1. NHSE Diabetes Prevention Programme (NDPP)
Presentation to
Doncaster TARGET July 2017

2. NDPP – Background
The NHSE Diabetes Prevention programme is a joint initiative led by NHS England, Public Health England and Diabetes UK
A behavioural change service for patients identified at risk of developing Type 2 diabetes
Barnsley CCG, Bassetlaw CCG, Doncaster CCG and Rotherham CCG (collectively known as South Yorkshire & Bassetlaw (SY&B)) are in wave two of a three year programme
2 year project for SY&B
ICS (Independent Clinical Services) Health & Wellbeing is our appointed Service Provider

3. NDPP –Aims to reduce the incidence of Type 2 diabetes
to reduce the incidence of complications associated with Type 2 diabetes – heart, stroke, kidney, eye and foot problems related to diabetes; and
Over the longer term, to reduce health inequalities associated with incidence of Type 2 diabetes

4. NDPP – Service Offer
The SY&B NDPP project has the opportunity to support 1353 people (circa 450 Doncaster patients) on the NHSE funded behavioural intervention programme, consisting of:
Nutrition for health
How to incorporate physical activity into your lifestyle
How to solve problems that can get in the way of healthy changes
How to develop the skills and knowledge to maintain these changes after completing the programme
Facilitation by a local Health &Wellbeing Coach

5. NDPP - Eligibility criteria
18 years old and over
Registered with a GP Practice in Doncaster
HbA1c between mmol/mol (6.0%-6.4%) or Fasting Plasma Glucose between mmols/l
Not pregnant

6. NDPP – Service Commitment
1 to 1 initial assessment
6 x weekly group sessions that includes healthy lifestyle advice and physical activity (2 hours each session)
4 x monthly group sessions that include strategies to help you maintain your lifestyle changes
3 x one to one progress review sessions at months 3, 6 and 9

7. NDPP - The Service model
Patient declines invitation
Signposted to lifestyle websites ie Diabetes UK
NHS Health Check
CORE PHASE
6 X weekly X 120 minute Healthy Foundations Plus including Physical Activity sessions
MAINTENANCE PHASE
3 X monthly X 120 minute Prevention Plus sessions
MAINTENANCE PHASE
1 X monthly X 120 minute Prevention Plus sessions
END OF SERVICE
Service User is discharged and outcomes communicated to GP practice
Invitation letter to participate
1:1 Initial Assessment
3 MONTH
1:1 Progress Review
6 MONTH
1:1 Progress Review
9 MONTH
1:1 Progress Review
NDH Register search
No response from patient within one month
If ineligible

8. NDPP – Performance targets
Year One - April 2017/March 2018
Referrals required SY&B 1410 = Doncaster 469
Interventions* provided SY&B 564 = Doncaster 188
Year Two - April 2018/March 2019
Referrals required SY&B 1973 = Doncaster 656
Interventions* provided SY&B 789 = Doncaster 262
*Interventions available were originally based on a 40% conversion rate however evidence indicates that only 20-25% of referrals are converted

9. NDPP – The ask Practices to encourage patient participation by:
Offer intervention to those identified through Health Checks
Retrospective search of NDH register to identify patients with an elevated glucose blood test that meet the eligibility criteria
Opportunistic case finding

10. NDPP – How to refer?
Referrals can be made directly to the Service Provider by both Practices and Patients
Practices – completion and of the pre-populated referral form on your clinical system to via a secure nhs.net account only
Patients – patients informed of the required blood test results can self-refer, via telephone or on-line
PLEASE NOTE! Referral forms must not be submitted by post due to the risk of patient confidentiality

11. NDPP – Next Steps
Once a referral has been submitted to ICS Health & Wellbeing, they will then take responsibility for all patient contact and arrangements so there is no more for you do from that point onwards. Once a patient completes or leaves the intervention, you will be notified by ICS Health & Wellbeing so that you may continue to monitor them going forward.
Performance update reports will be communicated via your local NDPP point of contact (tbc)

12. NDPP – Resources available
Practice information ‘starter pack’ containing promotional materials in English to be distributed during August 2017
All user information and promotional materials, including translated patient leaflets, will be made available on the CCG web pages

13. NDPP – Useful contacts For further information or support:
Primary Care Commissioning Manager
SY&B Project Manager – Tracy Hindle on
Service Provider – ICS Health & Wellbeing on
For further information on ICS Health & Wellbeing and it’s services

14. Any questions?