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September 2015 – South East Expression of Interest for Wave One

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September 2015 – South East Expression of Interest for Wave One NHS Diabetes Prevention Programme: Expression of interest to participate in the first wave of national implementation Name of organisation(s) making this application South East (Kent, Medway, Surrey & Sussex) Kent & Medway CCGs NHS Ashford CCG NHS Canterbury & Coastal CCG NHS South Kent Coast CCG NHS Thanet CCG NHS Swale CCG NHS Dartford, Gravesham & Swanley CCG NHS West Kent CCG NHS Medway CCG Surrey CCGs NHS North West Surrey CCG NHS Surrey Downs CCG NHS Surrey Heath CCG NHS Guildford & Waverley CCG NHS East Surrey CCG NHS North East Hampshire & Farnham CCG Sussex CCGs NHS Crawley CCG NHS Horsham & Mid Sussex CCG NHS Coastal West Sussex CCG NHS Brighton & Hove CCG NHS High Weald, Lewes & Havens CCG NHS Hastings & Rother CCG NHS Eastbourne, Hailsham & Seaford CCG Local Authority Public Health Kent County Council Medway Council East Sussex County Council West Sussex County Council Surrey County Council Brighton & Hove City Council Hampshire County Council South East Cardiovascular Strategic Clinical Network (Diabetes) (Kent, Medway, Surrey & Sussex) NHS England South (South East) Public Health England South East The Paula Carr Diabetes Trust (Kent & Medway – wide If this is a joint bid (e.g. multiple CCGs or CCG Joint bid across South East (Kent, Medway, Surrey & and Local authority), which organisation is Sussex), including all CCGs, Local Authority Public taking the lead? Health Teams, South East Cardiovascular SCN, NHS England South (South East) and Public Health England South East The South East Cardiovascular Strategic Clinical Network (Diabetes) is compiling the bid application on behalf of all organisations. York House 1 September 2015 – South East Expression of Interest for Wave One 18-20 Massetts Road Horley Surrey, RH6 7DE Lead officer/primary contact for this application Name: Jackie Huddleston Job title: Joint Interim Associate Director South Email: [email protected] Direct dial: 01138 254693 Mobile: 07540 919767 Map of the Partnership Organisations Number of Practices and Population per CCG across the South East SCN (Kent, Surrey & Sussex) 2015 Practice CCG/LHB Name Count CCG Population NHS ASHFORD CCG 15 124,968 NHS BRIGHTON AND HOVE CCG 47 300,000 NHS CANTERBURY AND COASTAL CCG 22 214,579 NHS COASTAL WEST SUSSEX CCG 56 482,000 NHS CRAWLEY CCG 13 120,000 NHS DARTFORD, GRAVESHAM AND SWANLEY CCG 36 278,000 NHS EAST SURREY CCG 18 170,000 NHS EASTBOURNE, HAILSHAM AND SEAFORD CCG 22 183,677 NHS GUILDFORD AND WAVERLEY CCG 21 214,072 NHS HASTINGS AND ROTHER CCG 32 183,500 2 September 2015 – South East Expression of Interest for Wave One NHS HIGH WEALD LEWES HAVENS CCG 22 163,612 NHS HORSHAM AND MID SUSSEX CCG 23 225,000 NHS MEDWAY CCG 57 283,000 NHS NORTH EAST HAMPSHIRE AND FARNHAM CCG 24 218,000 NHS NORTH WEST SURREY CCG 43 350,000 NHS SOUTH KENT COAST CCG 31 199,000 NHS SURREY DOWNS CCG 33 290,000 NHS SURREY HEATH CCG 9 90,000 NHS SWALE CCG 20 106,579 NHS THANET CCG 21 140,000 NHS WEST KENT CCG 62 463,730 3 September 2015 – South East Expression of Interest for Wave One Regional Demographic Information There are an estimated 266,350 people in the South East coast with diabetes, when adjustments are made for age, sex, ethnic group and deprivation. This is 7.3% of the adult population, higher than the average prevalence for diabetes for England as a whole of 7.4%. The map below shows the estimated levels of diabetes in the South East coast area for 2013. Less than 6.5% 6.5 – 7.0% 7.0 – 7.5% 7.5 – 8.0% 8.0% and over Source: Maps produced by South East KIT Public Health England. Data is available at National Diabetes Information Service, Diabetes Prevalence Model for England 2012. Values not available By 2030 levels of diabetes in the South East coast are expected to rise to 371,487 people or 8.9% of the adult population, compared with 8.8% for England as a whole. The map below shows the predicted levels of diabetes for each local authority area in the South East coast by 2030, assuming obesity continues to rise at the current rate. 4 September 2015 – South East Expression of Interest for Wave One Estimates of non-diabetic hyperglycaemia in local authorities in England in 2015 The data below gives the estimated number of people aged 16 and over who have non-diabetic hyperglycaemia by local authority across Kent & Medway, Surrey & Sussex. The definition for non-diabetic hyperglycaemia referred to in this document is from the NHS England Consultation Guide: National Procurement for the Provision of Behavioural Interventions for People with Non-Diabetic Hyperglycaemia – Page 10: “Individuals who are eligible for inclusion on the behavioural intervention will have “non-diabetic hyperglycaemia, defined as having an HbA1c 42 – 47mmol/mol (6.0 – 6.4%) or a fasting plasma glucose (FPG) of 5.5 – 6.9mmol/mol. Only individuals aged 18 year or over will be eligible for the intervention”. Name Number Prevalence Brighton and Hove 20,190 8.5% East Sussex 57,645 12.9% Kent 139,791 11.4% Medway 22,916 10.4% Surrey 106,549 11.3% West Sussex 83,089 12.2% South East Total 430,180 11.1% England 5,047,891 11.4% (Cardiovascular Intelligence Network – August 26th 2015) 1. What ambitions or commitments to focus the NHS on prevention, or prevent Type 2 diabetes, are included in your local strategies and plans? The South East, which incorporates Kent & Medway, Surrey & Sussex, has a long standing recognition of the volume of people who are likely to progress to a diagnosis of diabetes (see predicted prevalence increases above). There has been a sense of frustration that there is limited, targeted to divert or delay this progression which invariably leads to a life changing diagnosis for patients and potentially lead to life limiting complications (blindness, renal damage, amputations, heart attacks). In addition diabetes currently accounts for 10% of the NHS budget but is predicted to rise to 17% of the NHS budget by 2030. The South East already has many examples, shared in this expression of interest, where work has been started to address this issue. This demonstrates the solid position the South East is in to confidently work with NHS England on Wave One of the national roll out of the NHS Diabetes Prevention Programme. This Expression of Interest has been produced at the behest of the constituent partner organisations by the South East Cardiovascular Strategic Clinical Network (Diabetes). The submission is from a collaboration of the 21 CCGs, 6 Local Authorities, Medway CCG/LA demonstrator site, the South East Cardiovascular Strategic Clinical Network (Diabetes) and NHS England South (South East) and the Paula Carr Diabetes Trust (Diabetes Charity covering the whole of Kent & Medway). These organisations cover the 3 counties of Kent & Medway, Surrey and Sussex and are co-terminus. The collaboration of organisations have agreed, by way of signing the expression of interest, to the following commitments: NHS South Regional Diabetes Programme Board 5 September 2015 – South East Expression of Interest for Wave One NHS South have committed to supporting diabetes prevention as part of a wider commitment to the South priority diabetes programme and as such can provide strategic support to the South East and ensure informed roll out to the rest of the South Region during further waves of the programme. • Public Health Commitment – Local Authorities and PHE Each of the 6 Local Authorities Directors of Public Health and the PHE South East Centre Director are committed to supporting CCGs in the implementation of the programme through the provision of public health support and advice to implement the programme successfully and ensuring that all people with non-diabetic hyperglycaemia identified though the NHS Health Check Programme are referred to the nationally procured service during 2016/17. The South East Cardiovascular Strategic Clinical Network (Diabetes) Commitment The South East CVD SCN has developed an effective Diabetes Clinical Advisory Group (CAG) since its inception in April 2013 with a comprehensive Diabetes work plan which has been agreed with CCGs and includes diabetes prevention. There is a dedicated diabetes clinical lead and programme manager in place who are also supporting this bid. The Diabetes Programme Manager currently provides support to the Medway Demonstrator site. The CVD SCN is committed to providing the strategic link and oversight through the clinical lead, programme manager and the CAG to support the relationships and work between the CCGs/LAs and the South East provider. CCGs Commitment 20 CCGs are committed to the identification and referral of 250 people per CCG with non-diabetic hyperglycaemia into the nationally procured service provider for the South East during 2016/17. This equates to a collective minimum commitment of 5,000 referrals across the South East. Detailed within the application are examples to demonstrate confidence that this is achievable. Medway CCG and LA NHS Diabetes Prevention Programme Demonstrator Site Commitment Medway CCG and LA are committed to supporting the South East partnership approach by providing their expertise and knowledge as forerunners in the region in implementing a diabetes prevention programme. The Paula Carr Diabetes Trust The Paula Carr Diabetes Trust is a Kent & Medway-wide charity covering a third of the partnership area. The charity is able to provide the conduit for patient and public involvement for a large proportion of the partnership to support Wave One. In addition, the Paula Carr Trust, in partnership with the Medway Demonstrator site, is supporting the development and pilot of a Diabetes Prevention Information Pack and the development and piloting of a Diabetes Prevention “Taster session” to encourage commitment to the Diabetes Prevention Programme if declined upon referral.
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