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Diabetes is a rising national problem and we are committed to preventing the rise of diabetes in our communities and delaying its onset. Our diabetes prevention programme, which has seen close to 3,000 people referred, works to identify those who are at high risk of developing type 2 diabetes and provides lifestyle advice, support and education in order to reduce their risk.

People newly diagnosed with type 2 diabetes are offered structured education, although we recognise that not enough people have been attending. Two years ago, the CCGs in Bradford district and Craven placed a successful bid for transformation money to develop our education offer and improve uptake of structured education in our area. Work continues at pace and this investment has seen an increase on both offers made and people starting on a course.  This year we have created several new education options for patients and we are seeing a marked increase in the numbers that have commenced or completed one of the many courses on offer.  Both NHS Bradford City and NHS Bradford District CCGs are continuing to work with the diabetes education team at Bradford Teaching Hospitals NHS Foundation Trust and new digital options are also available and provided by MapMyDiabetes along with face-to-face course provided by Spirit Healthcare.

We are also working with patients to improve the management of blood pressure, glucose levels and cholesterol for people with diabetes, following NICE recommendations, in order to reduce the risk of patients developing complications.

CCG Improvement and Assessment Framework 

Three recommended treatment levels

2starSMALL

Two stars - similar to the English average. Good control of blood pressure, cholesterol and HbA1c (sugar) is important. However, only 2 out of 5 people with diabetes have good control of all three. This is the same across England.

Control of Blood Pressure, Glucose as determined by HBA1c (sugar) and cholesterol levels play an important role in the reduction of risk and complications of diabetes e.g. eye disease, kidney failure, stroke, heart disease, foot ulcers and amputation.

Our CCG is working to improve the level of achievement of these three NICE-recommended treatment levels in people with diabetes, in support of appropriate management of diabetes and to reduce the risk of patients developing complications.

Structured education

1StarSmall

One star - worse than the English average. Attendance at structured education is low with just 8.54% diagnosed in the last 12 months attending nationally. Locally our result is much lower with just 5 in 100 attending.

By June 2018, our rate for attending structured education had increased to 19 percent that is roughly one in five patients having attended structured education and we are working on increasing attendance further.  

We are also aware of a number of structured education programmes being delivered in Bradford that are not currently recorded and we are working to ensure all of these programmes are properly recorded and the data is held within GP computer records.