Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. NHS DIABETES PREVENTION
PROGRAMME:
Preventing Type 2 Diabetes in England

2. Presenters:
• Jonathan Valabhji – National Clinical Director for Obesity and Diabetes -
NHS England
• Alison Tedstone - National Lead Diet and Obesity / Chief Nutritionist Health
and Wellbeing Directorate, Public Health England
• Helen Dickens – Head of Prevention, Diabetes UK
• Vicki Wallace, Dr Javed Rehman, Nurjahan Ali Arobi and Mohammad Ngala
- Bradford Demonstrator Site

3. Diabetes: the fastest growing health issue
• There are more than 4m
people in England at risk
of Type 2 diabetes
• Diabetes accounts for
10% of the NHS budget
• Strong international
evidence for
effectiveness of
behavioural interventions
to lower risk

4. NHS Diabetes Prevention Programme (NHS DPP)
• Commitment of the NHS Five Year Forward View
• Joint programme between Public Health England, Diabetes UK and NHS
England
• The NHS DPP aims to
- identify and support people with non-diabetic hyperglycaemia to lower their risk
of progression to Type 2 diabetes; and/or
- to delay the onset of the disease and its complications by referring people into
evidence-based behavioural interventions to reduce risk

5. Progress to Date
• Evidence review examining effectiveness of diabetes prevention programmes
completed and published
• Core components of the national service developed and reviewed by Expert
Reference Group
• Seven demonstrator sites working towards implementation of the NDPP, with
evaluation to feed into programme design
• Prior Information Notice (PIN) for national procurement issued, provider
information day held and ‘prospectus’ issued to gain feedback on proposed
service
• Call for expressions of interest for local areas to become first wave sites issued

6. NDPP Core Components
• Individuals identified as high risk via blood glucose tests (via GP registers and
Health Checks in the first instance)
• Structured behavioural intervention offeredfocused on weight loss, increasing
physical activity and improving diet
• Group sessions, face-to-face, held over at least 9 months
• Minimum of 13 sessions over 16 hours, with sessions lasting 1 -2 hours
• Use of behaviour change theory and techniques
• Delivered by health professionalor non-health professional

7. Demonstrator Sites
1. Birmingham South and Central clinical commissioning group (CCG) ;
2. BradfordCity CCG;
3. Durham County Council;
4. Herefordshire CCG and LocalAuthority;
5. Medway CCG and LA;
6. Salford CCG and LA;
7. Southwark and Lambeth Councils and Southwark CCG

8. Next steps
2015/16
• Identify areas for first wave of national roll-out
• Implement and evaluate demonstrator plans, feeding learning into national programme
• National procurement of provider(s) to deliver behavioural intervention
2016/17
• Deliver between 10,000 and 30,000 interventions across CCGs identified through
expression of interest exercise
• Develop framework for national evaluation
2017/18
• Aim to deliver long-term contracts providing incremental scaling up of services, with a view
to full coverage by 2018/17 (subject to final decisions about the pace of the programme)
• Conduct national evaluation

9. Users’ views on the NHS Diabetes
Prevention Programme
Report from meeting of the
NDPP User Involvement
Group
July 2015

10. What do people think of the programme?
“Peoplelike myself who are borderlinediabetic,coming
from a family historyof diabetes,havejustbeen left in
limbo now…sofor me this seems like a really good help…I
justwant continuous supportfromsomeoneto help me
to bring the bloodsugarlevel down, controlmyeating I
think is my main one.” - Ann
“I do think it’sa goodidea andthe reasonwhy is that
anythingthathelpsyou, me as an individualwith my
healthmust be a goodidea.” - Graham

12. Bradford Beating Diabetes
Bradford City CCG & Bradford
District Care Foundation Trust

13. Why Bradford Beating Diabetes (BBD)?
• Our prevalence rate was 7.5% (England average 5.8%) with a
predicted prevalence of 11-22%
• Area of health that public and patients were most concerned with
• It had always been seen to be too difficult, but this isn’t the case
now!

14. Involvement with NHS DPP
• Wanted to improve our currentprogramme– access to national experts & teams
• Evidence base – helped to expand to BradfordDistrictsCCG (a further 10,000
patientsto be invited)
• Clinical buy in
• Permission to try new initiatives
• Influence the work taking place nationally

15. Programme delivery
• Based on NICE Public Health 38 Guidance
• Phase1 - Personsalready known to be at high risk via previous blood test
• Phase 2 – Patientsdeemed of being at increased risk of developing diabetes (based
on the NICE Guidance)
• Practiceelement – delivered by a Local Incentive Scheme
• Intensive Lifestyle Change Programme– commissioned from BDCFT (come and see
our other presentation!)

16. Intensive Lifestyle Change Programme
‘This is real’

17. Get involved:
• We’re keento involve range of stakeholders, providers and partners in
developing and delivering the programme
• For more info:
• visit the #PreventingDiabetes Zone at Expo
• visit https://www.england.nhs.uk/ndpp
• for any questions or to sign up to our regular e-bulletin email
diabetesprevention@phe.gov.uk

18. Questions and answers
?