by NHS England to produce standards for sharing diabetes information between people and professionals across all care settings, including self-management data from digital apps and medical devices. Find out more here.  The information record standard has been submitted to the Data Alliance Partnership Board to gain Information Standard Notice Status (ISN). More information for systems will be shared in the coming months. For questions on national digital programmes, please contact  england.digitaldiabetes@nhs.net.

Future work & forward planning

The Diabetes Board and Programme Team are already engaged in or are planning work on a number of issues, including:

• Supporting implementation of 2022 updates to NICE guidance NG17, NG18 and NG28 on the use of CGM devices.
• Producing a ‘gold standard’ structured diabetes education referral & management pathway.
• Supporting deployment of a cardio-renal-metabolic pathway.
• Embedding key services like the Manchester Amputation reduction Service and Diabetes My Way in the GM diabetes care system.

If you have important information or additional updates for stakeholders in the GM diabetes system, please let us have details for inclusion by emailing winifred.bajulaiye1@nhs.net.

See our website for more information on all our networks.