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You are here: Home / Health & Wellbeing Board / County Durham Place Based Commissioning and Delivery Plan 2020-25 / Living Well / Diabetes

Diabetes

What are the priorities?

The number of people diagnosed with type 2 diabetes, and who are at high risk of developing the condition, continues to rise as obesity levels increase. Poor diet and physical inactivity contribute to rates of obesity, which disproportionally affects the most deprived communities.

It is important that all people with diabetes have equal access to care and the same levels of service provision, from diabetes education to treatment, through to specialist hospital services.

Expanding the NHS Diabetes Prevention Programme is also a key vehicle for focussing on prevention and tackling health inequalities.

In view of the above, our priorities for diabetes in our local delivery plan will be to:

  • Ensure that diabetes services return to pre-COVID levels.
  • Ensure there is equal access to diabetes services across Country Durham with improved outcomes for people with diabetes.
  • Reduce variation in diabetes care delivery and achievement of diabetes treatment targets.
  • Identify those most at risk of developing type 2 diabetes and offer them support to prevent them from going on to develop the condition in the future.

What are we going to do about it?

We will continue to work together across primary, community and secondary care through our Integrated Diabetes Model of Care Programme, to ensure that the priorities identified in our plan are delivered and high-quality diabetes care is provided in the right place and at the right time to the residents of County Durham.

We will do this by:

  • Continuing work to ensure all people with diabetes have the best possible treatment and outcomes regardless of factors such as age.
  • Reducing amputation rates due to diabetes foot complications by improving access to diabetes foot care and specialist nursing and reducing readmission rates and hospital length of stay associated with foot care.
  • Working with colleagues in the diabetes retinal screening service to increase patient uptake.
  • Encouraging more people with diabetes to take up the offer of diabetes structured education and digital tools and offering support to help people self-manage their condition.
  • Ensuring that all eligible people with diabetes have access to flash glucose monitoring devices in line with local prescribing guidelines.
  • Offering all adults identified at high risk of type 2 diabetes access to the NHS Diabetes Prevention Programme.

How will we know that we have made a difference?

We will undertake ongoing monitoring of the plan to ensure delivery of the priorities. We will know that we have made a difference when we have seen:

  • An overall improvement in health outcomes and more consistency in diabetes treatment targets.
  • A reduction in health inequalities in diabetes services.
  • A reduction in amputation rates due to diabetes foot complications and hospital admissions and length of stay.
  • An increase in people with diabetes taking up the offer of diabetes structured education or digital tools with people being more confident to self-manage their condition.
  • An increase in the number of people with diabetes attending for their diabetes retinal screening.
  • More people with diabetes following the NHS Diabetes Prevention Programme and less people being diagnosed at high risk of developing type 2 diabetes.

More information

Find out more about this subject in the related Objectives, Goals, Initiatives and Metrics (OGIM) document on Durham County Council’s Committee Services website under the Heath and Wellbeing Board meeting agenda item for 24 November 2021.

Your views

We are keen to hear your views on the content of the plan, including our priorities and the measures we have identified to understand if we are making a difference. Please complete the form below, to provide your views and comments, and these will be passed to the person responsible for this chapter.

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