“Welcome Wave 2”
The Expressions of Interest for the National Diabetes Prevention Programme Wave Two sites have been submitted.
The anecdotal evidence suggests interest is very high and that there will be a
healthy cohort of wave 2 sites ready to start work by the end of the year.
So here are some initial top tips from a Wave one site to
Wave two sites.
1.
Get
the LMC involved:
Primary care is
stretched to breaking. However, I
haven’t met anyone in primary care who doesn’t feel frustrated that they will
see patients on a daily basis that are at risk of diabetes and there is very
little they can offer. The Diabetes Prevention
Programme is directly funded by NHS England. But the identification and
referral of patients is not. CCGs need to identify ways to reduce workload for
primary care and look for solutions for incentivisation and support. Some of the Demonstrator sites and Wave one
sites are coming up with creative ideas, i.e. auto populated referrals; hiring of
someone to identify and discuss risk and referral with patients; text messages,
review of local enhanced diabetes services/agreements etc, etc
2. CCGs don’t need do any “Contract
Management” with the provider:
NHS England is
funding the service provision and has hired the South, Central and West CSU to
do the contract management. You might want to get someone from the South Central and West CSU at one of your first Steering Group meetings to share how this
will work and what reports you will get locally
3. Stakeholder Communication:
Make sure you
have regular steering group meetings that include, GPs, Diabetes specialists, Commissioners,
Public Health – PHE and Local Authority, Diabetes UK, Biochemists,
Communications, Service users and the Provider (once confirmed). Remember that one size does not fit
all. Holding clinical Webinars might be
useful.
4.
Lead
Organisation:
There is not getting around it the project
takes a minimum of 3 days a week project management time, probably irrespective
of site size. There is a lot to do. It is also helpful to have a lead clinician. The Lead Organisation needs to develop good
relationships with all the partner organisations and the provider and be
prepared to share learning.
5.
Sign up:
The Memorandum
of Understanding (MOU) will need to be signed by the lead organisation and
NHS England. Although not a requirement, it is really helpful to get all partner organisations (CCG and LA)
to have high level physical sign off on the MOU as well.
6.
Alignment
with other programmes:
It is important to identify any existing
diabetes prevention programmes and consider alignment with NHS Healthcheck and
weight management programmes. NHS
England can provide 2 very helpful documents one of which is published here:
7.
Champions:
Start working with CCGs about how to
identify “Champion Practices” who would be willing to be early referrers.
8.
And
Finally:
Don’t forget to subscribe to the NHS England
Diabetes Prevention Programme newsletter:
ndpp.england@nhs.net
We know that the NHS Diabetes
Prevention Programme is not the panacea.
We all eagerly await more information about the CCG Improvement &
Assessment Framework, “Improvement
Offer” which we know will include £40m for treatment and care for people
with existing diabetes.
Sticking with the theme I started
with - we know we have a battle on our hands but we will know that we will have
several things in our armoury to support the fight for improvement in diabetes.
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