further & higher education
health & social care
local government
voluntary sector
2

Improving Diabetes Care and Prevention

further & higher education

health & social care

local government

voluntary sector

08:30 - 15:50

Wednesday 12 December 2018

etc. Venues – Marble Arch, Central London

This Forum provides attendees with the opportunity to discuss the latest policies and strategies taken to improve care for patients with diabetes, along with preventing diabetes for those at the highest risk of developing Type 2. Attendees will gain insights from best practice case studies examining ways to improve diabetes care, reducing and preventing Type 2 diabetes through innovative campaigns, early detection methods and research to improve treatment for people living with diabetes.

Audience

This Forum will bring together sector leaders from the Health, Voluntary and Higher Education sector. Typical job titles will include:

  • GPs
  • Diabetic Specialists
  • Research Dietitians
  • Nurse Practitioner & Diabetic Specialist Nurse
  • Commissioning Managers
  • Health and Wellbeing Physiologist
  • Service Improvement Manager
  • Podiatrist
  • Diabetes Outcomes Director
  • Endocrinologist and Metabolic Medicine
  • Head of Research
  • Medical Researcher and Researchers in Diabetes

This Forum is also open to Local Government to encourage networking and debate.

Key Speakers Confirmed:
  • Professor Jonathan Valabhji, National Clinical Director For Diabetes and Obesity, NHS England 
  • Robin Hewings, Head of Policy, Knowledge and Insight, Diabetes UK
  • Professor Gill Leng, Deputy Chief Executive, The National Institute for Health and Care Excellence (NICE)
View the agenda and additional speakers

08:30

Registration, Refreshments and Networking


09:20

Chair’s Welcome Address

Professor Magdi Yaqoob, Professor of Nephrology, William Harvey Research Institute (WHRI), and Academic Director of Department of Renal Medicine and Transplantation, Barts Health NHS Trust (CONFIRMED)


09:30

Morning Keynote: Improving Quality of Care and Outcomes through NICE Guidelines

  • Exploring how local commissioners and healthcare providers can meet the NICE guidelines both in the context of local and national funding and service priorities
  • Sharing updated guidelines for preventing Type 2 diabetes, including commissioning services and campaigns to deliver intensive lifestyle changes
  • Exploring updated guidelines for safer insulin prescribing including local implementation, and how they can work towards improving HbA1c targets
  • Encouraging prioritisation of individuals at the highest risk with an evidence-based behaviour change programme, including advice on short, medium and long term consequences of Type 2 diabetes and preventing relapse though clear, achievable goals

Professor Gillian Leng, Deputy Chief Executive, NICE (CONFIRMED)


09:50

Questions and Answers Session


10:00

Special Keynote: The NHS Type 2 Diabetes Prevention Programme and the NHS Diabetes Treatment and Care Programme

  • Covering the 3 major work streams of the NHS England Diabetes Programme
  • Exploring the progress of the Healthier You: NHS Diabetes Prevention Programme
  • Providing a further £40 million of national funding for the Diabetes Treatment and Care Programme for 2018/19 to promote access to evidence-based interventions
  • Resourcing further progress around access to structured education, achievement of diabetes treatment targets, delivery of diabetes inpatient care, and improvement of access to multidisciplinary care for those with diabetic foot disease
  • Examining the progress of the Digital Diabetes Programme, including digital support for those with Type 1 diabetes, digital support around Type 2 diabetes education, and digital interventions to prevent Type 2 diabetes

Professor Jonathan Valabhji, National Clinical Director For Diabetes and Obesity, NHS England (CONFIRMED)


10:30

Questions and Answers Session


10:50

Refreshments and Networking


11:10

Case Study: Improving Early Detection of Diabetes through Community Screening and Intervention

  • Introducing the Leicester Diabetes Risk Score for opportunistic screening for diabetes
  • Evaluating the progress of increasing screening through community settings, including faith centres and pharmacies
  • Outlining the benefits of using two community pharmacy-based methods of screening for diabetes: Leicester self-assessment risk score followed by a finger prick for HbA1c test
  • Understanding the pharmacists’ views and experiences of providing the screening service and sharing the findings about the feasibility of the screening, including any barriers and facilitators

Dr Laura Gray, Professor of Medical Statistics, University of Leicester (CONFIRMED)


11:30

Case Study: Embedding Diabetes Care Across a Strategic Clinical Network

  • Sharing with other NHS organisations how the Network is improving diabetes care through an integrated approach across the system, including patient engagement
  • Discussing the development and implementation of a multidisciplinary diabetes footcare blueprint across the North West Coast region
  • Outlining how the Network has been able to mobilise organisations to implement the national diabetes priorities, including diabetes prevention and treatment care

Paul Mackenzie, Senior Network Manager and Mike Mayers, Quality Improvement and Assurance Programme Manager (Diabetes), North West Coast Strategic Clinical Network (CONFIRMED)


11:50

Case Study: Improving Diabetes Care through Education, Footcare and Specialist Nursing Teams

  • Outlining the ‘Structured Education’ project, which involved commissioning an education hub to embed understanding across services, incentivising GPs to refer patients and creating diabetes patient videos in a range of languages
  • Sharing the journey to developing an integrated clinical model for diabetes, providing additional support to primary care through joint working and training to all diabetes team members
  • Improving multi-disciplinary footcare by establishing North West London foot network, which standardises diabetes foot data and improves the footcare workforce through pathway coordinators
  • Exploring the successful implementation of the Diabetes Prevention Programme through three waves which achieved referrals three times the national average
  • Implementing a lifestyle change hub which involved e-learning, mentoring and a change app

Winners of £2.35 million for across 8 CCGs from the Diabetes Transformation Fund

Lesley Roberts, Programme Director, North West London STP (CONFIRMED)


12:10

Questions and Answers Session


12:30

Lunch and Networking


13:30

Afternoon Keynote: Working in Collaboration to Create a New Era in Diabetes

  • Outlining the four main reasons why tackling diabetes requires effective collaboration:
  • Acknowledging that the scale of diabetes makes it one of the defining issues of our age
  • Listening to the voices of people with diabetes to understand that diabetes affects all aspects of a person’s life
  • Highlighting the need for a comprehensive approach to Type 2 diabetes prevention
  • Discussing the potential to manage diabetes in new ways
  • Concluding that in order to make progress we need to learn from established partnerships and look to form new ones

Robin Hewings, Head of Policy, Knowledge and Insight, Diabetes UK (CONFIRMED)


14:00

Case Study: Improving Diabetes Inpatient Care and Taking a Personalised Education Approach

  • Expanding the remit of patient education to offer a shorter ‘Living with Diabetes’ course as an alternative to the usual ‘X-PERT Diabetes’ structured education programme
  • Taking an innovative approach to the education sessions using conversation maps which encourage discussion and facilitate peer to peer learning
  • Undertaking quarterly reviews, listening to patient and staff feedback and reflecting on statistics to drive improvements in education services
  • Discussing the problems that people with diabetes face when admitted to hospital, such as experiencing longer stays, and medication errors
  • Changing practice to improve outcomes, including having a dedicated diabetes in-patient specialist nurse (DISN) and establishing a community-based diabetes team
  • Outlining the outcomes and lessons learned from implementing the changes and howthe trust can further improve its approach

Sharen Livingstone, Diabetes Specialist Dietitian, and Louise Wong, Advanced Nurse Practioner in Diabetes, Salford Royal NHS Foundation Trust (CONFIRMED)


14:30

Questions and Answers Session


14:50

Refreshments and Networking


15:10

Case Study: Utilising Digital Technology to Monitor and Manage Diabetes by Supporting Healthy Living Choices

  • Understanding the potential of digital technology in reducing pressure and reliance on future health resources and helping local people make healthy life choices to meet personal health goals
  • Outlining how other NHS organisations can access the digital programme which supports patients to monitor and manage diabetes with the help of a dedicated personal health coach and includes lifestyle tracking, smart goal setting and online peer-to-peer support
  • Establishing links with local primary care networks, allowing practices to ‘visually’ provide the support that patients want from the digital tool and providing 12 months of digital support and interaction with the same health coach
  • Identifying the progress and outcomes of the pilot and ensuring that the programme understands local needs whilst ensuring engagement from patients

Natalie Ritrovato, Primary Care Improvement Lead, and Dr. Anju Gupta, Clinical Diabetes Lead, Barking and Dagenham CCG (CONFIRMED)


15:30

Questions and Answers Session


15:50

Chair’s Summary and Close

*programme subject to change


The number of people living with diabetes has doubled in twenty years, and unless significant changes are made, more than five million people will have diabetes in the UK by 2025. The NHS is currently spending £2.5bn a year on treatment and prevention of the disease.

Public Health England estimates that 80% of indirect costs associated with diabetes relate to Type 2 diabetes, costing approximately £8.8 billion a year according to NHS England. In recognition of this widescale and increasing problem, NHS England invested £40 million in 2017/18 as part of the National Diabetes Treatment and Care Programme. Additionally, NHS England launched the £44 million Diabetes Transformation Fund in 2017 to improve diabetes care through achieving NICE recommended treatment targets, introducing new multi-disciplinary footcare teams and creating diabetes inpatient specialist nursing services.

Despite increased investment, more than 260,000 people with diabetes had encountered errors during a hospital stay last year according to recent research by Diabetes UK, 9,600 of whom suffered a serious and potentially life-threatening episode of hypoglycaemia because of poor insulin management. With 12 million people at risk of developing Type 2 diabetes in the UK, errors of this nature are likely to increase unless significant changes are made.

Patients with diabetes are expected to account for a quarter of people occupying hospital beds by 2030. As demands and pressures on the NHS increase, it is imperative that the government, charities and health professionals continue to focus on preventing diabetes. It is necessary that professionals working within diabetes promote thorough behavioural interventions to ensure individuals can identify the symptoms early to avoid long-term complications and improve the health of a large proportion of the UK population.

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