Prevention scheme helps 2,000 Bradford people

By Editor
18th December 2015
Good practice, Latest news NICE Research Self management Type 2 prevention Yorkshire and the Humber

More than 2,000 people at high at risk of developing type 2 diabetes in Bradford have benefited from a new scheme to help improve their health.

Bradford Beating Diabetes (BBD) was created two years ago and offered 2,300 people help to reduce their risk.

After getting good results they put in a successful bid to become one of the National Diabetes Prevention Programme’s (NDPP) pilot schemes which is looking to trial new ways of preventing the disease in high risk people across the country.

Durham and Medway are two of the seven demonstrator sites which are being used as part of the NDPP scheme, which The Diabetes Times has previously reported on.

As part of their bid they had to show how they had already mapped out a plan for their area.

Type 2 prevalence

Their £1m scheme, being run by Bradford City Clinical Commissioning Group (CCG), aims to reduce the prevalence of type 2 diabetes but also to make sure those who have it are managing it well.

Many of the areas we work in are very deprived and engagement with the public can be hard

Dr Sohail Abbas, GP clinical board member from Bradford City CCG said: “Nearly half of the people seen to date had either a high or medium risk of diabetes. We were quite surprised it was so high but very pleased we made contact with so many people.

“Overall we think it was a great success but there have been difficulties, for example getting people to attend the ILCP programme. Many of the areas we work in are very deprived and engagement with the public can be hard.

“However, we have been working with communities and faith leaders to make it work and have been trying to make it flexible to help understand issues about time, gender, language and other barriers including understanding nuances in being from certain parts of Bradford.”

The CCG has a population which is 75 per cent south Asian and, before the scheme started, 7.5 per cent had diabetes; this was lower than expected, suggesting many people with diabetes had not been identified and were not getting treatment.

In November 2013 they launched a two phased approach: commissioned through a Local Improvement Scheme (LIS) to which all the 27 GP practices signed up.

Intensive lifestyle

First they invited 2,300 people already known to be high risk into their GP practice for blood tests with health care assistants. If they were still at high risk they were invited to join an intensive lifestyle change programme (ILCP).

Secondly, in line with NICE guidance, they are looking to identify the wider population who could be at risk of diabetes – including white population over 40 and the south Asian community over 25 – approximately 38,000 people. Already, more than 14,000 of these people have been asked to attend their GP practice for a diabetes risk assessment, with thousands more expected to attend over coming months.

From the 38,000 people approached, to date 14,000 have attended for a check and 1,000 previously undiagnosed people have been identified as being type 2. They are now getting treatment and care to reduce future risks of complication.

Around 6,000 were deemed to be at medium or high risk of type 2. Those at high risk had a brief intervention, were added to a one year recall register and offered a place on an ILCP.

The ILCPs are delivered by BBD Champions and are hosted by Bradford District Care NHS Foundation Trust. They are recruited from the community and do an intensive course on the criteria specified by NICE and accredited by the Royal Society for Public Health, administered through Leeds Beckett University.

Each ILCP consists of nine group sessions over a year and supports people to make healthy lifestyle choices including advice on activity, healthy eating, stopping smoking, the risk of not making changes and personal goal setting.

Around 200 people are currently on an ILCP. Leeds Beckett University is evaluating the ILCPs and has monitored its first ‘graduates’ who have all improved their lifestyle indicators, including reducing blood sugar levels. York Health Economics Consortium is producing an economic model with a cost-benefit analysis of the project.

As part of the National Diabetes Prevention Programme the Bradford scheme applied for £890,000. This will expand the work to Bradford Districts CCG to enable all people in Bradford to have access to the programme. It will also focus on different methods to engage patients in the ILCP programme, increasing the completion rate of the programme.

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