Somebody using a blood glucose monitoring system.

National diabetes prevention programme

Project: National diabetes prevention programme (NDPP) via Salford Clinical Commissioning Group (CCG) evaluation of the IGR2 care call service

What are we trying to do?

As part of the NDPP, Public Health England has commissioned 7 demonstrator sites to explore the local implementation of lifestyle interventions to prevent diabetes among people at risk of developing the disease. Salford is one of these sites, and we are carrying out an independent evaluation of the work.

The Salford demonstrator site includes a telephone support service (care call), an exercise programme and a new community-based service to improve the identification and referral of people at risk of diabetes from hard to reach groups.

Why is it important?

In 2010, 2.26 million people in England (5.54% of the population) were registered with a diagnosis of diabetes. The prevalence of diabetes in England among adults is predicted to rise to 8.5% by 2020 and 9.5% by 2030. There are around 4000 people with a diagnosed risk of diabetes (impaired glucose tolerance – IGT) in Salford, and more that are undiagnosed. Evidence suggests that in the absence of any lifestyle advice or pharmacological intervention about 50% of people with IGT will develop type 2 diabetes in five to ten years.

How will we do it?

During our previous round of funding, we worked on the IGT and impaired glucose regulation (IGR) care call projects, further developing care call, a Salford Diabetes Care telephone support service for people at risk of developing diabetes. Our work established its importance in improving the health of people at risk of diabetes. Following the NDPP demonstrators, there will be a national roll-out of diabetes prevention initiatives in two phases, from March 2016 and March 2017. We are keen to maximise the learning from the Salford model to build this into the national programme.

We will be completing a mixed-methods evaluation, using qualitative interviews with professionals, observation analysis and quantitative process-related data collection, focussing on three objectives:

  1.    Identify what role a community referral service can play in recruitment and retention for lifestyle support services for people at risk of diabetes
  2.    Identify what role an enhanced GP referral service can play in recruitment and retention for lifestyle support services for people at risk of diabetes
  3.    Describe the Care Call service model, present the evidence that underlies it, and look at the extent to which Salford’s telephone-based intervention approach aligns with the service model and evidence diabetes prevention programmes.

Who we are working with?

NHS Salford CCG, Public Health England, Salford City Council and Salford Royal NHS Foundation Trust.

Results

View the first report attached to this work, published in August 2016.

View the second report attached to this work, published December 2016.

More information

For further information please contact Michael Spence, Programme Manager, or Dr Sarah Cotterill, academic lead.