Programme eligibility criteria has been expanded for the NHS Diabetes Prevention Programme to include women with a past diagnosis of Gestational Diabetes Mellitus (GDM) and a normoglycaemic blood reading within the last 12 months.
The programme will run face-to-face from 1 April 2022 onwards.
The Healthier You: NHS Diabetes Prevention Programme (NHS DPP) identifies those at high risk of Type 2 Diabetes and refers them onto a face-to-face behaviour change programme. The NHS DPP is a joint commitment from NHS England, Public Health England and Diabetes UK. There are currently five providers across England that deliver this service.
The programme runs over 9 months and consists of 4 stages; a 1:1 telephone initial assessment, fortnightly group sessions, monthly group sessions and an end of programme 1:1 review. All group sessions will resume face-to-face delivery from 1 April 2022.
As of October 2021, there are still more than 20,000 patients in North East London who are currently eligible for this programme (i.e. have been diagnosed with prediabetes/blood sugar within the non-diabetic hyperglycaemic range) who have not yet been referred. Research has shown the programme has provided promising weight loss outcomes, with an average loss of around 3-4kgs per participant that completes the programme.
Your patient is eligible if they meet the following criteria
- Aged over 18
- Registered with a GP in City & Hackney, Newham, Tower Hamlets, Waltham Forest, Barking & Dagenham, Havering or Redbridge
- HbA1c between 42-47 mmol/mol (6.0-6.4%) or Fasting Plasma Glucose between 5.5-6.9 mmol/molwithin the last 12 months
- If patient has a history of Gestational Diabetes (GDM) then patient is eligible with HbA1c <42 mmol/mol or FPG <5.5mmol/l within the last 12 months
- Able to take part in light/moderate physical activity
- Diagnosed as Diabetic (if a patient has been diagnosed within the last 6 years, they may be eligible for the Low Calorie Diet pilot)
How to refer?
The following clinicians can refer to this service: GPs, Nurses, Any HCPs can refer as long as they have a valid HbA1c for the patient (taken within previous 12 months).
To refer an individual to the Healthier You Programme, please ensure they meet the eligibility criteria then complete the referral form which is embedded into your clinical system and send it to:
NHS email: firstname.lastname@example.org
If you cannot find this referral form on your system, please ask your CEG facilitator or email us at email@example.com.
Patients can also self-refer themselves onto the programme by taking a survey to assess their risk of Type 2 diabetes. If an individual receives a high-risk score, they have the option to refer themselves onto the programme without the need for a blood glucose result. This referral route is open indefinitely: https://riskscore.diabetes.org.uk/start, and primary care referrals are preferred.
Referral forms will be centrally updated shortly with additional fields to capture hearing and/or visual impairment. Referrers will also be required to clearly state, where applicable, a previous history of Gestational Diabetes Mellitus (GDM) on the referral form (i.e. appropriate box ticked), regardless of whether current glycaemic status is normoglycaemic or non-diabetic hyperglycaemia (NDH). To confirm, referrals for women with normoglycaemia and a history of previous GDM must continue to state the positive history of gestational diabetes in order for the referral to be accepted. All women regardless of their HbA1c/FPG reading who have had a history of GDM are eligible for the programme (however, they must not be currently pregnant).
The Royal College of GPs (RCGP) has developed an e-learning module on the NHS Diabetes Prevention Programme for GPs, practice nurses and other practice staff. The free 30-minute module is CPD-accredited and covers:
- what non-diabetic hyperglycaemia is
- what the NHS Diabetes Prevention Programme is
- how it works
- who is eligible
It can be accessed by creating a free account on the RCGP learning site.
Xyla Health & Wellbeing, Part of Acacium Group
Xyla Health & Wellbeing (the provider) Resources:
- https://preventing-diabetes.co.uk/referrers/north-east-london/ - includes patient information in various languages
Local Case Studies:
Other useful sources of information regarding the programme:
You can also find a variety of campaign resources here: https://campaignresources.phe.gov.uk/resources/campaigns/72-healthier-you/resources
Who can I contact for more information?
Please email any generic queries to: firstname.lastname@example.org
- GP information leaflet
- Patient information leaflet
- Referral Script for Primary Care
- GP Presentation
- NHS DPP Presentation Slides
- Service User Feedback of the NDPP
- NHS DPP informational recording
- Healthier You Know Your Risk GP Screen Video
- NDPP EMIS search location
Related Services across North East London
Digital Weight Management Programme - linked
Low Calorie Diet Programme - linked