Around 208,000 people aged 17+ are diagnosed with diabetes in the East Midlands SHA area. This equates to 5.7% of the 17+ population. The diagnosed prevalence rate in PCTs varied from 4.9% in NHS Nottingham City to 6.9% in NHS Leicester City (Source: Quality and Outcomes Framework 2009-10)
Modeling suggests that the current diagnosed prevalence is 77% of the total prevalence, giving a further 63,000 undiagnosed cases across the region, raising the total estimated prevalence to 271,000 or 7.4% of the population. By 2030 this total prevalence is expected to rise by 156,000 to 427,000 or 9.7% of the population. Approximately half of this rise is due to the ageing population and half due to rises in obesity (APHO Diabetes Prevalence Model based on 2009-10 QOF data).
The majority of patients still do not access quality structured education despite good evidence of its efficacy and cost-effectiveness (NICE Quality Standards 2011). The East Midlands has some of the highest prevalence of diabetes in the UK but also has some of the best outcomes. However, there remains large variation in care and reported outcomes. The NICE Quality Standards due to be published in May 2011 align closely to our regional key performance indicators for diabetes. There are beacons of good practice, which if shared across the East Midlands, could increase quality of care and reduce costs.
Work is going on across the East Midlands to improve services and support for people with diabetes. This includes:
Developing clinical consensus on prescribing across the East Midlands region
Establishing guidelines that are evidence based and cost effective
Reducing variation and improving standards of care across the region
Reducing inappropriate monitoring and introducing standardisation for monitoring across the region
Building consensus of patient management and clinical monitoring
Improving procurement details, reducing waste by developing regional consensus
Sharing best practice and driving innovation and evidence-based practice and research in the region.
Commissioning & Providing Quality Diabetes Services Across The East Midlands - engagement event April 13
NHS East Midlands, in partnership with NHS Diabetes and Diabetes UK staged an event on April 13 - Commissioning & Providing Quality Diabetes Services Across The East Midlands. The agenda and presentations from the day are available to download below.